FDA Adverse Event Injury Summary report: N

MECTACER BIOLOX OPTION HEADS

MDR report key: 23758549 · Received December 9, 2025

Report

Report Number
3005180920-2025-01233
Event Type
Injury
Date Received
December 9, 2025
Date of Event
November 25, 2025
Report Date
December 9, 2025
Manufacturer
MEDACTA INTERNATIONAL SA
Product Code
LZO
UDI-DI
07630030809354
PMA / PMN Number
K131518
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

BATCH REVIEW PERFORMED ON 01 DECEMBER 2025. BALL HEADS: MECTACER 01.29.233H MECTACER HEAD BIOLOX OPTION 12/14 D40 (K131518) LOT: 2406574: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 04-APR-2024. EXPIRATION DATE: 19-MAR-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 CUP: MPACT 01.32.156MH ACETABULAR SHELL D 56 MULTI-HOLE (K132879) LOT: 2348587: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 14-MAY-2024. EXPIRATION DATE: 29-APR-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 01.32.4048HCT FLAT PE HC LINER D 40/F (K103721) LOT: 2306064: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 26-JUL-2023. EXPIRATION DATE: 10-JUL-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: SMS SOLID 01.36.069 SMS SOLID STEM LAT SIZE 9 (K181693) LOT: 2406334: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 11-APR-2024. EXPIRATION DATE: 27-MAR-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: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

AT ABOUT 1 YEAR FROM THE PRIMARY, THE PATIENT CAME IN DUE TO SIGNS OF AN INFECTION AND THE PATHOGEN IS UNKNOWN. THE SURGEON PERFORMED A WASHOUT, REMOVED ALL IMPLANTS, AND IMPLANTED NEW HARDWARE. THE SURGERY WAS COMPLETED SUCCESSFULLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2590640 MECTACER BIOLOX OPTION HEADS MECTACER HEAD BIOLOX OPTION 12/14 Ø 40 LZO MEDACTA INTERNATIONAL SA 01.29.233H 2406574 07630030809354

Patients

Seq Age Sex Outcome Treatment
1 60 YR Male Required Intervention