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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. PERSONA 0 DEG KEL TIB PEG DRL; Prosthesis, Knee, Patellofemorotibial, Semi-Constrained, Cemented, Polymer/Metal/Polymer

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ZIMMER BIOMET, INC. PERSONA 0 DEG KEL TIB PEG DRL; Prosthesis, Knee, Patellofemorotibial, Semi-Constrained, Cemented, Polymer/Metal/Polymer Back to Search Results
Catalog Number 42539901831
Medical Device Problem Code Fracture (1260)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 03/13/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
(b)(4).G2 : foreign country: canada h6 : mechanical (g04) - drill customer has indicated that the product is in process of being returned to zimmer biomet for investigation.Once the investigation has been completed, a follow-up mdr will be submitted.
 
Event or Problem Description
It was reported that while drilling the pegs, the instrument broke.Nothing fell into the patient.There were no foreign bodies retained.The surgical technique was utilized.There was no surgical delay.The surgery was completed with another device.Attempts have been made and all available information has been provided.
 
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Brand Name
PERSONA 0 DEG KEL TIB PEG DRL
Common Device Name
Prosthesis, Knee, Patellofemorotibial, Semi-Constrained, Cemented, Polymer/Metal/Polymer
Manufacturer (Section D)
ZIMMER BIOMET, INC.
1800 w. center st.
warsaw IN 46580
Manufacturer (Section G)
ZIMMER BIOMET, INC.
1800 w. center st.
warsaw IN 46580
Manufacturer Contact
jennifer rapsavage
56 e. bell dr.
warsaw, IN 46582
5745260384
MDR Report Key24745404
Report Number0001822565-2026-01023
Device Sequence Number9101278
Product Code JWH
UDI-Device Identifier00889024632455
UDI-Public(01)00889024632455(11)240403(10)ZB7695719
Combination Product (Y/N)N
Initial Reporter CountryUS
PMA/510(K) Number
K221479
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Distributor
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial,Followup,Followup
Report Date (Section B) 07/27/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Catalogue Number42539901831
Device Lot NumberZB7695719
Is the Reporter a Health Professional? No
Was the Report Sent to FDA? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 03/13/2026
Supplement Date Received by Manufacturer05/08/2026
07/27/2026
Initial Report FDA Received Date03/31/2026
Supplement Report FDA Received Date05/15/2026
07/28/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured04/03/2024
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Reuse
Patient Sequence Number1
Patient SexUnknown
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