FDA Adverse Event Injury Summary report: N

M2A-MAGNUM MOD HD SZ 54MM

MDR report key: 24997701 · Received April 27, 2026

Report

Report Number
0001825034-2026-01075
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# 11-103206, LOT# 840990 TAPERLOC POR LAT FMRL 12.5X145. CAT# 139264, LOT# 468160 M2A-MAGNUM 52-60MM TPR INSRT-6. 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
161146 M2A-MAGNUM MOD HD SZ 54MM PROSTHESIS, HIP LPH ZIMMER BIOMET, INC. 946600

Patients

Seq Age Sex Outcome Treatment
1 NA Male Other SEE H11 NARRATIVE.