FDA Adverse Event Injury Summary report: N

GMK SPHERE TOTAL KNEE SYSTEM

MDR report key: 25275474 · Received May 26, 2026

Report

Report Number
3005180920-2026-00487
Event Type
Injury
Date Received
May 26, 2026
Date of Event
May 7, 2026
Report Date
May 26, 2026
Manufacturer
MEDACTA INTERNATIONAL SA
Product Code
JWH
UDI-DI
07630030826542
PMA / PMN Number
K121416
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

BATCH REVIEW PERFORMED ON 11 MAY 2026: LOT: 2240457: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 14-DEC-2022. EXPIRATION DATE: 2027-NOV-29. NO ANOMALIES FOUND RELATED TO THE PROBLEM. TO DATE, ALL THE ITEMS OF THE SAME LOT HAVE BEEN SOLD WITH NO SIMILAR REPORTED EVENTS DURING THE PERIOD OF REVIEW. ROOT CAUSE: INFECTION IS A KNOWN POSSIBLE COMPLICATION OF ANY SURGERY. ALTHOUGH NO ROOT CAUSE CAN BE ESTABLISHED, THERE IS NO INDICATION THAT ANY ISSUE WITH THE DEVICE MAY HAVE CAUSED OR CONTRIBUTED TO THE EVENT, AND THE DOCUMENT REVIEW DOES NOT INDICATE ANY POTENTIAL MANUFACTURING RELATED CAUSE.

Description of Event or Problem · 0

THE PATIENT HAD HIP INFECTION AND THE PATHOGEN IS UNKNOWN. AT ABOUT 3 YEAR AND 1 MONTH POST PRIMARY THE SURGEON PERFORMED A WASHOUT AND REVISED THE FLEX S4R - 10MM INSERT TO A SAME SIZE INSERT. THE SURGERY WAS COMPLETED SUCCESSFULLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
540364 GMK SPHERE TOTAL KNEE SYSTEM GMK-SPHERE TIBIAL INSERT - FLEX S4R - 10 MM JWH MEDACTA INTERNATIONAL SA 02.12.0410FR 2240457 07630030826542

Patients

Seq Age Sex Outcome Treatment
1