VANGUARD POSTERIOR STABILIZED TIBIAL BEARING 10MM X 71/75MM
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
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.
(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.
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.
NO FURTHER EVENT INFORMATION AVAILABLE AT THE TIME OF THIS REPORT.
IT WAS REPORTED THAT THE PATIENT UNDERWENT A LEFT KNEE ARTHROPLASTY REVISION TO ADDRESS UNKNOWN COMPLICATIONS POST-OPERATIVELY. NO ADDITIONAL INFORMATION IS AVAILABLE.
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. |