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.