FDA Adverse Event Injury Summary report: N

GMK SPHERE TOTAL KNEE SYSTEM

MDR report key: 23197948 · Received October 2, 2025

Report

Report Number
3005180920-2025-00924
Event Type
Injury
Date Received
October 2, 2025
Date of Event
September 8, 2025
Report Date
October 2, 2025
Manufacturer
MEDACTA INTERNATIONAL SA
Product Code
JWH
PMA / PMN Number
K121416
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

BATCH REVIEW PERFORMED ON 10-09-2025. GMK-SPHERE 02.12.0004R GMK-SPHERE FEMORAL COMPONENT CEMENTED - 4R (K121416) LOT. 2249227: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 15-03-2023. EXPIRATION DATE: 2028-02-24. 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 COMPONENT INVOLVED AND REVISED: GMK-SPHERE 02.12.T3I4R GMK-SPHERE TIBIAL COMPONENT CEMENTED T3I4R (K121416) LOT. 2248084: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 12-04-2023 EXPIRATION DATE: 2028-03-25. 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. CONCLUSIONS: 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 1 YEAR AND 11 MONTHS, THE PATIENT CAME IN DUE TO A NICKEL ALLERGY. THE SURGEON REVISED ALL COMPONENTS TO SENSITIN. THE SURGERY WAS COMPLETED SUCCESSFULLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
278336 GMK SPHERE TOTAL KNEE SYSTEM FEMUR SPHERE CEMENTED RIGHT, SIZE 4 JWH MEDACTA INTERNATIONAL SA 02.12.0004R 2249227

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention