FDA Adverse Event Injury Summary report: N

BIOMET ARCOM AP PAT 3PST 31MM SM

MDR report key: 25172537 · Received May 14, 2026

Report

Report Number
0001825034-2026-01285
Event Type
Injury
Date Received
May 14, 2026
Report Date
May 11, 2026
Manufacturer
ZIMMER BIOMET, INC.
Product Code
JWH
PMA / PMN Number
NI
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

(B)(4). D10: 11-146554, MAXIM PS TIBIAL BEARING, LOT: 706330. 145132, MAXIM PS FEMORAL COMPONENT , 365040. 141314, MAXIM MODULAR FINNED STEM, LOT: 765220. 141213, MAXIM PRIMARY TIBIAL PLATE, 002650. UNKNOWN, PALACOS CEMENT, UNK LOT. CUSTOMER HAS INDICATED THAT THE PRODUCT WILL NOT BE RETURNED TO ZIMMER BIOMET FOR INVESTIGATION. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MDR WILL BE SUBMITTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT UNDERWENT AN INITIAL TKA IN THEIR LEFT KNEE. SUBSEQUENTLY, ABOUT 26 YEARS LATER, THE PATIENT CONTACTED THE MANUFACTURER TO REPORT THAT THEY HAD BEEN EXPERIENCING CONSTANT PAIN, CLICKING, AND INTERMITTENT SWELLING. NO SURGICAL OR MEDICAL INTERVENTIONS WERE REPORTED YET REGARDING THESE SYMPTOMS. ATTEMPTS HAVE BEEN MADE, AND NO FURTHER INFORMATION HAS BEEN PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
448254 BIOMET ARCOM AP PAT 3PST 31MM SM PROSTHESIS, KNEE JWH ZIMMER BIOMET, INC. N/A 571730

Patients

Seq Age Sex Outcome Treatment
1