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