FDA Adverse Event Injury Summary report: N

GMK HINGE TOTAL KNEE SYSTEM

MDR report key: 21574226 · Received March 11, 2025

Report

Report Number
3005180920-2025-00150
Event Type
Injury
Date Received
March 11, 2025
Date of Event
March 11, 2025
Report Date
February 10, 2025
Manufacturer
MEDACTA INTERNATIONAL SA
Product Code
KRO
UDI-DI
07630030825132
PMA / PMN Number
K130299
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

BATCH REVIEW PERFORMED ON 17-02-2025 LOT 2247581: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 09-03-2023. EXPIRATION DATE: 2028-02-20. 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. OTHER DEVICES INVOLVED: BATCH REVIEW PERFORMED ON 17-02-2025 GMK-HINGE 02.09.2704L GMK-HINGE FEMORAL COMPONENT SIZE4 L - TINBN COATED (K210010) LOT 2311769: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 22-11-2023. EXPIRATION DATE: 2028-10-31. 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. DUE TO THE LACK OF INFORMATION, IT IS NOT POSSIBLE TO ESTABLISH A DEFINITIVE ROOT CAUSE, WHILE THE DEVICE HISTORY RECORD REVIEW DOES NOT INDICATE ANY POTENTIALLY RELATED MANUFACTURING ISSUE.

Description of Event or Problem · 0

AT ABOUT 6 MONTHS FROM PRIMARY, THE PATIENT CAME IN REPORTING PAIN AND THE CAUSE IS UNKNOWN. THE SURGEON REVISED THE FEMORAL COMPONENT AND INSERT. THE SURGERY WAS COMPLETED SUCCESSFULLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
338062 GMK HINGE TOTAL KNEE SYSTEM GMK-HINGE 02.09.0314H GMK-HINGE TIBIAL INSERT - SIZE3 - 14 MM KRO MEDACTA INTERNATIONAL SA 02.09.0314H 2247581 07630030825132

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention