VANGUARD POSTERIOR STABILIZED TIBIAL BEARING 10MM X 71/75MM
Report
- Report Number
- 0001825034-2025-02297
- Event Type
- Injury
- Date Received
- July 29, 2025
- Date of Event
- July 7, 2025
- Report Date
- October 14, 2025
- Manufacturer
- ZIMMER BIOMET, INC.
- Product Code
- JWH
- UDI-DI
- 00880304271937
- PMA / PMN Number
- K171054
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AS
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. THE FOLLOWING SECTIONS WERE UPDATED: A1, A2, A3, B4, B5, D1, D4, D6A, D10, G3, G4, G6, H2, H4, H6, H11. D10 - CONCOMITANT DEVICES - BIOMET POLISHED FINNED TIBIAL TRAY 71MM CATALOG #: 141253 LOT #: 2016090409, BIOMET SERIES A 3 PEG THIN PATELLA 37MM X 8.6MM CATALOG #: 184788 LOT #: 160430, VANGUARD POSTERIOR STABILIZED INTERLOK FEMORAL COMPONENT LEFT 62.5MM CATALOG #: 183126 LOT #: 924160
(B)(4) D10 - CONCOMITANT DEVICES - UNKNOWN VANGUARD FEMORAL COMPONENT CATALOG #: NI LOT #: NI, UNKNOWN BIOMET TIBIAL COMPONENT CATALOG #: NI LOT #: NI. G2 - REPORT SOURCE - FOREIGN: EVENT OCCURRED IN AUSTRALIA. THE COMPLAINANT HAS NOT YET INDICATED WHETHER THE PRODUCT WILL BE RETURNED TO ZIMMER BIOMET FOR INVESTIGATION. THE INVESTIGATION IS IN PROCESS. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MDR WILL BE SUBMITTED.
THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. THE FOLLOWING SECTIONS WERE UPDATED: B4, G3, G6, H2, H6, H11. THE REPORTED EVENT COULD NOT BE CONFIRMED AS MEDICAL RECORDS WERE NOT PROVIDED. THE DEVICE HISTORY RECORDS WERE NOT REVIEWED AS THE EVENT WAS DETERMINED TO BE UNRELATED TO THE IMPLANTED DEVICE. STERILE CERTIFICATIONS WERE REVIEWED AND FOUND TO BE CONFORMING WITH NO APPLICABLE DEVIATIONS. THE DEVICE WAS VERIFIED TO HAVE GONE THROUGH ACCEPTABLE STERILIZATION PROCESSES FOLLOWING ISO/AAMI/ASTM & EU PUBLISHED GUIDELINES. THERE ARE MULTIPLE FACTORS THAT MAY CONTRIBUTE TO AN INFECTION THAT ARE OUTSIDE THE CONTROL OF ZIMMER BIOMET, SUCH AS EXTERNAL FACTORS THAT MAY INCLUDE HOSPITAL/SURGICAL ENVIRONMENT, PROVIDER-RELATED RISK FACTORS, AND/OR PATIENT COMORBIDITIES/RISK FACTORS. AS THERE ARE NO INDICATIONS OF A PRODUCT OR PROCESS ISSUE AFFECTING IMPLANT SAFETY OR EFFECTIVENESS, THE IMPLANTED PRODUCTS ARE NOT IDENTIFIED AS THE SOURCE OR CONTRIBUTING TO THE REPORTED INFECTION. THE ROOT CAUSE WAS DETERMINED TO BE TRACED TO NON-DEVICE RELATED FACTORS. IF ANY FURTHER INFORMATION IS FOUND WHICH WOULD CHANGE OR ALTER ANY CONCLUSIONS OR INFORMATION, A SUPPLEMENTAL WILL BE FILED ACCORDINGLY. ZIMMER BIOMET WILL CONTINUE TO MONITOR FOR TRENDS.
IT WAS REPORTED THAT THE PATIENT UNDERWENT A LEFT KNEE REVISION OF THE TIBIAL BEARING DUE TO INFECTION APPROXIMATELY EIGHT (8) YEARS FOLLOWING KNEE ARTHROPLASTY. ATTEMPTS HAVE BEEN MADE, HOWEVER, NO ADDITIONAL INFORMATION IS AVAILABLE.
IT WAS REPORTED THAT THE PATIENT UNDERWENT A KNEE ARTHROPLASTY REVISION OF THE TIBIAL BEARING TO ADDRESS UNKNOWN COMPLICATIONS POST-OPERATIVELY. ATTEMPTS HAVE BEEN MADE, HOWEVER, NO ADDITIONAL INFORMATION IS AVAILABLE.
NO FURTHER EVENT INFORMATION AVAILABLE AT THE TIME OF THIS REPORT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1788731 | VANGUARD POSTERIOR STABILIZED TIBIAL BEARING 10MM X 71/75MM | PROSTHESIS, KNEE | JWH | ZIMMER BIOMET, INC. | N/A | 749170 | 00880304271937 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Female | Required Intervention| H | SEE H11 NARRATIVE. |