FDA Adverse Event Injury Summary report: N

GMK SPHERE TOTAL KNEE SYSTEM

MDR report key: 20426111 · Received October 11, 2024

Report

Report Number
3005180920-2024-00807
Event Type
Injury
Date Received
October 11, 2024
Date of Event
September 12, 2024
Report Date
October 11, 2024
Manufacturer
MEDACTA INTERNATIONAL SA
Product Code
JWH
UDI-DI
07630030825835
PMA / PMN Number
K121416
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SZ
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

BATCH REVIEW PERFORMED ON 19-SEP-2024. LOT 1910650: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 09-APR-2020. EXPIRATION DATE: 2025-03-21. NO ANOMALIES FOUND RELATED TO THE PROBLEM. TO DATE, (B)(4) ITEMS OF THE SAME LOT HAVE BEEN SOLD WITH NO SIMILAR REPORTED EVENT DURING THE PERIOD OF REVIEW. CLINICAL EVALUATION PERFORMED BY MEDICAL AFFAIRS DIRECTOR: 4 YEARS AFTER REVISION TKA, THE PATIENT COMPLAINS OF KNEE PAIN AND A NEW REVISION IS UNDERTAKEN. NO FURTHER INFORMATION IS AVAILABLE. THE QUALITY OF THE IMAGES SUPPLIED IS SUCH THAT NO COMMENT CAN BE MADE FROM THEM. THE REPORT DOES NOT MENTION ANY PROBLEM WITH THE IMPLANTS, AND IN FACT IT SAYS EXPLICITLY THAT NO INFECTION AND NO LOOSENING WERE DETECTED. OTHER DEVICES INVOLVED: GMK-SPHERE TIBIAL INSERT FIXED SPHERE FLEX SIZE 4/10 MM L (K121416) LOT 2112453: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 04-NOV-2021. EXPIRATION DATE: 2026-10-12. NO ANOMALIES FOUND RELATED TO THE PROBLEM. TO DATE, (B)(4) ITEMS OF THE SAME LOT HAVE BEEN SOLD WITH NO SIMILAR REPORTED EVENT DURING THE PERIOD OF REVIEW. GMK-SPHERE TIBIAL TRAY FIXED CEMENTED SIZE T3I4 L (K121416) LOT 2112049: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 14-DEC-2021. EXPIRATION DATE: 2026-11-25. NO ANOMALIES FOUND RELATED TO THE PROBLEM. TO DATE, (B)(4) ITEMS OF THE SAME LOT HAVE BEEN SOLD WITH NO SIMILAR REPORTED EVENT DURING THE PERIOD OF REVIEW.

Description of Event or Problem · 0

THE PATIENT UNDERGONE PRIMARY SURGERY ON THE (B)(6) 2020 AND GMK-SPHERE COMPONENTS, WITHOUT PATELLA RESURFACING, HAVE BEEN IMPLANTED. ON THE (B)(6) 2022, THE PATIENT HAS BEEN REVISED BECAUSE OF ANTERIOR KNEE PAIN AND LOOSENING OF THE TIBIAL TRAY. THE SURGEON REVISED SUCCESSFULLY THE TIBIAL TRAY AND INSERT AND IMPLANTED A RESURFACING PATELLA SIZE 1. PRESENTLY, ON THE (B)(6) 2024, THE PATIENT HAS BEEN REVISED DUE TO PAIN. NO LOOSENING AND INFECTION DETECTED. THE SURGEON REMOVED FEMORAL AND TIBIAL COMPONENTS AND INSERT AND IMPLANTED GMK-REVISION SYSTEM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
344813 GMK SPHERE TOTAL KNEE SYSTEM KNEE FEMORAL COMPONENT JWH MEDACTA INTERNATIONAL SA 02.12.0004L 1910650 07630030825835

Patients

Seq Age Sex Outcome Treatment
1 71 YR Female Required Intervention