MECTACER BIOLOX DELTA FEMORAL BALL HEAD
Report
- Report Number
- 3005180920-2026-00343
- Event Type
- Injury
- Date Received
- April 23, 2026
- Date of Event
- March 31, 2026
- Report Date
- April 23, 2026
- Manufacturer
- MEDACTA INTERNATIONAL SA
- Product Code
- LZO
- UDI-DI
- 07630030809217
- PMA / PMN Number
- K112115
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- OTHER
Narratives
BATCH REVIEW PERFORMED ON 07 APR 2026 BALL HEADS: MECTACER 01.29.210 MECTACER HEAD BIOLOX DELTA DIA.36 12/14-L LOT 164979 (K112115): (B)(4) ITEMS MANUFACTURED AND RELEASED ON 07-NOV-2016. EXPIRATION DATE: 2021-OCT-26. NO ANOMALIES FOUND RELATED TO THE PROBLEM. TO DATE, ALL ITEMS OF THE SAME LOT HAVE BEEN SOLD WITH NO SIMILAR REPORTED EVENT DURING THE PERIOD OF REVIEW. STEM: MASTERLOC 01.39.208 MASTERLOC CEMENTLESS MECTAGRIP STEM LAT SIZE8 LOT 168824 (K151531): (B)(4) ITEMS MANUFACTURED AND RELEASED ON 05-MAY-2017. EXPIRATION DATE: 2022-APR-12. 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. LINER: MPACT 01.32.3648HCT FLAT PE HC LINER D 36/F LOT 174525 (K103721): (B)(4) ITEMS MANUFACTURED AND RELEASED ON 15-DEC-2017. EXPIRATION DATE: 2022-NOV-27. 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. CUP: MPACT 01.32.156DH ACETABULAR SHELL D 56 TWO-HOLES LOT 171755 (K132879): (B)(4) ITEMS MANUFACTURED AND RELEASED ON 03-OCT-2017. EXPIRATION DATE: 2022-SEP-21. NO ANOMALIES FOUND RELATED TO THE PROBLEM. TO DATE, ALL ITEMS OF THE SAME LOT HAVE BEEN SOLD WITH NO SIMILAR REPORTED EVENT DURING THE PERIOD OF REVIEW. ROOT CAUSE:INFECTION IS A KNOWN POSSIBLE COMPLICATION OF ANY SURGERY. ALTHOUGH NO ROOT CAUSE CAN BE ESTABLISHED, THERE IS NO INDICATION THAT ANY ISSUE WITH THE DEVICE MAY HAVE CAUSED OR CONTRIBUTED TO THE EVENT, AND THE DOCUMENT REVIEW DOES NOT INDICATE ANY POTENTIAL MANUFACTURING RELATED CAUSE.
REVISION SURGERY DUE TO INFECTION ABOUT 8 YEARS AFTER PRIMARY SURGERY AND THE CAUSE IS UNKNOWN. THE SURGEON PERFORMED A WASHOUT AND REVISED THE HEAD, THE ACETABULAR SHELL, LINER AND THE STEM. THE SURGERY WAS COMPLETED SUCCESSFULLY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 249021 | MECTACER BIOLOX DELTA FEMORAL BALL HEAD | MECTACER HEAD BIOLOX DELTA DIA.36 12/14-L | LZO | MEDACTA INTERNATIONAL SA | 01.29.210 | 164979 | 07630030809217 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Male | Required Intervention |