FDA Adverse Event Injury Summary report: N

GMK TOTAL KNEE SYSTEM

MDR report key: 23289765 · Received October 15, 2025

Report

Report Number
3005180920-2025-00995
Event Type
Injury
Date Received
October 15, 2025
Date of Event
September 24, 2025
Report Date
October 14, 2025
Manufacturer
MEDACTA INTERNATIONAL SA
Product Code
JWH
UDI-DI
07630345716088
PMA / PMN Number
K211004
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

BATCH REVIEW PERFORMED ON 26 SEPTEMBER 2025: GMK-SPHERIKA 02.12.KA03R GMK SPHERIKA FEMORAL COMPONENT S3R CEMENTED (K211004) LOT 2430296: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 14-GEN-2025. EXPIRATION DATE: 19-DEC-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. ADDITIONAL IMPLANT REVISED, BATCH REVIEW PERFORMED ON 26 SEPTEMBER 2025: GMK-SPHERIKA 02.12. E0210FR GMK-SPHERE TIBIAL INSERT E-CROSS - FLEX 2R - 10MM (K202022) LOT 2433514: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 14-GEN-2025. EXPIRATION DATE: 22-DEC-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. CONCLUSIONS: 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

THE PATIENT CAME IN DUE TO AN INFECTION AND THE PATHOGEN IS UNKNOWN. ABOUT 4 MONTHS AFTER THE PRIMARY THE SURGEON REMOVED THE FEMORAL COMPONENT AND THE INSERT AND PLACED SPACERS WITH ANTIBIOTICS TO TREAT THE INFECTION. THE SURGERY WAS COMPLETED SUCCESSFULLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2647197 GMK TOTAL KNEE SYSTEM FEMORAL COMPONENT SPHERIKA CEMENTED S3R JWH MEDACTA INTERNATIONAL SA 02.12.KA03R 2430296 07630345716088

Patients

Seq Age Sex Outcome Treatment
1 79 YR Female Required Intervention