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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. PERSONA 0° KEEL TIBIAL PEG DRILL; Prosthesis, Knee, Patellofemorotibial, Semi-Constrained, Cemented, Polymer/Metal/Polymer

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ZIMMER BIOMET, INC. PERSONA 0° KEEL TIBIAL PEG DRILL; 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 04/13/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
(b)(4).H6: proposed component code: mechanical (g04) - drill the device will not be returned for analysis; however, an investigation of the reported event is in progress.Once the investigation is completed, a supplemental medwatch 3500a will be submitted.
 
Event or Problem Description
It was reported that during an initial total knee arthroplasty, a drill fractured.There was no patient impact and no adverse events have been reported as a result of the malfunction.
 
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Brand Name
PERSONA 0° KEEL TIBIAL PEG DRILL
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 Key25117436
Report Number0001822565-2026-01497
Device Sequence Number10346969
Product Code JWH
UDI-Device Identifier00889024632455
UDI-Public(01)00889024632455(11)241101(10)67018488
Combination Product (Y/N)N
Initial Reporter StateVA
Initial Reporter CountryUS
PMA/510(K) Number
K221479
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional,Distributor
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 07/24/2026
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 Number67018488
Was Device Available for Evaluation? No
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 04/13/2026
Supplement Date Received by Manufacturer07/24/2026
Initial Report FDA Received Date05/07/2026
Supplement Report FDA Received Date07/31/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured11/01/2024
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 Unknown
Patient Sequence Number1
Patient SexUnknown
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