FDA Adverse Event Injury Summary report: N

BIOMET ARCOM AP PAT 3PST 31MM SM

MDR report key: 25243484 · Received May 21, 2026

Report

Report Number
0001825034-2026-01433
Event Type
Injury
Date Received
May 21, 2026
Report Date
May 19, 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 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
214364 BIOMET ARCOM AP PAT 3PST 31MM SM PROSTHESIS, KNEE JWH ZIMMER BIOMET, INC. N/A 571730

Patients

Seq Age Sex Outcome Treatment
1