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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. PERSONA VIVACIT-E MEDIAL CONGRUENT ARTICULAR SURFACE LEFT 13MM; PROSTHESIS, KNEE

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ZIMMER BIOMET, INC. PERSONA VIVACIT-E MEDIAL CONGRUENT ARTICULAR SURFACE LEFT 13MM; PROSTHESIS, KNEE Back to Search Results
Model Number N/A
Device Problem Adverse Event Without Identified Device or Use Problem (2993)
Patient Problems Muscle Weakness (1967); Nerve Damage (1979); Pain (1994); Numbness (2415)
Event Date 01/17/2018
Event Type  Injury  
Manufacturer Narrative
(b)(4).Additional concomitant medical products: persona natural stemmed cemented tibial component 5 degree left size e catalog #: 42532007101 lot #: 63727131, persona posterior cruciate retaining narrow porous femoral component left size 6 catalog #: 42502206001 lot #: 62504834, persona tapered cemented stem extension 14mm x 30mm catalog #: 42557000114 lot #: 63829925.It is indicated by the complainant that the devices will not be returned to zimmer biomet for investigation, as the devices currently remain implanted.The investigation is in process.Once the investigation has been completed, a follow-up mdr will be submitted.Multiple mdr reports were filed for this event; please see all reports associated with this event.3007963827-2018-00135, 0001822565-2018-04434, 0001822565-2018-04435, 0001822565-2018-04436.Device remains implanted.
 
Event Description
It is reported that the patient was treated conservatively for pain, numbness and weakness that had developed in the left foot twelve (12) days following left knee arthroplasty.No additional patient consequences were reported.
 
Event Description
No further event information available at the time of this report.
 
Manufacturer Narrative
This follow-up report is being submitted to relay additional information.The product was evaluated through manufacturing review and the complaint was confirmed through review of medical records.The device history records were reviewed and no discrepancies were identified.A definitive root cause could not be determined with the information provided.If any further information is found which would change or alter any conclusions or information, a supplemental will be filed accordingly.Zimmer biomet will continue to monitor for trends.
 
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Brand Name
PERSONA VIVACIT-E MEDIAL CONGRUENT ARTICULAR SURFACE LEFT 13MM
Type of Device
PROSTHESIS, KNEE
Manufacturer (Section D)
ZIMMER BIOMET, INC.
56 e. bell drive
warsaw IN 46582
MDR Report Key7790744
MDR Text Key117383145
Report Number0001822565-2018-04435
Device Sequence Number1
Product Code MBH
Combination Product (y/n)N
PMA/PMN Number
PK150090
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,consum
Type of Report Initial,Followup
Report Date 04/25/2019
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
Device Operator Health Professional
Device Expiration Date03/31/2021
Device Model NumberN/A
Device Catalogue Number42512100713
Device Lot Number63307817
Was Device Available for Evaluation? No
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 07/24/2018
Initial Date FDA Received08/16/2018
Supplement Dates Manufacturer Received04/23/2019
Supplement Dates FDA Received04/25/2019
Is This a Reprocessed and Reused Single-Use Device? No
Removal/Correction NumberN/A
Patient Sequence Number1
Patient Outcome(s) Required Intervention;
Patient Age57 YR
Patient Weight86
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