FDA Adverse Event
Injury
Summary report: N
PHYSICA
MDR report key: 25094526
·
Received May 6, 2026
Report
- Report Number
- 3008021110-2026-00213
- Event Type
- Injury
- Date Received
- May 6, 2026
- Date of Event
- April 4, 2026
- Manufacturer
- LIMACORPORATE S.P.A.
- Product Code
- JWH
- UDI-DI
- 08033390089920
- PMA / PMN Number
- K141934
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 0
BY THE CHECK OF THE DEVICE HISTORY RECORDS, NO PRE-EXISTING ANOMALY WAS DETECTED ON THE DEVICES RELEASED WITH THE LOT N. INVOLVED. THIS IS THE FIRST AND ONLY COMPLAINT RECORDED ON THIS LOT N. (2200885). A FINAL REPORT WILL BE SUBMITTED AFTER THE INVESTIGATION.
Description of Event or Problem · 0
KNEE REVISION SURGERY DUE TO ASEPTIC MOBILIZATION, PERFORMED ON (B)(6) 2026. THE PREVIOUS SURGERY WAS CARRIED OUT IN 2022. PATIENT IS FEMALE, 75 YEARS OLD. THIS EVENT OCCURRED IN ITALY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 595815 | PHYSICA | FIXED TIBIAL PLATE | JWH | LIMACORPORATE S.P.A. | 6522.15.050 | 08033390089920 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |