PERSONA MC VE ASF R 11MM 8-11/GH
Report
- Report Number
- 3007963827-2025-00535
- Event Type
- Malfunction
- Date Received
- December 23, 2025
- Date of Event
- December 4, 2025
- Report Date
- April 10, 2026
- Manufacturer
- ZIMMER ORTHOPAEDIC MFG. LTD.
- Product Code
- MBH
- UDI-DI
- 00889024468504
- PMA / PMN Number
- K150090
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NC, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
(B)(4). THE PRODUCT WILL NOT BE RETURNED TO ZIMMER BIOMET FOR INVESTIGATION, AS THE PRODUCT LOCATION IS UNKNOWN. THE INVESTIGATION IS IN PROCESS. UPON COMPLETION OF THE INVESTIGATION, A FOLLOW-UP MDR WILL BE SUBMITTED.
THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. THE FOLLOWING SECTIONS HAVE BEEN UPDATED: B4; B5; D9; G3; H2; H3; H6; H11. VISUAL EXAMINATION OF THE RETURNED PRODUCT IDENTIFIED VERIFICATION OF CORRECT PART IDENTIFIERS FOR A RIGHT INSERT AND SIGNS OF USE INCLUDING DINGS AROUND THE EXTRACTION SLOT AND A FLARED DOVETAIL FEATURE. DIMENSIONAL ANALYSIS OF THE PRODUCT DETERMINED THAT THE PRODUCT, WHERE MEASURED, WAS CONFORMING TO ITS PRINT SPECIFICATIONS. REPORTED EVENT WAS CONFIRMED BY COMPLAINT SAMPLE EVALUATION. DEVICE HISTORY RECORD WAS REVIEWED AND NO DISCREPANCIES RELATED TO THE REPORTED EVENT WERE FOUND. ROOT CAUSE WAS UNABLE TO BE DETERMINED. IF ANY FURTHER INFORMATION IS FOUND WHICH WOULD CHANGE OR ALTER ANY CONCLUSIONS OR INFORMATION, A SUPPLEMENTAL REPORT WILL BE FILED ACCORDINGLY. ZIMMER BIOMET WILL CONTINUE TO MONITOR FOR TRENDS.
IT WAS REPORTED THAT DURING AN INITIAL TOTAL KNEE ARTHROPLASTY, THE ARTICULAR SURFACE WOULD NOT LOCK INTO THE TIBIAL TRAY. THERE WAS NO PATIENT IMPACT AND NO ADVERSE EVENTS HAVE BEEN REPORTED AS A RESULT OF THE MALFUNCTION. IT WAS REPORTED THAT ALL AVAILABLE INFORMATION HAS BEEN PROVIDED.
NO FURTHER EVENT INFORMATION IS AVAILABLE AT THE TIME OF THIS REPORT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 85259 | PERSONA MC VE ASF R 11MM 8-11/GH | PROSTHESIS, KNEE | MBH | ZIMMER ORTHOPAEDIC MFG. LTD. | 67271977 | 00889024468504 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |