PERSONA MC VE ASF R 11MM 8-11/GH
Report
- Report Number
- 3007963827-2025-00540
- Event Type
- Injury
- Date Received
- December 29, 2025
- Date of Event
- December 10, 2025
- Report Date
- May 28, 2026
- Manufacturer
- ZIMMER ORTHOPAEDIC MFG. LTD.
- Product Code
- MBH
- UDI-DI
- 00889024468504
- PMA / PMN Number
- K150090
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IN, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. THE FOLLOWING SECTIONS WERE UPDATED : B3; B4; B5; D2; E1; G1; G3; G6; H1; H2; H10. THE INVESTIGATION IS IN PROCESS. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MDR WILL BE SUBMITTED.
(B)(4). D10: 42522100911 - PSN MC VE ASF R 11MM 8-11/GH - 65336417. CUSTOMER HAS INDICATED THAT THE PRODUCT WILL NOT BE RETURNED TO ZIMMER BIOMET FOR INVESTIGATION. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MDR WILL BE SUBMITTED.
IT WAS FURTHER REPORTED THAT A MANIPULATION UNDER ANESTHESIA WAS PERFORMED WITH RANGE OF MOTION POSTOPERATIVELY ACHIEVED AT 0-130° WITH NO COMPLICATIONS. ATTEMPTS HAVE BEEN MADE AND ALL AVAILABLE INFORMATION HAS BEEN PROVIDED.
IT WAS REPORTED THAT A PATIENT HAD AN INITIAL RIGHT TOTAL KNEE ARTHROPLASTY. SUBSEQUENTLY, AT A FOLLOW UP APPOINTMENT APPROXIMATELY 6 WEEKS POST-OP, THE PATIENT HAD A FLEXION CONTRACTURE WITH A RANGE OF MOTION OF 21-93 DEGREES AND UNDERWENT A MANIPULATION UNDER ANESTHESIA. ATTEMPTS HAVE BEEN MADE AND ALL AVAILABLE INFORMATION HAS BEEN PROVIDED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2505808 | PERSONA MC VE ASF R 11MM 8-11/GH | PROSTHESIS, KNEE | MBH | ZIMMER ORTHOPAEDIC MFG. LTD. | 65336417 | 00889024468504 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Male | Required Intervention| H | SEE H11. |