FDA Adverse Event Injury Summary report: N

GMK TOTAL KNEE SYSTEM

MDR report key: 21855347 · Received April 17, 2025

Report

Report Number
3005180920-2025-00325
Event Type
Injury
Date Received
April 17, 2025
Date of Event
April 8, 2025
Report Date
June 19, 2025
Manufacturer
MEDACTA INTERNATIONAL SA
Product Code
JWH
UDI-DI
07630345716118
PMA / PMN Number
K211004
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

FOLLOW-UP: - DEVICES NOT AVAILABLE FOR INVESTIGATION. - ALL COMPONENTS REVISED.

Additional Manufacturer Narrative · 0

BATCH REVIEW PERFORMED ON 7 APRIL 2025: LOT 2307482: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 06/06/2023. EXPIRATION DATE: 23/05/2028. 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. ADDITIONAL DEVICES INVOLVED BATCH REVIEWS PERFORMED ON 7 APRIL 2025: GMK-SPHERIKA 02.07.1204L TIBIAL TRAY FIXED CEMENTED SIZE 4 L (K090988) LOT 2242030: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 02/02/2023. EXPIRATION DATE: 18/01/2028. 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-SPHERIKA 02.12.0410FL TIBIAL INSERT FIXED SPHERE FLEX SIZE 4/10 MM L (K121416) LOT 2244438: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 30/01/2023. EXPIRATION DATE: 13/01/2028. 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

ABOUT 1 YEAR AND 9 MONTHS AFTER THE PRIMARY SURGERY, THE PATIENT WAS REVISED DUE TO SIGNS OF INFLAMMATION (SUBQUADRICIPITAL EFFUSION), OF UNKNOWN ORIGIN. PATIENT'S NATURAL PATELLA WAS ALSO RESURFACED. HYPOTHESES REMAIN A POSSIBLE CHONDROLYSIS OF THE PATELLA OR AN ALLERGIC PHENOMENON.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1776582 GMK TOTAL KNEE SYSTEM GMK-SPHERIKA FEMORAL COMPONENT SPHERIKA CEMENTED S5L JWH MEDACTA INTERNATIONAL SA 02.12.KA05L 2307482 07630345716118

Patients

Seq Age Sex Outcome Treatment
1 83 YR Male Required Intervention