FDA Adverse Event
Injury
Summary report: N
M2A-MAGNUM MOD HD SZ 52MM
MDR report key: 24997536
·
Received April 27, 2026
Report
- Report Number
- 0001825034-2026-01059
- Event Type
- Injury
- Date Received
- April 27, 2026
- Report Date
- April 9, 2026
- Manufacturer
- ZIMMER BIOMET, INC.
- Product Code
- LPH
- PMA / PMN Number
- K101336
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
(B)(4). PROPOSED COMPONENT CODE: MECHANICAL (G04) - HEAD. D10: CAT# 139270 LOT# 922940 M2A-MAGNUM 52-60MM TPR INSR +3. CAT# 103203 LOT# 889060 TAPERLOC POR FMRL 9X137. G2: FOREIGN - EVENT OCCURRED IN CANADA. THE DEVICE WILL NOT BE RETURNED FOR ANALYSIS; HOWEVER, AN INVESTIGATION OF THE REPORTED EVENT IS IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETED, A SUPPLEMENTAL MEDWATCH 3500A WILL BE SUBMITTED.
Description of Event or Problem · 0
IT WAS REPORTED THAT THE PATIENT UNDERWENT AN INITIAL HIP PROCEDURE. IT WAS REPORTED THAT THERE ARE ALLEGATIONS OF COMPLICATIONS WITH METAL WEAR. IT WAS REPORTED THAT NO FURTHER INFORMATION IS AVAILABLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 159869 | M2A-MAGNUM MOD HD SZ 52MM | PROSTHESIS, HIP | LPH | ZIMMER BIOMET, INC. | 535290 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Male | Other | SEE H11 NARRATIVE |