FDA Adverse Event
Injury
Summary report: N
METASUL BALL HEAD 28/0MM
MDR report key: 24362450
·
Received February 17, 2026
Report
- Report Number
- 0009613350-2026-00066
- Event Type
- Injury
- Date Received
- February 17, 2026
- Date of Event
- February 2, 2026
- Report Date
- February 17, 2026
- Manufacturer
- ZIMMER GMBH
- Product Code
- LPH
- PMA / PMN Number
- NA
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AS
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
(B)(4) D10: CONCOMITANT MEDICAL PRODUCTS: DESC: METASUL INSERT KK/28; ITEM: 4347; LOT: A892057, DESC: ALLOCLASSIC SL STEM 4 12/14; ITEM: 2844; LOT: B069195, DESC: AP ARMOR SHELL 56/KK; ITEM: 4207; LOT: B060638. G2: FOREIGN - EVENT OCCURRED IN AUSTRALIA. 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 EXPERIENCED MULTIPLE DISLOCATIONS. SUBSEQUENTLY, THE PATIENT WAS REVISED. ATTEMPTS HAVE BEEN MADE AND NO FURTHER INFORMATION HAS BEEN PROVIDED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 423302 | METASUL BALL HEAD 28/0MM | PROSTHESIS, HIP | LPH | ZIMMER GMBH | B069195 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Required Intervention| H | SEE H11 NARRATIVE. |