FDA Adverse Event Injury Summary report: N

GMK

MDR report key: 25039770 · Received April 30, 2026

Report

Report Number
3005180920-2026-00358
Event Type
Injury
Date Received
April 30, 2026
Date of Event
April 6, 2026
Report Date
April 30, 2026
Manufacturer
MEDACTA INTERNATIONAL SA
Product Code
JWH
UDI-DI
07630971260993
PMA / PMN Number
K202022
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

BATCH REVIEWS PERFORMED ON 09 APRIL 2026: GMK-SPHERIKA 02.12.E003RP GMK-SPHERE RESURFACING PATELLA E-CROSS - S3 (K202022) LOT 2513565: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 16-SEP-2025. EXPIRATION DATE: 2030-JUN-29. 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-SPHERIKA 02.12.E0210FR GMK-SPHERE TIBIAL INSERT E-CROSS - FLEX 2R - 10MM (K202022) LOT 2518416: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 17-SEP-2025. EXPIRATION DATE: 2030-SET-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-SPHERIKA 02.12.KA03R GMK SPHERIKA FEMORAL COMPONENT S3R CEMENTED (K211004) LOT 2520845: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 12-NOV-2025. EXPIRATION DATE: 2030-OCT-22. 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.

Description of Event or Problem · 0

THE PATIENT HAD A KNEE INFECTION AND THE PATHOGEN IS UNKNOWN. AT ABOUT 3 MONTHS FROM PRIMARY THE SURGEON PERFORMED A WASHOUT AND REVISED THE PATELLA AND FEMORAL COMPONENT TO A SAME SIZE PATELLA AND FEMORAL COMPONENT. THE SURGEON REVISED THE 10MM INSERT AND THE SURGERY WAS COMPLETED SUCCESSFULLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1103250 GMK GMK-SPHERE RESURFACING PATELLA E-CROSS ¿ S3 JWH MEDACTA INTERNATIONAL SA 02.12.E003RP 2513565 07630971260993

Patients

Seq Age Sex Outcome Treatment
1 71 YR Female Required Intervention