GMK PRIMARY TOTAL KNEE SYSTEM
Report
- Report Number
- 3005180920-2026-00291
- Event Type
- Injury
- Date Received
- March 31, 2026
- Date of Event
- March 10, 2026
- Report Date
- March 31, 2026
- Manufacturer
- MEDACTA INTERNATIONAL SA
- Product Code
- JWH
- UDI-DI
- 07630030815775
- PMA / PMN Number
- K113571
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- OTHER
Narratives
BATCH REVIEW PERFORMED ON 20 MARCH 2026. GMK-SPHERE 02.07.0036RP RESURFACING PATELLA SIZE 4 (K11357) LOT 2012794: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 11-MARCH-2021. EXPIRATION DATE: 2026-02-24. NO ANOMALIES FOUND RELATED TO THE PROBLEM. TO DATE, (B)(4) ITEMS OF THE SAME LOT HAVE BEEN SOLD WITH NO SIMILAR REPORTED EVENTS DURING THE PERIOD OF REVIEW. GMK-SPHERE 02.07.1205R GMK TIBIAL TRAY CEMENTED RIGHT S5 (K090988) LOT 2203635: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 08-JUNE-2022. EXPIRATION DATE: 2027-05-26. NO ANOMALIES FOUND RELATED TO THE PROBLEM. TO DATE, ALL ITEMS OF THE SAME LOT HAVE BEEN SOLD WITH NO SIMILAR REPORTED EVENTS DURING THE PERIOD OF REVIEW. GMK-SPHERE 02.12.0026R SPHERE FEMUR CEMENTED RIGHT S6 + (K140826) LOT 1907946: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 13-NOV-2019. EXPIRATION DATE: 2024-11-03. NO ANOMALIES FOUND RELATED TO THE PROBLEM. TO DATE, (B)(4) ITEMS OF THE SAME LOT HAVE BEEN SOLD WITH NO SIMILAR REPORTED EVENTS DURING THE PERIOD OF REVIEW. GMK-SPHERE 02.12.0512FR GMK-SPHERE TIBIAL INSERT - FLEX S5R - 12 MM (K121416) LOT 2011405: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 04-JAN-2021. EXPIRATION DATE: 2025-12-13. NO ANOMALIES FOUND RELATED TO THE PROBLEM. TO DATE, (B)(4) ITEMS OF THE SAME LOT HAVE BEEN SOLD WITH NO SIMILAR REPORTED EVENTS DURING THE PERIOD OF REVIEW. ROOT CAUSE: INFECTION IS A KNOWN POSSIBLE COMPLICATION OF ANY SURGERY. ALTHOUGH NO ROOT CAUSE CAN BE ESTABLISHED, THERE IS NO INDICATION THAT ANY ISSUE WITH THE DEVICE MAY HAVE CAUSED OR CONTRIBUTED TO THE EVENT, AND THE DOCUMENT REVIEW DOES NOT INDICATE ANY POTENTIAL MANUFACTURING RELATED CAUSE.
AT ABOUT 3 YEARS 5 MONTHS AFTER THE PRIMARY, THE PATIENT CAME IN DUE TO SIGNS OF INFECTION WITH CUTIBACTERIUM ACNES AND INSTABILITY. THE SURGEON PERFORMED A WASHOUT, AND REVISED ALL COMPONENTS FROM GMK-SPHERE TO GMK-REVISION FOR INCREASED STABILITY. THE SURGERY WAS COMPLETED SUCCESSFULLY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 802913 | GMK PRIMARY TOTAL KNEE SYSTEM | RESURFACING PATELLA SIZE 4 | JWH | MEDACTA INTERNATIONAL SA | 02.07.0036RP | 2012794 | 07630030815775 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Required Intervention |