FDA Adverse Event Injury Summary report: N

GMK SPHERE TOTAL KNEE SYSTEM

MDR report key: 23669517 · Received November 28, 2025

Report

Report Number
3005180920-2025-01213
Event Type
Injury
Date Received
November 28, 2025
Date of Event
November 14, 2025
Report Date
November 28, 2025
Manufacturer
MEDACTA INTERNATIONAL SA
Product Code
JWH
UDI-DI
07630971262249
PMA / PMN Number
K202022
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

BATCH REVIEW PERFORMED ON 20 NOVEMBER 2025. GMK-SPHERIKA 02.12.E0610FR GMK-SPHERE TIBIAL INSERT E-CROSS - FLEX 6R - 10MM (K202022) LOT 2416212: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 20-AUG-2024. EXPIRATION DATE: 26-JUL-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. GMK-SPHERIKA 02.12.KA07R GMK SPHERIKA FEMORAL COMPONENT S7R CEMENTED (K211004) LOT 2415362: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 28/10/2024. EXPIRATION DATE: 13/10/2029. 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. ROOT CAUSE: BASED ON THE INFORMATION AVAILABLE NO DEFINITIVE ROOT CAUSE CAN BE ESTABLISHED, WHILE THERE IS NO INDICATION THAT ANY POTENTIAL ISSUE WITH THE DEVICE MAY HAVE CAUSED OR CONTRIBUTED TO THE EVENT, AND THE DEVICE HISTORY RECORD REVIEW DOES NOT INDICATE ANY POTENTIAL MANUFACTURING RELATED ISSUE.

Description of Event or Problem · 0

AT ABOUT 5 MONTHS FROM THE PRIMARY, THE PATIENT CAME IN PRESENTING INSTABILITY AS A RESULT OF TWISTING HIS KNEEGETTING OUT OF A CAR. THE SURGEON REVISED THE FEMUR AND INSERT (FROM 10 MM TO 20 MM) TO A GMK-REVISION FEMUR AND SEMICONSTRAINED INSERT.THERE WAS NO LIGAMENT ISSUE.THE SURGERY WAS COMPLETED SUCCESSFULLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2266289 GMK SPHERE TOTAL KNEE SYSTEM GMK-SPHERE TIBIAL INSERT E-CROSS - FLEX 6R - 10MM JWH MEDACTA INTERNATIONAL SA 02.12.E0610FR 2416212 07630971262249

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention