FDA Adverse Event Injury Summary report: N

GMK SPHERE TOTAL KNEE SYSTEM

MDR report key: 21467671 · Received February 26, 2025

Report

Report Number
3005180920-2025-00125
Event Type
Injury
Date Received
February 26, 2025
Date of Event
February 3, 2025
Report Date
February 26, 2025
Manufacturer
MEDACTA INTERNATIONAL SA
Product Code
JWH
UDI-DI
07630971261440
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 05 FEBRUARY 2025: LOT 2242209: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 03-JAN-2023. EXPIRATION DATE: 2027-12-04. 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. THE SURGEON REVISED LINER HEIGHT, WHICH IS A COMMON PRACTICE TO RESTORE JOINT STABILITY. THERE IS NO INDICATION THAT ANY POTENTIAL ISSUE WITH THE DEVICE MAY HAVE CAUSED OR CONTRIBUTED TO THE EVENT.

Description of Event or Problem · 0

AT 1 YEAR AND 5 MONTHS FROM THE PRIMARY, THE PATIENT CAME IN REPORTING INSTABILITY AND THE CAUSE OF THE INSTABILITY IS UNKNOWN. THE SURGEON REVISED THE INSERT (FROM 14 TO 20 MM). THE SURGERY WAS COMPLETED SUCCESSFULLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
659056 GMK SPHERE TOTAL KNEE SYSTEM GMK-SPHERIKA TIBIAL INSERT FIXED SPHERE FLEX SIZE 2/14 MM R E-CROSS JWH MEDACTA INTERNATIONAL SA 02.12.E0214FR 2242209 07630971261440

Patients

Seq Age Sex Outcome Treatment
1 64 YR Female Required Intervention