HIP BALL BIOLOX 32 +5 12/14
Report
- Report Number
- 1818910-2026-02781
- Event Type
- Injury
- Date Received
- February 10, 2026
- Date of Event
- January 26, 2026
- Manufacturer
- DEPUY IRELAND - 9616671
- Product Code
- LPH
- UDI-DI
- 10603295359159
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GM
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
PRODUCT COMPLAINT # (B)(4). THIS REPORT IS BEING SUBMITTED PURSUANT TO THE PROVISIONS OF 21 CFR, PART 803 (AND/OR PART 4, AS APPLICABLE). THIS REPORT MAY BE BASED ON INFORMATION WHICH HAS NOT BEEN INVESTIGATED OR VERIFIED PRIOR TO THE REQUIRED REPORTING DATE. THIS REPORT DOES NOT REFLECT A CONCLUSION BY DEPUY SYNTHES, OR ITS EMPLOYEES THAT THE REPORT CONSTITUTES AN ADMISSION THAT THE PRODUCT, DEPUY SYNTHES, OR ITS EMPLOYEES CAUSED OR CONTRIBUTED TO THE POTENTIAL EVENT DESCRIBED IN THIS REPORT. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE.
PRODUCT COMPLAINT # (B)(4). INVESTIGATION SUMMARY: NO DEVICE ASSOCIATED WITH THIS REPORT WAS RECEIVED FOR EXAMINATION. ACCORDING TO THE INFORMATION RECEIVED, ¿EVENT DESCRIPTION¿ HCP REPORTED ABOUT A PATIENT WHO HEARD A LOUD CRACKING SOUND UPON GETTING UP FROM THE TOILET. SUBSEQUENT X-RAY EXAMINATION REVEALED A FRACTURE OF THE FEMORAL HEAD IMPLANT. PRODUCT DESCRIPTION: HIP BALL BIOLOX 32 +5 12/14. PRODUCT CODE: 9111132. LOT NO: 9615172. QUANTITY OF MANUFACTURED: (B)(4). DATE OF MANUFACTURING: 10/15/2020. EXPIRY DATE: 09/30/2025. IFU REFERENCE: IFU-0902-00-701. A MANUFACTURING RECORD EVALUATION WAS PERFORMED FOR THE FINISHED DEVICE PRODUCT DESCRIPTION: HIP BALL BIOLOX 32 +5 12/14 PRODUCT CODE: 9111132; LOT NO: 9615172, AND NO NON-CONFORMANCES / MANUFACTURING IRREGULARITIES WERE IDENTIFIED. THE COMPONENT PROPERTIES AND THE MICROSTRUCTURE AS OBTAINED FROM THE QUALITY DOCUMENTS FULFIL THE REQUIREMENTS AS SPECIFIED AT THE TIME OF PRODUCTION. THERE IS NO INDICATION OF ANY PREEXISTING MATERIAL DEFECT. AS PART OF OUR COMPANY QUALITY SYSTEM PROCESS, ALL DEVICES ARE MANUFACTURED, INSPECTED, AND DISTRIBUTED TO APPROVED SPECIFICATIONS. ADDITIONAL COMPLAINT INFORMATION MONITORING FOR POTENTIAL SAFETY SIGNALS WILL BE CONDUCTED THROUGH COMPLAINT TRENDING AS PART OF THE POST-MARKET SURVEILLANCE. IF ADDITIONAL INFORMATION IS MADE AVAILABLE, THE INVESTIGATION WILL BE UPDATED AS APPLICABLE. DEVICE HISTORY LOT: 1) QUANTITY MANUFACTURED: (B)(4). 2) DATE OF MANUFACTURE: 10/15/2020. 3) ANY ANOMALIES OR DEVIATIONS IDENTIFIED IN DHR: NONE. 4) EXPIRY DATE: 09/30/2025. 5) IFU REFERENCE: IFU-0902-00-701. DEVICE HISTORY REVIEW: A MANUFACTURING RECORD EVALUATION WAS PERFORMED FOR THE FINISHED DEVICE PRODUCT DESCRIPTION: HIP BALL BIOLOX 32 +5 12/14 PRODUCT CODE: 9111132 ; LOT NO: 9615172 , AND NO NON-CONFORMANCES / MANUFACTURING IRREGULARITIES WERE IDENTIFIED. THE COMPONENT PROPERTIES AND THE MICROSTRUCTURE AS OBTAINED FROM THE QUALITY DOCUMENTS FULFIL THE REQUIREMENTS AS SPECIFIED AT THE TIME OF PRODUCTION. THERE IS NO INDICATION OF ANY PREEXISTING MATERIAL DEFECT. ADDED: B5, D6A.
IT WAS REPORTED THAT A PATIENT HEARD A LOUD CRACKING SOUND UPON GETTING UP FROM THE TOILET. SUBSEQUENT X-RAY EXAMINATION REVEALED A FRACTURE OF THE FEMORAL HEAD IMPLANT. REVISION TOOK PLACE ON (B)(6) 2026.
ADDITIONAL INFORMATION RECEIVED STATES THAT THE NEGATIVE CONSEQUENCE WAS THE NEED FOR FURTHER SURGERY, WITH THE ASSOCIATED RISKS, PAIN, ETC.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 588627 | HIP BALL BIOLOX 32 +5 12/14 | ARTICULEZE HEAD (12/14 TAPER) : HIP CERAMIC FEMORAL HEADS | LPH | DEPUY IRELAND - 9616671 | 9615172 | 10603295359159 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Male | Required Intervention |