FDA Adverse Event Malfunction Summary report: N

PERSONA MC VE ASF R 11MM 8-11/GH

MDR report key: 23878999 · Received December 23, 2025

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

Additional Manufacturer Narrative · 0

(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.

Additional Manufacturer Narrative · 0

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.

Description of Event or Problem · 0

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.

Description of Event or Problem · 0

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