FDA Adverse Event Injury Summary report: N

MECTACER BIOLOX DELTA FEMORAL BALL HEAD

MDR report key: 24603557 · Received March 16, 2026

Report

Report Number
3005180920-2026-00207
Event Type
Injury
Date Received
March 16, 2026
Date of Event
February 23, 2026
Report Date
March 16, 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 25 FEBRUARY 2026: LOT 2513924: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 04-JUN-2025. EXPIRATION DATE: 2030-MAY-21. 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:BASED ON THE INFORMATION AVAILABLE NO DEFINITIVE ROOT CAUSE CAN BE ESTABLISHED, WHILE THERE IS NO INDICATION THAT ANY POTENTIAL ISSUE WITH THE DEVICE MAY HAVE CAUSED OR CONTRIBUTED TO THE EVENT, AND THE DEVICE HISTORY RECORD REVIEW DOES NOT INDICATE ANY POTENTIAL MANUFACTURING RELATED ISSUE.

Description of Event or Problem · 0

REVISION SURGERY DUE TO LEG LENGTH DISCREPANCY, AT 6 MONTHS FROM PRIMARY SURGERY AND THE CAUSE IS UNKNOWN. THE SURGEON ELECTED TO UPSIZE THE 40MM BIOLOX M HEAD TO A 40MM BIOLOX XL HEAD TO ADDRESS THE DISCREPENCY. THE SURGERY WAS COMPLETED SUCCESSFULLY. AI: IMPLANTED - 01.29.215 40MM BIOLOX DELTA HEAD XL 2101468.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
667240 MECTACER BIOLOX DELTA FEMORAL BALL HEAD MECTACER HEAD BIOLOX DELTA DIA.40 12/14-M LZO MEDACTA INTERNATIONAL SA 01.29.213 2513924 07630030809248

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention