BEUDAMED
    FDA Adverse Event Injury Summary report: N

    M2A-MAGNUM MOD HD SZ 42MM

    MDR report key: 23865110 · Received December 22, 2025

    Report

    Report Number
    0001825034-2025-04142
    Event Type
    Injury
    Date Received
    December 22, 2025
    Report Date
    May 1, 2026
    Manufacturer
    ZIMMER BIOMET, INC.
    Product Code
    KWA
    PMA / PMN Number
    K042037
    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

    Additional Manufacturer Narrative · 0

    (B)(4). D10: M2A-MAGNUM PF CUP 48ODX42ID. ITEM: US157848. LOT: 2226590. TAPERLOC POR FMRL 6.0X132. ITEM: 103201. LOT: 932200. M2A-MAGNUM 42-50MM TPR INSRT-3. ITEM: 139254. LOT: 827880. G2: FOREIGN ¿ CANADA. H6: SUGGESTED COMPONENT CODE: MECHANICAL (G04) - HEAD. THE CUSTOMER INDICATED THAT THE PRODUCT LOCATION IS UNKNOWN; THEREFORE, IT WILL NOT BE RETURNED TO ZIMMER BIOMET FOR INVESTIGATION. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A SUPPLEMENTAL MDR WILL BE SUBMITTED.

    Description of Event or Problem · 0

    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
    84351 M2A-MAGNUM MOD HD SZ 42MM PROSTHESIS, HIP KWA ZIMMER BIOMET, INC. 814580

    Patients

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