FDA Adverse Event
Injury
Summary report: N
TRILOGY FM ACET SHL 52 OD UNIV
MDR report key: 24630267
·
Received March 18, 2026
Report
- Report Number
- 0001822565-2026-00838
- Event Type
- Injury
- Date Received
- March 18, 2026
- Report Date
- March 18, 2026
- Manufacturer
- ZIMMER BIOMET, INC.
- Product Code
- LPH
- PMA / PMN Number
- K934765
- Removal / Correction Number
- N/A
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SP
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
(B)(4) D10: FEMORAL HEAD +3.5X28MM DIA ITEM: 00801802803 LOT: UNKNOWN. XLPE 10D POLYLINER 50/52/54X28 ITEM: 00631005028 LOT: 6193043. G2: FOREIGN ¿ SPAIN THE CUSTOMER INDICATED THAT THE PRODUCT REMAINS IMPLANTED; THEREFORE, IT WILL NOT BE RETURNED TO ZIMMER BIOMET FOR INVESTIGATION. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A SUPPLEMENTAL MDR WILL BE SUBMITTED.
Description of Event or Problem · 0
IT WAS REPORTED THAT THE PATIENT IS BEING CONSIDERED FOR A RIGHT HIP REVISION APPROXIMATELY 16 YEARS POST-IMPLANTATION DUE TO PAIN. THE PATIENT WAS NOTED TO HAVE AGE-RELATED BONE DETERIORATION. DUE DILIGENCE IS IN PROGRESS FOR THIS COMPLAINT; TO DATE NO ADDITIONAL INFORMATION OR PRODUCT HAS BEEN RECEIVED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 685866 | TRILOGY FM ACET SHL 52 OD UNIV | PROSTHESIS, HIP | LPH | ZIMMER BIOMET, INC. | 61486663 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Female | Other | SEE H11 |