VERSAFITCUP CC TRIO ACETABULAR SYSTEM
Report
- Report Number
- 3005180920-2026-00146
- Event Type
- Injury
- Date Received
- February 24, 2026
- Date of Event
- January 14, 2026
- Report Date
- February 24, 2026
- Manufacturer
- MEDACTA INTERNATIONAL SA
- Product Code
- LZO
- UDI-DI
- 07630030807541
- PMA / PMN Number
- K120531
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- OTHER
Narratives
BATCH REVIEW PERFORMED ON 11 FEBRUARY 2026 BALL HEADS: MECTACER 01.29.205 MECTACER HEAD BIOLOX DELTA DIA.32 12/14-M (K112115) LOT: 2237479: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 13-FEB-2022. EXPIRATION DATE: 2027-11-27. NO ANOMALIES FOUND RELATED TO THE PROBLEM. TO DATE, (B)(4) ITEMS OF THE SAME LOT HAVE BEEN SOLD WITH NO SIMILAR REPORTED EVENTS DURING THE PERIOD OF REVIEW. LINER: VERSAFITCUP CC TRIO 01.26.3239HCT FLAT PE HC LINER Ø32/C (K120531) LOT: 2239498: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 14-NOV-2022. EXPIRATION DATE: 2027-11-01. NO ANOMALIES FOUND RELATED TO THE PROBLEM. TO DATE, (B)(4) ITEMS OF THE SAME LOT HAVE BEEN SOLD WITH NO SIMILAR REPORTED EVENTS DURING THE PERIOD OF REVIEW. CLINICAL EVALUATION: 2.5 YEARS AFTER PRIMARY CEMENTLESS THA ON AN ELDERLY LADY, DISLOCATION OCCURS. THE SURGEON REPLACES HEAD AND INSERT, PRESUMABLY BECAUSE THE BONE-CONTACTING COMPONENTS WERE WELL FIXED AND WELL POSITIONED. HE USED A LONGER HEAD TO GIVE ADDITIONAL TENSION AND STABILITY TO THE JOINT. THIS ADVERSE EVENT WAS NOT ORIGINATED BY A FAULTY OF MALFUNCTIONING DEVICE. ROOT CAUSE: DISLOCATION IS A POSSIBLE LITERATURE-DESCRIBED ADVERSE EVENT AFTER PRIMARY JOINT ARTHROPLASTIES AND CAUSES ARE OFTEN UNKNOWN. THERE IS NO INDICATION THAT ANY POTENTIAL ISSUE WITH THE DEVICE MAY HAVE CAUSED OR CONTRIBUTED TO THE EVENT. NO PREVIOUS CASE HAS BEEN ADDRESSED TO A DEVICE DESIGN OR MANUFACTURING RELATED ROOT CAUSE.
AT ABOUT 2 YEARS 7 MONTHS AFTER THE PRIMARY, THE PATIENT CAME IN PRESENTING PAIN AS THE RESULT OF A DISLOCATION OF THE HEAD AND LINER AND THE CAUSE IS UNKNOWN. NO TRAUMA IS REPORTED. THE SURGEON REVISED THE HEAD AND LINER. THE SURGERY WAS COMPLETED SUCCESSFULLY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 489758 | VERSAFITCUP CC TRIO ACETABULAR SYSTEM | FLAT PE HC LINER Ø32/C | LZO | MEDACTA INTERNATIONAL SA | 01.26.3239HCT | 2239498 | 07630030807541 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 81 YR | Female | Required Intervention |