FDA Adverse Event
Injury
Summary report: N
MISHA KNEE SYSTEM
MDR report key: 23607462
·
Received November 20, 2025
Report
- Report Number
- 3008274656-2025-00010
- Event Type
- Injury
- Date Received
- November 20, 2025
- Date of Event
- October 24, 2025
- Report Date
- November 20, 2025
- Manufacturer
- MOXIMED, INC.
- Product Code
- QVV
- UDI-DI
- 00856047005801
- PMA / PMN Number
- DEN220033
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
BLOOD CULTURE AT THE TIME OF WASHOUT WAS POSITIVE FOR INFECTION AND A SUBSEQUENT CULTURE WAS NEGATIVE. A REVIEW OF MANUFACTURING RECORDS INDICATES THAT THE PRODUCT CONFORMED TO DESIGN AND MANUFACTURING SPECIFICATIONS. PRIOR TO EVENT, PATIENT WAS REPORTED TO HAVE AN ORAL/GUM ULCER. THERE IS NO INFORMATION TO SUGGEST THAT THE INFECTION WAS CAUSED BY THE MISHA PRODUCT; THE SOURCE OF THE POST-OPERATIVE INFECTION REMAINS UNKNOWN.
Description of Event or Problem · 0
IT WAS REPORTED THAT ABOUT 2.5 MONTHS AFTER MISHA IMPLANTATION, THE PATIENT RECEIVED A WASHOUT DUE TO A SUSPECTED INFECTION. A PICC LINE WAS STARTED FOR ANTIBIOTICS AFTER WHICH THE PATIENT WAS REPORTED DOING WELL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 263114 | MISHA KNEE SYSTEM | MEDIAL KNEE IMPLANTED SHOCK ABSORBER, PRODUCT CODE: QVV | QVV | MOXIMED, INC. | 25042201 | 00856047005801 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Required Intervention |