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 |