FDA Adverse Event
Injury
Summary report: N
32MM MOD HEAD COCR STD NECK
MDR report key: 24829406
·
Received April 9, 2026
Report
- Report Number
- 0001825034-2026-00894
- Event Type
- Injury
- Date Received
- April 9, 2026
- Date of Event
- March 16, 2026
- Report Date
- April 9, 2026
- Manufacturer
- ZIMMER BIOMET, INC.
- Product Code
- LPH
- PMA / PMN Number
- K990830
- Removal / Correction Number
- N/A
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AS
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
(B)(4). D10: ARCOM 32 MM RNGLOC LNR HWALL 23, ITEM: 11-105923, LOT: 251520. G2: FOREIGN: AUSTRALIA. H6: PROPOSED COMPONENT CODE: MECHANICAL (G04): HEAD. THE PRODUCT WAS REQUESTED BUT WAS NOT RETURNED BY THE HOSPITAL; THEREFORE, IT WILL NOT BE SENT 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 UNDERWENT A HIP REVISION DUE TO UNKNOWN REASONS. DURING THE PROCEDURE, IT WAS NOTED THAT THE HEAD AND LINER WERE REVISED. 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 |
|---|---|---|---|---|---|---|---|
| 251275 | 32MM MOD HEAD COCR STD NECK | PROSTHESIS, HIP | LPH | ZIMMER BIOMET, INC. | 64866328 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |