FDA Adverse Event Injury Summary report: N

GMK HINGE TOTAL KNEE SYSTEM

MDR report key: 22962315 · Received September 4, 2025

Report

Report Number
3005180920-2025-00831
Event Type
Injury
Date Received
September 4, 2025
Date of Event
August 11, 2025
Report Date
September 4, 2025
Manufacturer
MEDACTA INTERNATIONAL SA
Product Code
KRO
UDI-DI
07630030825606
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 22 AUGUST 2025. GMK-HINGE 02.09.4005R GMK-HINGE TIBIAL TRAY - 5R (K130299) LOT. 2000774: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 15-APRIL-2020. EXPIRATION DATE: 2025-04-02. 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. GMK-HINGE 02.09.0517H GMK-HINGE TIBIAL INSERT - SIZE5 - 17 MM (K130299) LOT. 182058: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 13-JUNE-2018. EXPIRATION DATE: 2023-06-03. 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. GMK-HINGE 02.09.2606R GMK-HINGE FEMORAL COMPONENT R - SIZE 6 (K130299) LOT 1905565: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 13-DEC-2019. EXPIRATION DATE: 2024-11-30. 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. INFECTION IS A KNOWN POSSIBLE COMPLICATION OF ANY SURGERY. ALTHOUGH NO ROOT CAUSE CAN BE ESTABLISHED, THERE IS NO INDICATION THAT ANY ISSUE WITH THE DEVICE MAY HAVE CAUSED OR CONTRIBUTED TO THE EVENT, AND THE DOCUMENT REVIEW DOES NOT INDICATE ANY POTENTIAL MANUFACTURING RELATED CAUSE.

Description of Event or Problem · 0

AT ABOUT 4 YEARS 8 MONTHS AFTER THE PRIMARY, THE PATIENT CAME IN DUE TO SIGNS OF AN INFECTION AND THE PATHOGEN IS UNKNOWN. THE SURGEON PERFORMED A WASHOUT AND REVISED ALL COMPONENTS. THE SURGERY WAS COMPLETED SUCCESSFULLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2254748 GMK HINGE TOTAL KNEE SYSTEM GMK-HINGE TIBIAL TRAY - 5R KRO MEDACTA INTERNATIONAL SA 02.09.4005R 2000774 07630030825606

Patients

Seq Age Sex Outcome Treatment
1 NA Male Required Intervention