FDA Adverse Event Injury Summary report: N

MECTACER BIOLOX DELTA FEMORAL BALL HEAD

MDR report key: 24208591 · Received January 29, 2026

Report

Report Number
3005180920-2026-00081
Event Type
Injury
Date Received
January 29, 2026
Date of Event
January 12, 2026
Report Date
January 29, 2026
Manufacturer
MEDACTA INTERNATIONAL SA
Product Code
LZO
UDI-DI
07630030809248
PMA / PMN Number
K112115
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

BATCH REVIEW PERFORMED ON 23 JAN 2026. BALL HEADS: MECTACER 01.29.213 MECTACER HEAD BIOLOX DELTA DIA.40 12/14-M LOT. 2525203: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 20-OCT-2025.EXPIRATION DATE: 2030-SEPT-30. NO ANOMALIES FOUND RELATED TO THE PROBLEM. TO DATE, (B)(4) ITEMS OF THE SAME LOT HAVE BEEN SOLD WITH NO SIMILAR REPORTED EVENT DURING THE PERIOD OF REVIEW. LINER: MPACT 01.32.4048HCT FLAT PE HC LINER D 40/F (K122641) LOT. 2517765: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 10-SEPT-2025.EXPIRATION DATE: 2030-AUG-24. NO ANOMALIES FOUND RELATED TO THE PROBLEM. TO DATE, (B)(4) ITEMS OF THE SAME LOT HAVE BEEN SOLD WITH NO SIMILAR REPORTED EVENT DURING THE PERIOD OF REVIEW. ROOT CAUSE: INFECTION IS A KNOWN POSSIBLE COMPLICATION OF ANY SURGERY. ALTHOUGH NO ROOT CAUSE CAN BE ESTABLISHED, THERE IS NO INDICATION THAT ANY ISSUE WITH THE DEVICE MAY HAVE CAUSED OR CONTRIBUTED TO THE EVENT, AND THE DOCUMENT REVIEW DOES NOT INDICATE ANY POTENTIAL MANUFACTURING RELATED CAUSE.

Description of Event or Problem · 0

REVISION SURGERY AFTER 1 MONTH POST-PRIMARY DUE TO INFECTION. THE SURGEON REVISED THE LINER AND THE HEAD TO ADDRESS THE INFECTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
276765 MECTACER BIOLOX DELTA FEMORAL BALL HEAD MECTACER HEAD BIOLOX DELTA DIA.40 12/14-M LZO MEDACTA INTERNATIONAL SA 01.29.213 2525203 07630030809248

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention