QUADRA P FEMORAL STEMS
Report
- Report Number
- 3005180920-2025-01232
- 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
- 07630040731898
- PMA / PMN Number
- K192827
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- OTHER
Narratives
BATCH REVIEW PERFORMED ON 01 DECEMBER 2025. STEM: QUADRA-P COLLARED 01.12.165 QUADRA-P COLLARED STD. SIZE5 (K192827) LOT 2347077: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 16-APR-2024. EXPIRATION DATE: 01-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: VERSAFITCUP DM 01.26.2852MHC DOUBLE MOBILITY HC LINER D 28/DMF (K092265) LOT 2408661: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 21-MAY-2024. EXPIRATION DATE: 30-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. BALL HEADS: MECTACER 01.29.202 MECTACER HEAD BIOLOX DELTA DIA.28 12/14-M (K112115) LOT 2426868: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 09-OCT-2024. EXPIRATION DATE: 23-SEP-2029. NO ANOMALIES FOUND RELATED TO THE PROBLEM. TO DATE, (B)(4) ITEMS OF THE SAME LOT HAVE BEEN SOLD WITH ONE SIMILAR REPORTED EVENT DURING THE PERIOD OF REVIEW. LINER: VERSAFITCUP DM 01.32.4452CF DM CONVERTER G/DMF - TIN COATED (K211891) LOT 2303420: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 12-JUL-2023. EXPIRATION DATE: 24-JUN-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. CUP: MPACT 3D METAL 01.38.062DH MPACT 3D METAL SHELL TWO HOLE D 62MM (K171966) LOT 2000246: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 07-MAY-2020. EXPIRATION DATE: 28-APR-2025. 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.
AT ABOUT 10 MONTHS 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 |
|---|---|---|---|---|---|---|---|
| 2590646 | QUADRA P FEMORAL STEMS | QUADRA-P COLLARED STD. SIZE5 | LZO | MEDACTA INTERNATIONAL SA | 01.12.165 | 2347077 | 07630040731898 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Required Intervention |