FDA Adverse Event Injury Summary report: N

QUADRA-P FEMORAL STEMS

MDR report key: 23579654 · Received November 18, 2025

Report

Report Number
3005180920-2025-01107
Event Type
Injury
Date Received
November 18, 2025
Date of Event
October 27, 2025
Report Date
November 18, 2025
Manufacturer
MEDACTA INTERNATIONAL SA
Product Code
LZO
UDI-DI
07630040720441
PMA / PMN Number
K181254
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

BATCH REVIEW PERFORMED ON 30 OCTOBER 2025. STEM: QUADRA-P 01.12.123 QUADRA-P STD. SIZE3 (K181254) LOT 2339736: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 04-MAR-2024. EXPIRATION DATE: 18-FEB-2029. 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. ROOT CAUSE: 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 DEVICE HISTORY RECORD REVIEW DOES NOT INDICATE ANY POTENTIAL MANUFACTURING RELATED ISSUE.

Description of Event or Problem · 0

AT ABOUT 7 MONTHS AFTER THE PRIMARY, THE PATIENT CAME IN REPORTING PAIN DUE TO A SUBSIDED STEM AND THE CAUSE IS UNKNOWN. THE SURGEON REVISED THE MEDACTA DOUBLE MOBILITY LINER WITH A NEW ONE AND REVISED THE STEM AND HEADWITH COMPETITOR PRODUCTS. THE SURGERY WAS COMPLETED SUCCESSFULLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2235268 QUADRA-P FEMORAL STEMS QUADRA-P STD. SIZE3 LZO MEDACTA INTERNATIONAL SA 01.12.123 2339736 07630040720441

Patients

Seq Age Sex Outcome Treatment
1 69 YR Male Required Intervention