FDA Adverse Event Injury Summary report: N

AMISTEM-P COLLARED

MDR report key: 23310304 · Received October 16, 2025

Report

Report Number
3005180920-2025-00981
Event Type
Injury
Date Received
October 16, 2025
Date of Event
September 17, 2025
Report Date
October 16, 2025
Manufacturer
MEDACTA INTERNATIONAL SA
Product Code
LPH
UDI-DI
07630040720212
PMA / PMN Number
K173794
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

CLINICAL EVALUATION PERFORMED BY MEDACTA MEDICAL AFFAIRS MANAGER: 2 YEARS AFTER CEMENTLESS PRIMARY THA, AT FOLLOW UP EXAMINATION THE SURGEON NOTICES A SLIGHT CORTICAL HYPERTHROPHY IN CORRESPONDENCE WITH THE MEDIAL DISTAL END OF THE FEMORAL STEM. NO REPORT OF CLINICAL PROBLEMS. THE STEM WAS IMPLANTED IN A SLIGHTLY VALGUS POSITION. THIS MAY BE DUE TO THE ANATOMICAL SHAPE OF THE FEMUR OR OF THE HIP (WE DO NOT KNOW AS THE PREOPERATIVE IMAGES WERE NOT SUPPLIED) OR IT COULD BE A SLIGHT DEVIATION FROM THE PLANNED POSITION. IN EITHER CASE, CONTACT BETWEEN THE DISTAL MEDIAL CORTEX AND THE TIP OF THE STEM IS TAKING PLACE, AND NATURALLY A SIGNIFICANT FRACTION OF THE LOAD IS TRANSMITTED IN THAT AREA, RESULTING IN CORTICAL HYPERTROPHY. IT IS VERY LIKELY THAT THIS FINDING, PER SE, WILL NOT CREATE ANY CLINICAL PROBLEM EVEN IN THE LONG TERM. IT IS NOT DUE TO A DEFECT OR MALFUNCTION OF THE IMPLANTED DEVICES. BATCH REVIEW PERFORMED ON 23 SEPTEMBER 2025 LOT 2200406: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 31-MAY-2022. EXPIRATION DATE: 2027-05-16. NO ANOMALIES FOUND RELATED TO THE PROBLEM. TO DATE, (B)(4) ITEMS OF THE SAME LOT HAVE BEEN SOLD WITH NO SIMILAR REPORTED EVENT DURING THE PERIOD OF REVIEW. CONCLUSIONS: BASED ON THE INFORMATION AVAILABLE NO DEFINITIVE ROOT CAUSE CAN BE ESTABLISHED, WHILE THERE IS NO INDICATION THAT ANY POTENTIAL ISSUE WITH THE DEVICE MAY HAVE CAUSED OR CONTRIBUTED TO THE EVENT, AND THE INVESTIGATION DOES NOT INDICATE ANY POTENTIAL MANUFACTURING RELATED ISSUE.

Description of Event or Problem · 0

DURING A POSTOPERATIVE FOLLOW-UP EXAMINATION 2 YEARS AFTER PRIMARY, X-RAY IMAGING REVEALED CORTICAL HYPERTROPHY AT THE DISTAL PORTION OF THE STEM. THE PATIENT REMAINS UNDER OBSERVATION. NO REVISION SURGERY IS PLANNED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2253770 AMISTEM-P COLLARED AMISTEM-P COLLARED STD STEM SIZE 2 LPH MEDACTA INTERNATIONAL SA 01.18.432 2200406 07630040720212

Patients

Seq Age Sex Outcome Treatment
1 67 YR Female Other