FDA Adverse Event Injury Summary report: N

GMK SPHERE TOTAL KNEE SYSTEM

MDR report key: 22000386 · Received May 12, 2025

Report

Report Number
3005180920-2025-00433
Event Type
Injury
Date Received
May 12, 2025
Date of Event
April 16, 2025
Report Date
May 12, 2025
Manufacturer
MEDACTA INTERNATIONAL SA
Product Code
JWH
UDI-DI
07630040707343
PMA / PMN Number
K181635
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

BATCH REVIEW PERFORMED ON 29 APRIL 2025. LOT 2112391: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 09-NOV-2021. EXPIRATION DATE: 2026-10-20. NO ANOMALIES FOUND RELATED TO THE PROBLEM. TO DATE, (B)(4) ITEMS OF THE SAME LOT HAVE BEEN SOLD WITH NO SIMILAR REPORTED EVENTS DURING THE PERIOD OF REVIEW. THE SURGEON REVISED LINER HEIGHT, WHICH IS A COMMON PRACTICE TO RESTORE THE 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 ABOUT 3 YEARS AFTER THE PRIMARY, THE PATIENT CAME IN REPORTING LATERAL INSTABILITY AND THE CAUSE OF THE INSTABILITY IS UNKNOWN. THE SURGEON REVISED THE LINER (10 TO 12 MM) FOR STABILITY. THE SURGERY WAS COMPLETED SUCCESSFULLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1826722 GMK SPHERE TOTAL KNEE SYSTEM GMK SPHERE CR TIBIAL INSERT SZE 3R 10MM JWH MEDACTA INTERNATIONAL SA 02.12.0310CRR 2112391 07630040707343

Patients

Seq Age Sex Outcome Treatment
1 56 YR Female Required Intervention