FDA Adverse Event Injury Summary report: N

BIOMET SMOOTH KNEE STEM 16MM X 80MM

MDR report key: 23943965 · Received January 2, 2026

Report

Report Number
0001825034-2026-00003
Event Type
Injury
Date Received
January 2, 2026
Report Date
May 18, 2026
Manufacturer
ZIMMER BIOMET, INC.
Product Code
JWH
UDI-DI
00880304471337
PMA / PMN Number
K171054
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MD, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

(B)(4). D10 - CONCOMITANT DEVICES - VANGUARD SSK FEMORAL IMPLANT WITH SCREW 60MM LEFT CATALOG #: CP113123 LOT #: 66529561, BIOMET OFFSET TIBIAL TRAY 63MM CATALOG #: 141481, LOT #: 65745839, VANGUARD SSK TIBIAL BEARING 22MM X 63/67MM CATALOG #: 183832, LOT #: 929580, BIOMET SMOOTH KNEE STEM 12MM X 40MM CATALOG #: 145002, LOT #: 66366323, PERSONA CEMENTED ALL POLY PATELLA 32MM CATALOG #: 42540000032, LOT #: 66187751, PERSONA TIBIAL CENTRAL CONE SIZE X-SMALL CATALOG #: 42545000510, LOT #: 66948841. H6 - COMPONENT CODE - PROPOSED CODE IS MECHANICAL (G04) - STEM. THE COMPLAINANT HAS INDICATED THAT THE PRODUCT WILL NOT BE RETURNED TO ZIMMER BIOMET FOR INVESTIGATION, AS THE DEVICE REMAINS IMPLANTED. THE INVESTIGATION IS IN PROCESS. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MDR WILL BE SUBMITTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT IS EXPERIENCING PAIN AND STIFFNESS APPROXIMATELY SIX (6) MONTHS FOLLOWING KNEE ARTHROPLASTY. INITIAL OPERATIVE NOTES NOTED NO INTRAOPERATIVE COMPLICATIONS. ATTEMPTS HAVE BEEN MADE, HOWEVER, NO ADDITIONAL INFORMATION IS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
468983 BIOMET SMOOTH KNEE STEM 16MM X 80MM PROSTHESIS, KNEE JWH ZIMMER BIOMET, INC. N/A 161830 00880304471337

Patients

Seq Age Sex Outcome Treatment
1