FDA Adverse Event Injury Summary report: N

BIOMET FINNED PRI STEM 40MM

MDR report key: 23933825 · Received December 31, 2025

Report

Report Number
0001825034-2025-04247
Event Type
Injury
Date Received
December 31, 2025
Date of Event
December 31, 2025
Report Date
April 17, 2026
Manufacturer
ZIMMER BIOMET, INC.
Product Code
JWH
UDI-DI
00880304006706
PMA / PMN Number
K171054
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SC, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

(B)(4). D10- MEDICAL PRODUCT: VANGUARD CR ILOK FEM-RT 62.5, ITEM# 183006, LOT# J6178746. VNGD CR TIB BRG 10X63/67, ITEM# 183420, LOT# 911740. BIOMET ILOK PRI TIB TRAY 67MM, ITEM# 141212, LOT# 982290. SERIES A PAT STD 31 3 PEG, ITEM# 184764, LOT# 833420. H3- CUSTOMER HAS INDICATED THAT THE PRODUCT WILL BE RETURNED TO ZIMMER BIOMET FOR INVESTIGATION. THE INVESTIGATION IS IN PROCESS. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MDR WILL BE SUBMITTED. PROPOSED ANNEX G CODE: MECHANICAL (G04) ¿ STEM.

Additional Manufacturer Narrative · 0

THIS REPORT IS BEING SUBMITTED TO PROVIDE ADDITIONAL INFORMATION. UPDATED: B3, B4, B5, B7, D2B, D4, D6A, D9, G1, G3, G6, H1, H2, H3, H4, H6, AND H11. D6A. INITIAL SURGERY: (B)(6) 2018. VISUAL EXAMINATION OF THE RETURNED DEVICES IDENTIFIED SIGNS OF USE WITH GOUGES, BIO-DEBRIS PRESENT AND WEAR CAUSED BY CONTACT WITH THE FEMORAL COMPONENT THE ASSOCIATED LOCKING BAR ALSO EXHIBITED SIGNS OF USE (GOUGES) AND THE TAB WAS BENT. SEM ANALYSIS IDENTIFIED THAT THE LOCKING PIN WAS ALSO RETURNED; THE SPRING ARM ON THE PIN WAS BENT, MOST LIKELY DUE TO EXPLANATION DAMAGE. THE LOCKING MECHANISM OF THE BEARING WAS INTACT, BY LAYING THE BEARING IN PLACE ATOP THE TIBIAL TRAY, IT COULD BE SEEN THAT THE DAMAGE TO THE LEFT-HAND CONDYLE POSTERIOR SIDE ALIGNS WITH DAMAGE TO THE TIBIAL TRAY. DIMENSIONAL ANALYSIS OF THE TIBIAL TRAY AND LOCKING BAR DETERMINED THAT THE PRODUCTS, WHERE MEASURED, WERE CONFORMING TO PRINT SPECIFICATIONS. MEDICAL RECORDS WERE NOT PROVIDED. REVIEW OF THE DEVICE HISTORY RECORDS IDENTIFIED NO DEVIATIONS OR ANOMALIES DURING MANUFACTURING RELATED TO THE REPORTED EVENT. A DEFINITIVE ROOT CAUSE CANNOT BE DETERMINED. THIS COMPLAINT IS CONFIRMED. 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.

Description of Event or Problem · 0

IT WAS REPORTED THAT A PATIENT WAS REVISED APPROXIMATELY SEVEN YEARS SEVEN AND A HALF MONTHS POST IMPLANTATION DUE TO COLLAPSE OF THE IMPLANT ON ONE SIDE CAUSING PAIN. ATTEMPTS TO OBTAIN ADDITIONAL INFORMATION HAVE BEEN MADE; HOWEVER, NO MORE INFORMATION IS AVAILABLE AT THIS TIME.

Description of Event or Problem · 0

IT WAS REPORTED THAT A PATIENT WAS REVISED APPROXIMATELY SEVEN YEARS SEVEN AND A HALF MONTHS POST IMPLANTATION DUE TO COLLAPSE OF THE IMPLANT ON ONE SIDE CAUSING PAIN. THE PATIENT EXPERIENCED PAIN WHEN BEARING WEIGHT ON THE OPERATIVE KNEE, PAIN WHEN WALKING, INABILITY TO CLIMB OR DESCEND STAIRS DUE TO SIGNIFICANT PAIN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2548881 BIOMET FINNED PRI STEM 40MM PROSTHESIS, KNEE JWH ZIMMER BIOMET, INC. 138020 00880304006706

Patients

Seq Age Sex Outcome Treatment
1 NA Female Hospitalization| R SEE H11.