FDA Adverse Event Injury Summary report: N

M2A-MAGNUM MOD HD SZ 48MM

MDR report key: 23862381 · Received December 22, 2025

Report

Report Number
0001825034-2025-04100
Event Type
Injury
Date Received
December 22, 2025
Date of Event
May 25, 2017
Report Date
May 1, 2026
Manufacturer
ZIMMER BIOMET, INC.
Product Code
LPH
PMA / PMN Number
K101336
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

(B)(4). SUGGESTED COMPONENT CODE: MECHANICAL (G04) - HEAD. D10: CAT#: X180310, LOT#: 676580 BI-METRIC/X POR NC 10X130. G2: FOREIGN - EVENT OCCURRED IN CANADA. THE DEVICE WILL NOT BE RETURNED FOR ANALYSIS; HOWEVER, AN INVESTIGATION OF THE REPORTED EVENT IS IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETED, A SUPPLEMENTAL MEDWATCH 3500A WILL BE SUBMITTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT A PATIENT HAD A RIGHT TOTAL HIP ARTHROPLASTY. SUBSEQUENTLY, THE PATIENT WAS REVISED APPROXIMATELY 9 YEARS LATER DUE TO PAINFUL METAL-ON-METAL. DURING THE REVISION SLIGHT WEAR WAS NOTED ON THE TRUNNION AND CAPSULE FRAGMENTS WERE REMOVED FROM THE ACETABULUM. THE STEM WAS RETAINED ALL OTHER COMPONENTS WERE REVISED WITHOUT COMPLICATIONS. IT WAS REPORTED THAT NO FURTHER INFORMATION IS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
238469 M2A-MAGNUM MOD HD SZ 48MM PROSTHESIS, HIP, SEMI-CONSTRAINED, METAL/POLYMER, POROUS UNCEMENTED LPH ZIMMER BIOMET, INC. 170340

Patients

Seq Age Sex Outcome Treatment
1 NA Male Hospitalization| R SEE H11 NARRATIVE.