FDA Adverse Event Injury Summary report: N

QUADRA P FEMORAL STEMS

MDR report key: 25148936 · Received May 12, 2026

Report

Report Number
3005180920-2026-00403
Event Type
Injury
Date Received
May 12, 2026
Date of Event
April 21, 2026
Report Date
May 12, 2026
Manufacturer
MEDACTA INTERNATIONAL SA
Product Code
LZO
UDI-DI
07630971243422
PMA / PMN Number
K192827
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

BATCH REVIEW PERFORMED ON 22 APRIL 2026: LOT: 1910214: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 23-APR-2020. EXPIRATION DATE: 2025-APR-14. NO ANOMALIES FOUND RELATED TO THE PROBLEM. TO DATE, (B)(4) ITEMS OF THE SAME LOT HAVE BEEN SOLD WITH NO SIMILAR REPORTED EVENTS DURING THE PERIOD OF REVIEW. DEVICES OF THE SAME BATCH BUT RESTERILIZED HAVE BEEN CONSIDERED. ROOT CAUSE: BASED ON THE INFORMATION AVAILABLE NO DEFINITIVE ROOT CAUSE CAN BE ESTABLISHED, WHILE THERE IS NO INDICATION THAT ANY POTENTIAL ISSUE WITH THE DEVICE MAY HAVE CAUSED OR CONTRIBUTED TO THE EVENT, AND THE DEVICE HISTORY RECORD REVIEW DOES NOT INDICATE ANY POTENTIAL MANUFACTURING RELATED ISSUE.

Description of Event or Problem · 0

THE PATIENT HAD PAIN DUE TO A SUBSIDED STEM AND THE CAUSE IS UNKNOWN. THERE WERE NO REPORTS OF TRAUMA OR BONE QUALITY ISSUES. AT ABOUT 3 YEARS FROM THE PRIMARY SURGERY, THE SURGEON REVISED THE D 28/DMF LINER TO A SAME SIZE LINER, AND THE 28MM BIOLOX HEAD S TO A 28MM BIOLOX OPTION HEAD WITH XL OPTION SLEEVE. THE SURGERY WAS COMPLETED SUCCESSFULLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
174145 QUADRA P FEMORAL STEMS QUADRA-P SHORT NECK STD STEM SIZE1 LZO MEDACTA INTERNATIONAL SA 01.12.251 1910214 07630971243422

Patients

Seq Age Sex Outcome Treatment
1