FDA Adverse Event Injury Summary report: N

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

MDR report key: 23906080 · Received December 29, 2025

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

Additional Manufacturer Narrative · 0

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.

Additional Manufacturer Narrative · 0

(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.

Description of Event or Problem · 0

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.

Description of Event or Problem · 0

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.