FDA Adverse Event Injury Summary report: N

MECTACER BIOLOX DELTA FEMORAL BALL HEAD

MDR report key: 23837296 · Received December 18, 2025

Report

Report Number
3005180920-2025-01241
Event Type
Injury
Date Received
December 18, 2025
Date of Event
December 1, 2025
Report Date
December 18, 2025
Manufacturer
MEDACTA INTERNATIONAL SA
Product Code
LZO
UDI-DI
07630030809194
PMA / PMN Number
K112115
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

BATCH REVIEW PERFORMED ON 04-DEC-2025. LINER: MPACT 01.32.3644HCT FLAT PE HC LINER D 36/E (K103721) LOT 2508313: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 10-JUL-2025 EXPIRATION DATE: 2030-06-19. NO ANOMALIES FOUND RELATED TO THE PROBLEM. TO DATE, 105 ITEMS OF THE SAME LOT HAVE BEEN SOLD WITH NO SIMILAR REPORTED EVENT DURING THE PERIOD OF REVIEW. BALL HEADS: MECTACER 01.29.208 MECTACER HEAD BIOLOX DELTA DIA.36 12/14-S (K112115) LOT 2515749: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 25-JUN-2025 EXPIRATION DATE: 2030-06-10. 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 3 MONTHS FROM PRIMARY, THE PATIENT CAME IN DUE TO AN INFECTION. THE SURGEON PERFORMED A WASHOUT WITH A HEAD AND LINER SWAP. THE SURGERY WAS COMPLETED SUCCESSFULLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2618616 MECTACER BIOLOX DELTA FEMORAL BALL HEAD MECTACER HEAD BIOLOX DELTA DIA.36 12/14-S LZO MEDACTA INTERNATIONAL SA 01.29.208 2515749 07630030809194

Patients

Seq Age Sex Outcome Treatment
1 55 YR Female Required Intervention