FDA Adverse Event Injury Summary report: N

GMK SPHERE TOTAL KNEE SYSTEM

MDR report key: 22345491 · Received June 27, 2025

Report

Report Number
3005180920-2025-00610
Event Type
Injury
Date Received
June 27, 2025
Date of Event
June 9, 2025
Report Date
June 27, 2025
Manufacturer
MEDACTA INTERNATIONAL SA
Product Code
JWH
UDI-DI
07630971261563
PMA / PMN Number
K202022
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

BATCH REVIEW PERFORMED ON 16 JUNE 2025 (B)(4) ITEMS MANUFACTURED AND RELEASED ON 12/04/2024. EXPIRATION DATE: 19/93/2029. 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. ROOT CAUSE: 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

THE PATIENT CAME IN REPORTING PAIN AND INSTABILITY AND THE CAUSE IS UNKNOWN. ABOUT 6 MONTHS AFTER THE PRIMARY SURGERY, THE SURGEON UPSIZED THE POLY (FROM 11 TO 17MM) TO GIVE STABILITY, AND THE SURGERY WAS COMPLETED SUCCESSFULLY. THIS REVISION WAS NOT RELATED TO MEDACTA PRODUCTS/EFFECTIVENESS. THE PATIENT PRESENTED WITH POST OP PAIN AND INSTABILITY AND THE SURGEON SCHEDULED THIS AS AN EXPLORATORY SURGERY AND DECIDED TO EXCHANGE THE POLY WHILE HE WAS IN THERE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
939428 GMK SPHERE TOTAL KNEE SYSTEM GMK-SPHERE TIBIAL INSERT E-CROSS - FLEX 3R - 11MM JWH MEDACTA INTERNATIONAL SA 02.12.E0311FR 2405545 07630971261563

Patients

Seq Age Sex Outcome Treatment
1 69 YR Female Required Intervention