FDA Adverse Event
Injury
Summary report: N
M2A-MAGNUM MOD HD SZ 46MM
MDR report key: 23907319
·
Received December 29, 2025
Report
- Report Number
- 0001825034-2025-04210
- Event Type
- Injury
- Date Received
- December 29, 2025
- Date of Event
- May 15, 2015
- Report Date
- April 16, 2026
- Manufacturer
- ZIMMER BIOMET, INC.
- Product Code
- KWA
- PMA / PMN Number
- K042037
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 0
(B)(4). SUGGESTED COMPONENT CODE: MECHANICAL (G04) - HEAD. D10: CAT#: 15-103201, LOT#: 164250 TAPERLOC MICROP LAT FMRL 6.0MM. CAT#: 139256, LOT#: 062880 M2A-MAGNUM 42-50 TPR INSRT STD. 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 A PATIENT HAD AN INITIAL RIGHT TOTAL HIP ARTHROPLASTY. SUBSEQUENTLY, IT WAS REPORTED THAT THE PATIENT EXPERIENCED HIGH METAL IONS. NO FURTHER DETAILS OR OUTCOMES PROVIDED. IT WAS REPORTED THAT NO FURTHER INFORMATION COULD BE PROVIDED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 531330 | M2A-MAGNUM MOD HD SZ 46MM | PROSTHESIS, HIP | KWA | ZIMMER BIOMET, INC. | 638340 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Female | Other | SEE H11 NARRATIVE. |