FDA Adverse Event
Injury
Summary report: N
M2A-MAGNUM MOD HD SZ 46MM
MDR report key: 25016880
·
Received April 28, 2026
Report
- Report Number
- 0001825034-2026-01119
- Event Type
- Injury
- Date Received
- April 28, 2026
- Report Date
- April 28, 2026
- Manufacturer
- ZIMMER BIOMET, INC.
- Product Code
- KWA
- PMA / PMN Number
- K113271
- Removal / Correction Number
- N/A
- 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). D10: M2A-MAGNUM PF CUP 52ODX46ID, ITEM: US157852, LOT: 117780. TAPERLOC POR LAT FMRL 6.0X132, ITEM: 11-103201, LOT: 232410. M2A-MAGNUM 42-50 TPR INSRT STD, ITEM: 139256, LOT: 464380. G2: FOREIGN: CANADA. H6: PROPOSED COMPONENT CODE: MECHANICAL (G04) - HEAD. THE CUSTOMER INDICATED THAT THE DEVICE REMAINS IMPLANTED; THEREFORE, IT WILL NOT BE RETURNED TO ZIMMER BIOMET FOR INVESTIGATION. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A SUPPLEMENTAL MDR WILL BE SUBMITTED.
Description of Event or Problem · 0
IT WAS REPORTED THAT THE PATIENT IS EXPERIENCING METAL-RELATED PATHOLOGIES APPROXIMATELY SIXTEEN (16) YEARS POST-IMPLANTATION. NO MEDICAL INTERVENTION HAS BEEN REPORTED TO DATE. FOLLOW-UPS TO GATHER ADDITIONAL INFORMATION ARE CURRENTLY IN PROCESS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1073346 | M2A-MAGNUM MOD HD SZ 46MM | PROSTHESIS, HIP | KWA | ZIMMER BIOMET, INC. | 880780 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Female | Other | SEE H11. |