BEUDAMED
    FDA Adverse Event Injury Summary report: N

    36MM I.D. SIZE F HIGH WALL LINER

    MDR report key: 24188713 · Received January 27, 2026

    Report

    Report Number
    0001822565-2026-00266
    Event Type
    Injury
    Date Received
    January 27, 2026
    Report Date
    January 27, 2026
    Manufacturer
    ZIMMER BIOMET, INC.
    Product Code
    LPH
    UDI-DI
    00889024519336
    PMA / PMN Number
    K190660
    Removal / Correction Number
    N/A
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IN, US
    Reporter Occupation
    PHYSICIAN
    Health Professional
    Yes

    Narratives

    Additional Manufacturer Narrative · 0

    (B)(4). D10: G7 OSSEOTI MULTIHOLE 54MM F, ITEM: 110010265, LOT: 65320756. BONE SCR 6.5X35 SELF-TAP, ITEM: 00625006535, LOT: J7273829. BONE SCR 6.5X25 SELF-TAP, ITEM: 00625006525, LOT: J7290883. BIOLOX® DELTA, CERAMIC FEMORAL HEAD, M, ø 36/0, TAPER 12/14, ITEM: 00877503602, LOT: 3103706. FEMORAL STEM PRESS-FIT COLLARLESS 12/14 NECK TAPER STANDARD BODY EXTENDED NECK OFFSET, SIZE 13 138 MM STEM LENGTH CEMENTLESS. ITEM: 00786401320. LOT: 62868563/ NO PRODUCT WAS RETURNED OR PICTURES PROVIDED; VISUAL AND DIMENSIONAL EVALUATIONS COULD NOT BE PERFORMED. REVIEW OF THE DEVICE HISTORY RECORDS IDENTIFIED NO DEVIATIONS OR ANOMALIES DURING MANUFACTURING. MEDICAL RECORDS WERE PROVIDED AND REVIEWED BY A HEALTH CARE PROFESSIONAL. REVIEW OF THE AVAILABLE RECORDS IDENTIFIED THE FOLLOWING: PATIENT HAD AN INITIAL RIGHT THA. AT 6 WEEKS POSTOP, PATIENT REPORTED MILD PAIN, LIMP AND DIFFICULTIES. FOLLOW UPS FOR 1-YEAR AND 2-YEAR POST OP, FOUND NO PAIN AND NO COMPLICATIONS RADIOGRAPHICALLY. AT 2 YEARS POST OP, IT WAS IDENTIFIED PSOAS TENDINITIS AND WAS REFERRED FOR TENDON INJECTION UNDER FLOURO. THE PATIENT REPORTS INTERMITTENT SNAPPING IN THE HIP, TENDERNESS IN HIP FLEXOR MUSCLES AND PAIN WITH FLEXION. X-RAYS SHOW NO LOOSENING, WEAR OR LYSIS. CLINICAL NOTES SUGGEST PATIENT HAS ILIOPSOAS TENDINITIS ON THE RIGHT WHICH OCCURS WHEN THE HIP IS PLACED IN EXTREME ROTATIONAL POSITIONS. THIS MAY BE RELATED TO IMPINGEMENT AGAINST THE ACETABULAR CUP OR LINER. IT WAS DISCUSSED THAT HE SHOULD AVOID EXTREME HIP POSITIONS. THE SURGEON WILL ARRANGE A RIGHT ILIOPSOAS TENDON INJECTION UNDER FLUOROSCOPIC GUIDANCE. A DEFINITIVE ROOT CAUSE CANNOT BE DETERMINED. IF ANY FURTHER INFORMATION IS FOUND WHICH WOULD CHANGE OR ALTER ANY CONCLUSIONS OR INFORMATION, A SUPPLEMENTAL WILL BE FILED ACCORDINGLY. ZIMMER BIOMET WILL CONTINUE TO MONITOR TRENDS.

    Description of Event or Problem · 0

    IT WAS REPORTED THAT THE PATIENT EXPERIENCED SNAPPING IN THE HIP APPROXIMATELY TWO YEARS POST-IMPLANTATION. IT WAS CONFIRMED THAT THE PATIENT HAD ILIOPSOAS TENDINITIS CAUSED BY IMPINGEMENT. PATIENT WAS REFERRED FOR AN INJECTION UNDER FLUOROSCOPY. NO ADDITIONAL INFORMATION AVAILABLE FOR THE REPORTED EVENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    254947 36MM I.D. SIZE F HIGH WALL LINER PROSTHESIS, HIP LPH ZIMMER BIOMET, INC. 65454289 00889024519336

    Patients

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