FDA Adverse Event Injury Summary report: N

GMK SPHERE TOTAL KNEE SYSTEM

MDR report key: 20694302 · Received November 15, 2024

Report

Report Number
3005180920-2024-00943
Event Type
Injury
Date Received
November 15, 2024
Date of Event
October 17, 2024
Report Date
November 15, 2024
Manufacturer
MEDACTA INTERNATIONAL SA
Product Code
JWH
UDI-DI
07630971261761
PMA / PMN Number
K202022
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

BATCH REVIEW PERFORMED ON 6 NOVEMBER 2024: LOT 2241318: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 03-JAN-2023. EXPIRATION DATE: 2027-DEC-05. NO ANOMALIES FOUND RELATED TO THE PROBLEM. TO DATE, ALL ITEMS OF THE SAME LOT HAVE BEEN SOLD WITH NO SIMILAR REPORTED EVENT DURING THE PERIOD OF REVIEW. CONCLUSION: THE SURGEON WILL REVISE LINER HEIGHT, WHICH IS A COMMON PRACTICE TO RESTORE THE JOINT MOBILITY. THERE IS NO INDICATION THAT ANY POTENTIAL ISSUE WITH THE DEVICE MAY HAVE CAUSED OR CONTRIBUTED TO THE EVENT. NOTE: IN SECTION H1 "TYPE OF REPORTABLE EVENT" WE HAVE FLAGGED THE OPTION SERIOUS INJURY. THIS OPTION HAS BEEN INSERTED BECAUSE AT THE MOMENT THE REVISION HAS NOT YET BEEN DONE, BUT IT WILL BE PERFORMED.

Description of Event or Problem · 0

THE PATIENT CAME IN FOR A POST-OP APPOINTMENT AND EXPRESSED PAIN AND LIGAMENT TIGHTNESS AND THE CAUSE IS UNKNOWN. THE SURGEON IS REQUESTING A 2MM THINNER POLYETHYLENE INSERT AS HE THINKS THE THINNER POLY WOULD PROVIDE BETTER LIGAMENT BALANCE. A REVISION SURGERY HAS NOT BEEN SCHEDULED AT THIS TIME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1307653 GMK SPHERE TOTAL KNEE SYSTEM KNEE TIBIAL INSERT E-CROSS JWH MEDACTA INTERNATIONAL SA 02.12.E0410FR 2241318 07630971261761

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other