FDA Adverse Event Injury Summary report: N

MECTACER BIOLOX DELTA FEMORAL BALL HEAD

MDR report key: 23583103 · Received November 18, 2025

Report

Report Number
3005180920-2025-01152
Event Type
Injury
Date Received
November 18, 2025
Date of Event
October 31, 2025
Report Date
November 18, 2025
Manufacturer
MEDACTA INTERNATIONAL SA
Product Code
LZO
UDI-DI
07630030809125
PMA / PMN Number
K112115
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

BATCH REVIEW PERFORMED ON 11 NOV 2025. BALL HEADS: MECTACER 01.29.201 MECTACER HEAD BIOLOX DELTA DIA.28 12/14-S (K112115) LOT: 2431873: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 04 DEC 2024. EXPIRATION DATE: 18 NOV 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. LINER: MPACT DM 01.26.2846MHC DOUBLE MOBILITY HC LINER D 28/DMC (K241767) LOT: 2338169: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 12 DEC 2023. EXPIRATION DATE: 22 NOV 2028. 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. STEM: QUADRA-P COLLARED 01.12.162 QUADRA-P COLLARED STD. SIZE2 (K192827) LOT: 2436254: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 28 MAY 2025. EXPIRATION DATE: 11 MAY 2030. 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: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

ONE MONTH AFTER THE PRIMARY SURGERY, THE PATIENT RETURNED DUE TO AN EARLY-STAGE INFECTION OF AN UNKNOWN PATHOGEN. THE SURGEON PERFORMED A WASHOUT AND REPLACED THE STEM, LINER, AND HEAD. THE SURGERY WAS COMPLETED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2236437 MECTACER BIOLOX DELTA FEMORAL BALL HEAD MECTACER HEAD BIOLOX DELTA DIA.28 12/14-S LZO MEDACTA INTERNATIONAL SA 01.29.201 2431873 07630030809125

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention