FDA Adverse Event
Malfunction
Summary report: N
LPS ARTICULAR SURFACE SIZE CD 10 MM HEIGHT
MDR report key: 25174402
·
Received May 14, 2026
Report
- Report Number
- 0001822565-2026-01577
- Event Type
- Malfunction
- Date Received
- May 14, 2026
- Date of Event
- April 21, 2026
- Report Date
- May 13, 2026
- Manufacturer
- ZIMMER BIOMET, INC.
- Product Code
- JWH
- UDI-DI
- 00889024211766
- PMA / PMN Number
- K173057
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CH
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 0
(B)(4). D10: 00-5980-037-01, TIBIAL COMPONENT, LOT: 67129781 G2: FOREIGN - EVENT OCCURRED IN CHINA. CUSTOMER HAS INDICATED THAT THE PRODUCT IS IN PROCESS OF BEING 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 DURING AN INITIAL TKA THE TIBIAL LINER COULD NOT BE ASSEMBLED TO THE TIBIAL TRAY. THE SURGICAL TECHNIQUE WAS UTILIZED; THERE WAS NO SURGICAL DELAY. ATTEMPTS HAVE BEEN MADE AND NO FURTHER INFORMATION HAS BEEN PROVIDED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 566045 | LPS ARTICULAR SURFACE SIZE CD 10 MM HEIGHT | PROSTHESIS, KNEE | JWH | ZIMMER BIOMET, INC. | N/A | 66723982 | 00889024211766 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |