M2A-MAGNUM PF CUP 48ODX42ID
Report
- Report Number
- 0001825034-2025-04141
- Event Type
- Injury
- Date Received
- December 22, 2025
- Report Date
- May 1, 2026
- Manufacturer
- ZIMMER BIOMET, INC.
- Product Code
- LPH
- PMA / PMN Number
- K101336
- Removal / Correction Number
- N/A
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
(B)(4). D10: M2A-MAGNUM MOD HD SZ 42MM, ITEM: 157442, LOT: 814580, TAPERLOC POR FMRL 6.0X132, ITEM: 103201, LOT: 932200, M2A-MAGNUM 42-50MM TPR INSRT-3, ITEM: 139254, LOT: 827880, G2: FOREIGN ¿ CANADA. THE CUSTOMER INDICATED THAT THE PRODUCT REMAINS IMPLANTED; THEREFORE, IT WILL NOT BE RETURNED TO ZIMMER BIOMET FOR INVESTIGATION. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A SUPPLEMENTAL MDR WILL BE SUBMITTED.
IT WAS REPORTED THAT THE PATIENT UNDERWENT A LEFT HIP REVISION APPROXIMATELY 4 YEARS POST IMPLANTATION DUE TO PERSISTENT PAIN. INTRAOPERATIVELY, METAL RELATED PATHOLOGY AND ARTHROFIBROSIS WERE NOTED. A HEAD AND LINER EXCHANGE WITH CUP AND STEM RETAINED WERE COMPLETED WITHOUT KNOWN COMPLICATIONS. IT WAS CONFIRMED THAT NO FURTHER INFORMATION COULD BE PROVIDED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 238312 | M2A-MAGNUM PF CUP 48ODX42ID | PROSTHESIS, HIP | LPH | ZIMMER BIOMET, INC. | 226590 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Female | SEE H11. |