FDA Adverse Event Injury Summary report: N

MECTACER BIOLOX DELTA FEMORAL BALL HEAD

MDR report key: 23837338 · Received December 18, 2025

Report

Report Number
3005180920-2025-01290
Event Type
Injury
Date Received
December 18, 2025
Date of Event
December 5, 2025
Report Date
December 18, 2025
Manufacturer
MEDACTA INTERNATIONAL SA
Product Code
LZO
UDI-DI
07630030809149
PMA / PMN Number
K112115
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

BATCH REVIEW PERFORMED ON 16 DECEMBER 2025. BALL HEADS: MECTACER 01.29.203 MECTACER HEAD BIOLOX DELTA DIA.28 12/14-L (K112115) LOT 2515737: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 30-JUNE-2025. EXPIRATION DATE: 2030-06-11. 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. STEM: AMISTEM P 01.18.403 AMISTEM-P STD. SIZE 3 (K173794) LOT 2502526: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 07-MAY-2025. EXPIRATION DATE: 2030-04-15. NO ANOMALIES FOUND RELATED TO THE PROBLEM. TO DATE, (B)(4) ITEMS OF THE SAME LOT HAVE BEEN SOLD WITH NO SIMILAR REPORTED EVENTS DURING THE PERIOD OF REVIEW. LINER: MPACT DM 01.26.2848MHC DOUBLE MOBILITY HC LINER D 28/DMD LOT. 2508202 LOT 2508202: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 23-JUNE-2025. EXPIRATION DATE: 2030-06-03. 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. CUP: MPACT 01.32.148MB MPACT DM ACETABULAR SHELL D 48 (K143453) LOT 2500934: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 07-AUG-2025. EXPIRATION DATE: 2030-07-27. NO ANOMALIES FOUND RELATED TO THE PROBLEM. TO DATE, (B)(4) ITEMS OF THE SAME LOT HAVE BEEN SOLD WITH NO SIMILAR REPORTED EVENTS 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 2 MONTHS AFTER THE PRIMARY, THE PATIENT CAME IN DUE TO AN INFECTION AND THE PATHOGEN IS UNKNOWN. THE SURGEON PERFORMED A WASHOUT, REMOVED EVERYTHING AND PUT IN COMPETITOR PRODUCTS. THE SURGERY WAS COMPLETED SUCCESSFULLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2274140 MECTACER BIOLOX DELTA FEMORAL BALL HEAD MECTACER HEAD BIOLOX DELTA DIA.28 12/14-L LZO MEDACTA INTERNATIONAL SA 01.29.203 2515737 07630030809149

Patients

Seq Age Sex Outcome Treatment
1 NA Female Required Intervention