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