M2A-MAGNUM MOD HD SZ 54MM
Report
- Report Number
- 0001825034-2026-00803
- Event Type
- Injury
- Date Received
- April 1, 2026
- Date of Event
- March 18, 2026
- Report Date
- April 1, 2026
- Manufacturer
- ZIMMER BIOMET, INC.
- Product Code
- LPH
- PMA / PMN Number
- K101336
- Removal / Correction Number
- N/A
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IT
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
(B)(4). H10: M2A-MAGNUM RECAP CUP 60ODX54ID, ITEM: 157860, LOT: 1093610. PPF LTZ STEM SZ 07X165MM, ITEM: 7100100307, LOT: 2006070180. MAGNUM TPR ADPR TI 52-60/-2MM MM12/14, ITEM: 130834, LOT: 1222434. G2: FOREIGN: ITALY. H6: PROPOSED COMPONENT CODE: MECHANICAL (G04): HEAD. 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.
IT WAS REPORTED THAT THE PATIENT PRESENTED WITH A PSEUDOTUMORAL DEBRIS OF ABOUT 10 CM IN DIAMETER APPROXIMATELY 19 YEARS POST-IMPLANTATION. SUBSEQUENTLY, THE PATIENT HAS AN IMPAIRMENT OF A BODILY FUNCTION. THE DEVICE IN QUESTION IS NOT AVAILABLE AS IT IS STILL IMPLANTED IN THE PATIENT (METAL-ON-METAL PROSTHESIS). IT WAS CONFIRMED THAT NO FURTHER INFORMATION COULD BE PROVIDED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 814618 | M2A-MAGNUM MOD HD SZ 54MM | PROSTHESIS, HIP | LPH | ZIMMER BIOMET, INC. | 1222719 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 72 YR | Unknown | Other |