| Brand Name | NexGen LPs-Flex Fixed Articular Surface Size EF/3-4 10mm |
| Common Device Name | Prosthesis, Knee |
| Manufacturer (Section D) |
| Zimmer Biomet, Inc. |
| 1800 w. center st. |
| warsaw IN 46580 |
|
| Manufacturer (Section G) |
| Zimmer Biomet, Inc. |
| 1800 west center street |
|
| warsaw IN 46580 |
|
| Manufacturer Contact |
|
jennifer
rapsavage
|
| 56 e. bell dr. |
| warsaw, IN 46582
|
|
+1(574)526-0384
|
|
| MDR Report Key | 50856858 |
| Report Number | 0001822565-2026-03210 |
| Device Sequence Number | 10053712 |
| Product Code |
JWH
|
| UDI-Device Identifier | 00889024211889 |
| UDI-Public | (01)00889024211889(17)250430(10)63649289 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | UK |
| PMA/510(K) Number | K173057 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Device Implanted Year | 2017 |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,Consumer,Health Professional,Company Representative |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial |
| Report Date (Section B) |
09/22/2026 |
| 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 |
Lay User/Patient
|
| Device Expiration Date | 04/30/2025 |
| Device Model Number | N/A |
| Device Catalogue Number | 00596403210 |
| Device Lot Number | 63649289 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Was the Report Sent to FDA? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 09/04/2026 |
| Initial Report FDA Received Date | 09/22/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 04/21/2017 |
| 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 |
Other;
|
| Patient Sex | Female |
|
|