BIOMET MAX ILK ANA RF PS FML 65LT VII
Report
- Report Number
- 0001825034-2026-01431
- Event Type
- Injury
- Date Received
- May 21, 2026
- Report Date
- May 19, 2026
- Manufacturer
- ZIMMER BIOMET, INC.
- Product Code
- JWH
- PMA / PMN Number
- K993159
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- WA, US
- Reporter Occupation
- 003
Narratives
(B)(4). D10: 11-146554, MAXIM PS TIBIAL BEARING, LOT: 706330. 141314, MAXIM MODULAR FINNED STEM, LOT: 765220. 141213, MAXIM PRIMARY TIBIAL PLATE, 002650. 11-150840, BIOMET ALL POLY PATELLAR BUTTON, LOT: 571730. UNKNOWN, PALACOS CEMENT, UNK LOT. H6: PROPOSED COMPONENT CODE: MECHANICAL (G04) - FEMUR. 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.
IT WAS REPORTED THAT THE PATIENT UNDERWENT A LEFT PRIMARY TOTAL KNEE ARTHROPLASTY ABOUT 26 YEARS AGO. SUBSEQUENTLY APPROXIMATELY 6 TO 8 WEEKS POST-IMPLANTATION REQUIRED MANIPULATION UNDER ANESTHESIA BECAUSE THE KNEE ¿FROZE UP.¿ NO ADDITIONAL SURGICAL OR MEDICAL INTERVENTIONS WERE REPORTED TO DATE. ATTEMPTS HAVE BEEN MADE AND NO FURTHER INFORMATION HAS BEEN PROVIDED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 289948 | BIOMET MAX ILK ANA RF PS FML 65LT VII | PROSTHESIS, KNEE | JWH | ZIMMER BIOMET, INC. | N/A | 365040 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |