FDA Adverse Event Injury Summary report: N

BI-METRIC/X POR NC 7X115

MDR report key: 24997678 · Received April 27, 2026

Report

Report Number
0001825034-2026-01070
Event Type
Injury
Date Received
April 27, 2026
Date of Event
September 22, 2010
Report Date
April 14, 2026
Manufacturer
ZIMMER BIOMET, INC.
Product Code
LPH
PMA / PMN Number
K020580
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

CMP-1042523 PROPOSED COMPONENT CODE: MECHANICAL (G04) - STEM. D10: CAT# S001140 LOT# 830200 SELEX/MAGNUM MOD HD 40MM STD. CAT# US157846 LOT# 212290 M2A-MAGNUM PF CUP 46ODX40ID. 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. AFTER REMOVAL OF THE TRIAL FEMORAL COMPONENT, A GREATER TROCHANTERIC TIP FRACTURE WAS IDENTIFIED AND REPAIRED BY DRILLING WITH SOFT-TISSUE SUTURE FIXATION UTILIZING THE GLUTEUS MINIMUS. IT WAS REPORTED THAT NO FURTHER INFORMATION COULD BE PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
544418 BI-METRIC/X POR NC 7X115 PROSTHESIS, HIP, SEMI-CONSTRAINED, METAL/POLYMER, POROUS UNCEMENTED LPH ZIMMER BIOMET, INC. 067330

Patients

Seq Age Sex Outcome Treatment
1 NA Female Other SEE H11 NARRATIVE