MAUDE Adverse Event Report: MEDACTA INTERNATIONAL SA GMK REVISION TOTAL KNEE SYSTEM; FEMUR REVISION PS CEMENTED S.4R

Model Number	02.07.2404R
Medical Device Problem Code	Device Appears to Trigger Rejection (1524)
Health Effect - Clinical Code	Medical device site infection (4845)
Date of Event	06/16/2026
Type of Reportable Event	Serious Injury
Additional Manufacturer Narrative
Batch review performed on 23 june 2026 gmk-revision 02.07.2404r femur revision ps cemented s.4r (k102437) lot.2403984a: (b)(4) items manufactured and released on 24-june-2024.Expiration date: 2029-06-06.No anomalies found related to the problem.To date, (b)(4) items of the same lot have been sold with no similar reported events during the period of review.Gmk-revision 02.07.0684r revision tibial tray size 4 right - finishing (k123721) lot.2312234: (b)(4) items manufactured and released on 10-oct-2023.Expiration date: 2028-09-25.No anomalies found related to the problem.To date, all items of the same lot have been sold with no similar reported events during the period of review.Gmk-revision 02.07.0414scf fixed tibial insert semiconstrained s.4 / 14 mm (k103170) lot.2343105: (b)(4) items manufactured and released on 21-dec-2023.Expiration date: 2028-11-21.No anomalies found related to the problem.To date, (b)(4) items of the same lot have been sold with no similar reported events during the period of review.Root cause: infection is a known possible complication of any surgery.Although no root cause can be established, there is no indication that any issue with the device may have caused or contributed to the event, and the document review does not indicate any potential manufacturing related cause.
Event or Problem Description
The patient had primary surgery using competitor products.On (b)(6) 2025, the patient was revised to medacta gmk-revision implants.Presently, on (b)(6) 2026, the patient came in presenting signs of infection and the pathogen is unknown.The surgeon performed a washout and remove all revision implants from the (b)(6) 2025 surgery.The surgeon place antibiotic spacers.The surgery was completed successfully.

• Brand Name: GMK REVISION TOTAL KNEE SYSTEM
• Common Device Name: FEMUR REVISION PS CEMENTED S.4R
• Manufacturer (Section D): MEDACTA INTERNATIONAL SA; strada regina; castel san pietro 6874 ; SZ 6874
• Manufacturer Contact: marco giannessi ; strada regina; castel san pietro 6874 ; SZ 6874
• MDR Report Key: 25747729
• Report Number: 3005180920-2026-00672
• Device Sequence Number: 10086477
• Product Code: JWH
• UDI-Device Identifier: 07630030821431
• UDI-Public: 07630030821431
• Combination Product (Y/N): N
• PMA/510(K) Number: K102437
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Device Implanted Year: 2025
• Device Explanted Year: 2026
• Serviced by Third Party (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Company Representative
• Initial Reporter Occupation: Other
• Type of Report: Initial
• Report Date (Section B): 07/08/2026

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: No
• Operator of Device: Health Professional
• Device Model Number: 02.07.2404R
• Device Lot Number: 2403984A
• Was Device Available for Evaluation?: No
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 06/16/2026
• Initial Report FDA Received Date: 07/08/2026
• Was Device Evaluated by Manufacturer? (Y/N): Device Not Returned to Manufacturer
• Date Device Manufactured: 06/24/2024
• Is the Device Labeled for Single Use? (Y/N): Yes
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Initial
• Patient Sequence Number: 1
• Outcome Attributed to Adverse Event: Required Intervention
• Patient Sex: Male