BIOMET SMOOTH KNEE STEM 16MM X 80MM
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
(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.
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 |