FDA Adverse Event Injury Summary report: N

VANGUARD POSTERIOR STABILIZED TIBIAL BEARING 10MM X 71/75MM

MDR report key: 23749664 · Received December 8, 2025

Report

Report Number
0001825034-2025-03899
Event Type
Injury
Date Received
December 8, 2025
Date of Event
November 20, 2025
Report Date
February 27, 2026
Manufacturer
ZIMMER BIOMET, INC.
Product Code
JWH
UDI-DI
00880304271937
PMA / PMN Number
K113550
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. VISUAL EVALUATION OF THE PICTURES PROVIDED IDENTIFIED EXPLANTED KNEE IMPLANTS COVERED IN BIO-DEBRIS. RADIOGRAPHS PROVIDED CONFIRMED THE REPORTED EVENT. THE DEVICE HISTORY RECORDS WERE REVIEWED AND NO DISCREPANCIES WERE IDENTIFIED. A DEFINITIVE ROOT CAUSE COULD NOT BE DETERMINED WITH THE INFORMATION PROVIDED. IF ANY FURTHER INFORMATION IS FOUND WHICH WOULD CHANGE OR ALTER ANY CONCLUSIONS OR INFORMATION, A SUPPLEMENTAL WILL BE FILED ACCORDINGLY. ZIMMER BIOMET WILL CONTINUE TO MONITOR FOR TRENDS.

Additional Manufacturer Narrative · 0

(B)(4). D10 - CONCOMITANT DEVICES - VANGUARD POSTERIOR STABILIZED OPEN FEMORAL COMPONENT 65MM. LEFT CATALOG #: 183128 LOT #: 686960, BIOMET POLISHED FINNED TIBIAL TRAY 71MM CATALOG #: 141253 LOT #: 2016020262. G2: FOREIGN - EVENT OCCURRED IN AUSTRALIA. THE DEVICE WILL NOT BE RETURNED FOR ANALYSIS; HOWEVER, AN INVESTIGATION OF THE REPORTED EVENT IS IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETED, A SUPPLEMENTAL MEDWATCH 3500A WILL BE SUBMITTED.

Additional Manufacturer Narrative · 0

THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL AND CORRECTED INFORMATION. THE FOLLOWING SECTIONS WERE UPDATED: B4, B6, G3, G6, H2, H10, H11. THE FOLLOWING SECTIONS WERE CORRECTED: B5.

Description of Event or Problem · 0

NO FURTHER EVENT INFORMATION AVAILABLE AT THE TIME OF THIS REPORT.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT UNDERWENT A LEFT KNEE ARTHROPLASTY REVISION TO ADDRESS UNKNOWN COMPLICATIONS POST-OPERATIVELY. NO ADDITIONAL INFORMATION IS AVAILABLE.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT UNDERWENT A LEFT KNEE ARTHROPLASTY REVISION TO ADDRESS INSTABILITY POST-OPERATIVELY. NO ADDITIONAL INFORMATION IS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
29148 VANGUARD POSTERIOR STABILIZED TIBIAL BEARING 10MM X 71/75MM PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED JWH ZIMMER BIOMET, INC. 994040 00880304271937

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention| H SEE H11 NARRATIVE.