FDA Adverse Event Injury Summary report: N

CER BIOLOXD OPTION HD 32MM

MDR report key: 23906270 · Received December 29, 2025

Report

Report Number
3002806535-2025-00678
Event Type
Injury
Date Received
December 29, 2025
Date of Event
September 22, 2016
Report Date
May 28, 2026
Manufacturer
BIOMET UK LTD.
Product Code
LZO
UDI-DI
00887868248573
PMA / PMN Number
K082996
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

(B)(4). D10: CER OPTION TYPE 1 TPR SLEVE -3; ITEM: 650-1065; LOT: 980920. 32MM I.D. SIZE GG ELEVATED RIM LINER USE WITH 48MM O.D. SIZE GG SHELL; ITEM: 00875200832; LOT: 63225292. BONE SCREW SELF-TAPPING 6.5 MM DIA. 40 MM LENGTH; ITEM: 00625006540; LOT: 63289719. BONE SCREW SELF-TAPPING 6.5 MM DIA. 20 MM LENGTH; ITEM: 00625006520; LOT: 63296125N. 48MM O.D. SIZE GG POROUS UNCEMENTED WITH MULTI-HOLES SHELL USE WITH GG LINERS; ITEM: 00875704802; LOT: 62990313. BONE SCREW SELF-TAPPING 6.5 MM DIA. 25 MM LENGTH; ITEM: 00625006525; LOT: 63196736. BONE SCREW SELF-TAPPING 6.5 MM DIA. 20 MM LENGTH; ITEM: 00625006520; LOT: 63272712N. TAPERLOC STEM; ITEM: 14-13200; LOT: 604300. 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 THE PATIENT UNDERWENT A LEFT HIP REVISION APPROXIMATELY 1-MONTH POST IMPLANTATION DUE TO DISLOCATION. DURING THE REVISION, NOTED PERIPROSTHETIC FRACTURE OF THE PELVIS POSTERIORLY TO THE ACETABULUM INCLUDING THE ACETABULAR ROOF. AN OLD PSEUDOTUMOR WAS EXCISED. THE FRACTURE IS REPAIRED USING A PLATE, SCREWS, BONE CEMENT ALONG WITH A SHELL, HEAD, AND TAPER ADAPTER WITHOUT COMPLICATIONS. IT WAS CONFIRMED THAT NO FURTHER INFORMATION COULD BE PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
375962 CER BIOLOXD OPTION HD 32MM PROSTHESIS, HIP, SEMI-CONSTRAINED, METAL/CERAMIC/POLYMER, CEMENTED LZO BIOMET UK LTD. 007000 00887868248573

Patients

Seq Age Sex Outcome Treatment
1