FDA Adverse Event Injury Summary report: N

PROFEMUR MODULAR NECK

MDR report key: 21885853 · Received April 22, 2025

Report

Report Number
3010536692-2025-00170
Event Type
Injury
Date Received
April 22, 2025
Report Date
December 4, 2025
Manufacturer
MICROPORT ORTHOPEDICS INC.
Product Code
KWA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THIS EVENT WILL BE UPDATED ONCE THE INVESTIGATION IS COMPLETE. TRENDS WILL BE EVALUATED.

Additional Manufacturer Narrative · 0

THE ALLEGED COMPLAINT COULD NOT BE CONFIRMED. THE PROVIDED LITERATURE DOCUMENT STATES THAT 83 PATIENTS WITH A COCR MODULAR NECK WERE FOUND TO HAVE ELEVATED SERUM COBALT LEVELS. FOR PATIENTS WITHOUT METAL-ON-METAL ARTICULATION, ELEVATED SERUM COBALT LEVELS WERE PAIRED WITH A PSEUDOTUMOR FOR 11 PATIENTS WHILE 38 PATIENTS WERE WITHOUT PSEUDOTUMOR. FOR THE METAL-ON-METAL ARTICULATION GROUP, 14 PATIENTS HAD ELEVATED SERUM COBALT LEVELS PAIRED WITH A PSEUDOTUMOR WHILE 20 PATIENTS WERE WITHOUT PSEUDOTUMOR. MPO DOES NOT HAVE SPECIFIC INFORMATION REGARDING PRODUCTS, MANUFACTURING LOTS, PATIENT DETAILS, OR DATES. FURTHERMORE, MPO CANNOT DETERMINE FROM THE AVAILABLE INFORMATION IF ANY OF THESE OCCURRENCES HAVE BEEN PREVIOUSLY CAPTURED AND INVESTIGATED. INVESTIGATION CONCERNING PATIENT REACTIONS TO COBALT CHROME MODULAR NECKS HAVE BEEN INVESTIGATED AND MONITORED THROUGH CORRECTIVE AND PREVENTIVE ACTION (CAPA) #282. THIS CAPA STATES, "THE POTENTIAL FOR A PATIENT REACTION WHEN IMPLANTED WITH A PROFEMUR® COCR MODULAR NECK IS A KNOWN RISK FOR THIS PRODUCT TECHNOLOGY. A COMBINATION OF PATIENT AND SURGICAL FACTORS CAN CONTRIBUTE TO AN ELEVATED RISK OF AN ADVERSE PATIENT REACTION. THESE FACTORS INCLUDE, BUT ARE NOT LIMITED TO, PATIENT SENSITIVITY, SURGICAL TECHNIQUE, PATIENT WEIGHT AND ACTIVITY LEVEL." CONCERNING THE PATIENTS WITH METAL-ON-METAL ARTICULATION, IT CANNOT BE DETERMINED THE EXTENT THAT THE COCR MODULAR NECK COULD HAVE CONTRIBUTED TO THE ALLEGED ELEVATED ION LEVELS COMPARED TO THE BEARING COMPONENTS. DESPITE THE LARGE QUANTITY FOR COMPLAINT RESULTING IN A SPIKE IN COMPLAINTS BETWEEN INCIDENTS (B)(4), MPO HAS CONFIRMED THAT THE CURRENT OCC VALUE IS THE SAME AS THE OCC VALUE IN THE CURRENTLY APPROVED DFMEA FOR THIS PRODUCT, (B)(4). NO FURTHER CONCLUSIONS CAN BE MADE FROM THE AVAILABLE INFORMATION. BASED ON THIS INFORMATION, NO ADDITIONAL ACTIONS ARE DEEMED NECESSARY AT THIS TIME. MPO WILL CONTINUE TO MONITOR FOR THIS COMPLAINT ISSUE.

Description of Event or Problem · 0

ALLEGEDLY, A LITERATURE DOCUMENT WAS RECEIVED DETAILING THE FOLLOWING: ZACHARY-2021: 83 CASES OF ELEVATED SERUM COBALT LEVELS. NO REVISIONS. ZACHARY 2021- COBALT LEVELS AND PSEUDOTUMOR CHARACTERISTICS VARY DUE TO METAL ION SOURCE MODULAR FEMORAL NECK VS METAL-ON-METAL ARTICULATIONS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
617637 PROFEMUR MODULAR NECK HIP COMPONENT KWA MICROPORT ORTHOPEDICS INC. PHAC12XX NI

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention