Revision surgeries to replace failed prosthetic knees are more complicated than initial surgeries and are not always as successful. Damage to the bones or ligaments surrounding the knee can cause damage to cartilage over time. A total of 60 participants are to be included at Hvidovre University Hospital. 7g. This furthered our understanding of native anatomic shape and Such statements are based upon the current beliefs and expectations of management and are subject to significant risks, uncertainties and changes in circumstances that could cause actual outcomes and results to differ materially. This project is financed by Zimmer-Biomet, Warsaw, Indiana, USA. needs of each patient with our proven technology. increments. Tibia specs:Anatomic disproportional M/L growth, 9 sizes, left and Prices do not include applicable sales tax or shipping costs. Radiographically verified radiolucency / osteolysis. Quickly find individual products and their details. Statistics A professional statistical software package will be used when processing data in this project. Before you decide, ask us to send you free written information about the qualifications and experience of our sponsoring firms. Altered pain perception and / or neurologic affection due to diabetes or other disorders. So we studied the shapes and sizes of the hand to It is also recognized that the investigator, at his/her discretion, may withdraw a subject from this study based upon his/her professional judgment, e.g. Time schedule Recruitment of participants to this project is expected to begin in October 2016 or as soon as permission from the Regional Ethics Committee and the Danish Data Protections Agency is obtained. All devises are European Conformity (CE) marked and used as intended by the manufacturer. Surgical Technique, Persona Constrained Posterior Stabilized (CPS) Surgical Technique, Adjustable Distal Resection System Surgical Technique, Persona The Personalized Knee Brochure, Persona Medial Congruent Bearing System Overview, Persona The Personalized Knee Design Rationale, Fixed Distal Resection System Surgical Technique, Persona 14mm x 30mm Stem Extension Surgical Technique, Persona The Personalized Knee Trabecular Project information is then given in an undisturbed environment (in a closed examination room) by an authorized investigator of this project. information.To obtain a copy of the current Instructions for Use According to the agency, 11,658 devices are affected by the recall. Information provided by (Responsible Party): Anders Troelsen, Hvidovre University Hospital, Persona Total Knee System with MC polyethylene bearing. components with finer increments to helpsurgeonspersonalize the fit A total of 60 participants are to be included at Hvidovre University Hospital. All body measurements and statistics of Constance Zimmer, including bra size, cup size, shoe size, height, hips, and weight. Volume 90%. Prior surgery on the affected knee that includes osteosynthesis, anterior cruciate ligament (ACL) and/or posterior cruciate ligament (PCL) and/or collateral ligament surgery. instruments and techniques that allow you to make more informed Knee replacement lawsuits claim the devices loosened, became unstable and required revision surgery to correct the problems. Background Knee replacement is an established treatment for late stage osteoarthritis (OA) of the knee (Charnley et al. These options found within the Persona Knee Systems At the end of the project all patient related data are destroyed. The project is expected to be completed 2 years after recruitment of the last participant (2019). Persona The Personalized Knee is our solution featuring personalized implants, precise instrumentation, and proven technology. All knees are performed in a standardized fast-track setup with the same surgical technique as described below, immediate mobilization after surgery and clinical and radiological controls after 3 months, 1 and 2 years. Joint Replacement | Orthopaedic Devices | Hip | Knee | Shoulder This type of arthritis is caused by wear and tear on the joints and usually occurs in people over the age of 50. http://myknee.se/en/ (pgs 42-43). "Adding the Persona OsseoTi Keel Tibia to our well-established and clinically proven Persona Knee System allows surgeons to better address the needs of their patients with a comprehensive single system solution for a cementless or cemented application. decisions with each step and provide options for you to personalize To create a more natural feel and normal function for patients Studies have shown that 15%-39% of patients who undergo total knee surgery are not satisfied with the outcome. compromises inherent with many systems today. Total knee replacement surgery boasts high success rates and the majority of knee implants are estimated to last more than two decades. RSA is performed postoperatively and at all outpatient follow-ups. One design change that is introduced is the medial congruent (MC) polyethylene to be used instead of standard cruciate retaining (CR) design. Migration, measured by means of RSA. A class II recall means the probability of death or serious injury is remote but the use of the recalled device may cause temporary or reversible adverse health consequences. Successful total knee arthroplasty depends in part on re-establishment of normal lower extremity alignment, proper implant design and orientation, secure implant fixation, and adequate soft tissue balancing and stability. 32mm, Neutral, O.D. Men's Belt Size Chart To our belt size guide. *Prices are pre-tax. Nelissen, Leiden University Medical Center, Total Knee Replacement with Persona PS Knee Prosthesis by Zimmer, Total Knee Replacement with NexGen PS Knee Prosthesis by Zimmer. mmincrements available in standard andnarrow provide the most U.S. Department of Health and Human Services, The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. featuring personalized implants, precise instrumentation, and proven technology. Market Strategies International. In a market focused on matching the bone to the implant shape and Catalog Number: 8065-546-32 All Lot numbers. A computer-generated random allocation sequence will be used. The EuroQol 5-dimension (EQ-5D) is a generic questionnaire that measures the overall health-related quality of life. Please note that not all products are registered or available in every System Color-Coding Charts, Zimmer Trabecular Metal and Tapered Screw-Vent Implants 3 Zimmer Trabecular Metal Dental implants 3 Tapered Screw-Vent implants 3 Zimmer One-Piece implants 9 Zimmer Trabecular Metal and Tapered Screw-Vent Prosthetics 13 Components for impression Transfer 13 Components for Provisional Restorations 14 Components for Cement-Retained Restorations 15 Components for Screw-Retained Restorations 22 Proprietary Platform Plus"Technology 30 AdVent implant Dimensions 32 Components for impression Transfer 33 Components for Cement-Retained GENERAL INFORMATION Zimmer Dental provides a comprehensive portfolio of Zimmer Holdings, Inc. (NYSE and SWX: ZMH), parent innovative implant technologies designed to meet a broad company of Zimmer Dental Inc., designs, develops, range of clinical needs. These components can be made from several different materials. Prosthesis placement and bone resection measured by means of CT and caliper measurements of the resected bone parts. Body Measurements Table. in the event of deep infection leading to replacement of the prosthesis or long-term immobilization because of comorbidity. Trabecular Metal is made from the element tantalum. The lawyers at National Injury Help are currently accepting cases for a Zimmer Persona Knee Implant Lawsuit involving the uncemented Trabecular Metal Tibial Plate component. Brief Summary: The NexGen TKR (Zimmer, Warsaw, Indiana, USA) is a proven TKR design that has reported excellent medium and long-term results in clinical studies and in implant registries all around the world. Migration (MTPM in mm) of the prosthesis with respect to the host bone measured by means of roentgen stereophotogrammetric analysis (RSA). These complications can include infection and blood clots. Wiper Size Guide First select your car make: Acura Alfa Romeo AM General American Motors Aston Martin Asuna Audi Austin Avanti Bentley Bertone BMW Buick. Patients with insufficient posterior cruciate ligament (PCL) and other patients unsuited for a CR implant receive a posterior stabilized (LPS) NexGen TKA. With 90+ years of trusted leadership and proven expertise, Zimmer Biomet is positioned to deliver the highest quality solutions to patients and providers. Zimmer Persona is the brand-name of a total knee replacement system. The simple one-piece design allows for a single-stage protocol, saving time and resulting in less trauma to soft tissue, and less discomfort for your patients. 2 Femur Exposure SECTION2 . Vitamin-E Polyethylene, all built upon the heritage of the Device: Various Zimmer Biomet knee implants packaged in LDPE bags Number Recall: 13,227 . Recently, Zimmer-Biomet have introduced Persona Total Knee system with design changes that include asymmetric tibia plate, increased medial pivoting and more extensive choices in respect to poly thickness, all with the purpose to improve balancing, stability and longevity. if improved, would help restore a more natural feeling knee and Eventually parts wear out and need to be replaced, but it is estimated up to 85 percent of artificial knees still work after 20 years. Australian the native tibia as possible. However, currently no studies exist evaluating outcome following use of MC polyethylene bearing. As a follow-up of the NexGen TKR, an improved design has recently been introduced by Zimmer: The Persona TKR (Zimmer, Warsaw, Indiana . Read our, ClinicalTrials.gov Identifier: NCT02269254, Interventional DePuy - 346 recalls. [TimeFrame:2 Years], Knee Prosthesis motion by means of Fluoroscopy. The NexGen Complete Knee Solution Legacy Knee Posterior Stabilized (LPS) LPS-Flex Fixed Bearing Knee is designed to accommodate resumption of . AAOS_Femur_AP_Diff_ChartReference based onZiBRAfemoral Haleem Chaudhary MD Orthopedic Surgeon Cincinnati Ohio. Adelaide.AOA 2016: Table KT9 Those cookies that we do use are designed to permit you to use the site functions and browse our site in the way that is favorable to you. Motion of the knee prosthesis during a step-up movement, measured by means of Fluoroscopic Motion Analysis. 424 0 obj <>stream Choosing to participate in a study is an important personal decision. An add-on to the Oxford Knee Score will evaluate the patients activity and participation restrictions due to their knee problem. This material is combined with a keeled design to deliver stable initial and biological fixation. Persona Instrumentation was designed to be versatilein its The Zimmer-Biomet Persona Total Knee Cruciate-Retaining Femoral Component (CR Femur), used in conjunction with the kinematic alignment surgical technique, has been shown to produce better functional outcomes and improved patient satisfaction following total knee arthroplasty. Zimmer Biomet Persona Total Knee System with CR polyethylene bearing. The FDA on March 12 issued a notice for a Class II Recall for all lots and sizes of the Zimmer Persona Trabecular Metal Tibial Plate knee implant. The Persona Knee Geerdink CH, Grimm B, Vencken W, Heyligers IC, Tonino AJ. 1961). %PDF-1.6 % To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor. Nelissen, Prof. PhD MD Head of the Department of Orthopaedics, Leiden University Medical Center, 30 Patients with NexGen LPS prosthesis and 30 patients with Persona PS prosthesis for RSA, 15 Patients with NexGen LPS prosthesis and 15 patients with Persona PS prosthesis for Fluo. antioxidant protection to help meet long-term performance needsand Our General US Size Chart works with most clothing brands and manufacturers, but maybe not all. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Trabecular MetalMaterial, Predecessor to the Persona System, the NexGen Knee System is the Why Should I Register and Submit Results? Adverse Events including intraoperative complications and revisions at any post-operative time points. Instrumentation and technology really matters. Anatomictibiadesign helps prevent mal-rotation while Total knee systems are comprised of several different parts which mimic the anatomy of the knee. EMBASE search: NexGen AND Lancet. March 12, 2015- FDA categorized Zimmer Persona Knee recall as "Class II Recall." Zimmer Persona Knee Reviews. and Joint Surgery (British) 92-B:1238-44; 2010. Side effects of failed Zimmer Persona knee implants reported by patients and their doctors include: When a knee implant fails the need for a second surgery, also called a replacement surgery or revision surgery, may be necessary. The world has already listened to Sting. Vivacit-E Vitamin E Highly Crosslinked Polyethylene is designed with mind, because we believe a way to predictably improve patient 4027.1-GLBL-en, 345 E. Main St.Warsaw, IN 46580www.zimmerbiomet.com, View original content to download multimedia:https://www.prnewswire.com/news-releases/zimmer-biomet-expands-persona-knee-system-portfolio-with-fda-clearance-of-persona-osseoti-keel-tibia-for-cementless-knee-replacement-301683440.html, https://www.zimmerbiomet.com/en/products-and-solutions/specialties/knee/persona-osseotikeeltibia.html, https://www.prnewswire.com/news-releases/zimmer-biomet-expands-persona-knee-system-portfolio-with-fda-clearance-of-persona-osseoti-keel-tibia-for-cementless-knee-replacement-301683440.html, California Transparency in Supply Chain Act Disclosure. (Clinical Trial), Migration and Kinematics of the New Persona PS Versus the Proven NexGen LPS Knee - a Randomized Controlled Trial Using Radiostereometric Analysis and Fluoroscopy, 21 Years to 90 Years (Adult, Older Adult), Dep. 409 0 obj <>/Filter/FlateDecode/ID[<4CFFF6002367B97D87B78669E948DEE2><9397F989D1D57E479435879AAB8D2EDD>]/Index[384 41]/Info 383 0 R/Length 119/Prev 680799/Root 385 0 R/Size 425/Type/XRef/W[1 3 1]>>stream While designing the Persona Knee, we used a combination of advanced research tools to study hundreds of knees, creating a global bone atlas. Talk with your doctor and family members or friends about deciding to join a study. Congruent Bearing is the most kinematic-friendly bearing Zimmer There have been individual cohort studies, indirect comparisons and retrospective studies to test the efficacy of a variety of different total knee replacement devices but there are very few high quality investigations of new paradigms or significant design change. We also believed that the femoral shape should reflect 7e. [TimeFrame:1 Year], Patient is diagnosed with osteoarthritis or rheumatoid arthritis and requiring primary knee arthroplasty. 1961 May 27;1(7187):1129-32. doi: 10.1016/s0140-6736(61)92063-3. Our legacy continues to come to life today through our progressive culture of evolution and innovation. The Persona Revision Knee System expands the Persona Knee System to 2014 Jan 13;348:f7592. potentially improve patient satisfaction. When there are less than five tibia-bone markers and less than five femur-bone markers visible in the baseline RSA photograph and it will not improve by placing the patient in another position, the patient will be excluded from the study (secondary exclusion criteria). Annual Report. The patient is unable or unwilling to sign the Informed Consent specific to this study, Insufficient Dutch or English language skills, Patients indicated for revision arthroplasty. 1961). Total knee replacement surgery is typically performed by an orthopedic surgeon, a doctor that specializes in diseases and injuries of the musculoskeletal system, which includes the bodys bones, muscles, cartilage, ligaments and joints. Stratification is performed per diagnosis group (OA/RA). Now its time to listen to his victim. Cumulative Percent Revision of Primary Total Knee Replacement with Journal of Bone PPTX. This project is carried out as a 2-arm randomized controlled single-blinded trial, in which the clinical and radiological outcomes after treatment of hip osteoarthritis with insertion of either 1) Persona Total Knee System with MC polyethylene bearing or 2) Persona Total Knee System with CR polyethylene bearing. Pre-Surgical & Post-Surgical Patient Insights & Needs Persona The Personalized Knee Surgical Technique. Risk of dislocation using large- vs. small-diameter femoral heads in total hip arthroplasty. For example, womens body shapes differ from that of men, resulting in a slightly different range of motion. Femur specs:Anatomic design with21 distinct profilesin2mm Prices are indicative only and may vary by country, with changes to the cost of raw materials and exchange rates. Why? Men's Underwear Sizes Plus Sizes for Men As a rule of the thumb, plus sizes are chosen when you are 6'2'' or shorter, and your waist measurement is equal or larger than your chest measurement. 21distinctfemoralprofiles, with 2 atlas. In spite of these high success rates, complaints of early device failure regarding the Zimmer Persona knee replacement system began to pour into the Food and Drug Administration soon after the device was marketed. Please remove one or more studies before adding more. Pair it with ROSA Knee and the Personalized Alignment technique those needs. Implant shape and fit matter in achieving postoperative patient Participants are included when signed consent from the participant is obtained. Therefore such design changes and proposed benefits need to be evaluated in a prospective clinical trail, with focus on patient safety, satisfaction and implant durability. During total knee replacement, surgeons remove damaged cartilage and bone from the ends of the femur and tibia and replace these parts with metal components. WY: The Wyoming State Bar does not certify any lawyer as a specialist or expert. Report. The knee is the bodys largest joint. Signed consent, however, is to be given latest at admittance before surgery. While symmetric and asymmetric tibial designs had long In 2015, Zimmer will be starring as Julia on new TV series Un-Real. We anticipate that inclusion can be accomplished within a 2 year period. Failure rate of cemented and uncemented total hip replacements: register study of combined Nordic database of four nations. The Zimmer-Biomet Persona Total Knee System is a novel total knee system developed by Zimmer-Biomet. Persona The Personalized Knee is designed to help the surgeon accomplish these goals by combining alignment . There are different approaches to prosthetic replacement and current practices and designs are often based on limited evidence (Plate et al. hb```f``Jc`e``fd@ AFKjKCdV00xIFSCNU({G6 As for the RSA study all consecutive patients ("usual care") are included to prevent selection bias in the migration analysis. A total score ranging from 0 (worst) to 100 (best) is calculated. Both standard as well as narrow femoral components will be used, depending on the patient anatomy. Arthritis is characterized by inflammation and stiffness in the joints and can reduce a persons range of motion. If a participant is withdrawn or rescinds their consent, a "Lost to Follow-up" case report form will be completed detailing the reason for the participant's withdrawal. The participants will be included at Hvidovre University Hospital, (see participating centers). Seemlessly connect, products, services and technologies to elevate Persona The Personalized Knee is designed to help the surgeon accomplish these goals by combining alignment accuracy with a simple, straight-forward technique. options including minimal constraint to full constraint, left and provide:Exceptional Oxidative Stability4, Ultra-low Patient outcomes can be driven by the precision and accuracy of each 643 Persona Partial Knees were implanted, and two-year results demonstrated: 3 Survivorship at 2 years 98.9% Patient satisfaction 2012 Oct 5;5:553. doi: 10.1186/1756-0500-5-553. to patients of different ethnicity, gender, and stature.4-5 face intraoperatively. Participant termination It is recognized that the subject's participation in this study is entirely voluntary, and that she/he may refuse to participate and may withdraw from participation at any time without jeopardy to any future medical care. right implant options, conventional and Vitamin-E polyethylene options. Knee implants are fixed to the bone either using cement (these are called cemented knee implants) or using press fit technology (these are called uncemented knee implants.) You should expect your instruments When a persons knee joint becomes severely damaged due to disease or injury, he or she may be a candidate for total knee replacement surgery. Comparative statistics will be used based on the distribution of data. Data recordings Participants in this project are identified with an assigned allocation number. The Zimmer Persona was approved by the FDA through its 510(k) approval process in late 2012, nearly two decades after Zimmer's NexGen line was introduced in 1995. Zimmer said its goal was to come as close as possible to the remarkable mechanics of the human body and claimed the Persona would "put the person back in knee replacement." 7b. Sterilant (hydrogen peroxide) used in acetabular cup hip prosthesis component was not evaluated to confirm the biocompatibility of the residual sterilant. and physiological properties of cancellous bone8. If the minimally relevant total migration of the prosthesis measured by RSA is set to 0.2 mm then a total of 18 participants must be enrolled in each study group to show a statistically significant difference (95 % confidence, 80 % power). percent of painfulTotal Knee Arthroplasty (TKA) of Primary Total Knee Replacement with Hybrid Fixation. These factors should not be construed as exhaustive and should be read in conjunction with the other cautionary statements that are included in Zimmer Biomet's filings with the SEC. Ourmost comprehensivekneesystem, including anatomically accurate A new operation. Different sample sizes are used for the different parts of this study: The study population will consist of patients with symptomatic osteoarthritis of the knee scheduled for TKR surgery at the Department of Orthopaedics, Leiden University Medical Center. 1-3 In a 10-year follow-up study, Triathlon showed 99% survivorship. Bust. weve achieved a big leap forward in total knee arthroplasty, making Zimmer, Inc. 1800 West Center Street Warsaw, Indiana 46580USA. Non-transparent envelopes are used for the randomization process. While designing the Persona Knee, we used a combination of advanced These lawsuits have been consolidated in a multidistrict litigation (MDL) in federal court. Participants are unaware of which prosthesis they receive and the research coordinator handling the collected questionnaires postoperatively is also unaware of which prosthesis the participant has received. The specific component involved in the recall was called a Trabecular Metal Tibial Plate. Patient has been classified ASA 1 or 2 (for the kinematic analysis) (Meyer Saklad, 1941). Vivacit-E Vitamin-E Highly Crosslinked Polyethylene A total score is calculated ranging from -0.624 (worst) to 1 (best). This will insure sufficient statistical power despite intraoperative exclusion and dropout of 40% at last follow-up and . 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