FDA Adverse Event
Injury
Summary report: N
M2A MAGNUM
MDR report key: 25236553
·
Received May 20, 2026
Report
- Report Number
- 0001825034-2026-01398
- Event Type
- Injury
- Date Received
- May 20, 2026
- Date of Event
- June 6, 2017
- Report Date
- May 20, 2026
- Manufacturer
- ZIMMER BIOMET, INC.
- Product Code
- KWA
- PMA / PMN Number
- K042037
- 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: CAT# 139258, LOT# 861730, M2A-MAGNUM 42-50M TPR INSRT +3. CAT# 11-103206 LOT# 313410 TAPERLOC POR LAT FMRL 12.5X145. G2: FOREIGN ¿ EVENT OCCURRED IN CANADA. H6: PROPOSED COMPONENT CODE: MECHANICAL (G04) - HEAD. 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 APPROXIMATELY SEVEN AND A HALF YEARS POST-IMPLANTATION, THE PATIENT UNDERWENT A LEFT HIP REVISION DUE TO A PSEUDOTUMOR WITH METAL ON METAL CONSTRUCT. THE STEM WAS RETAINED AND OTHER COMPONENTS REVISED. ATTEMPTS HAVE BEEN MADE AND NO FURTHER INFORMATION HAS BEEN PROVIDED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 37751 | M2A MAGNUM | PROSTHESIS, HIP | KWA | ZIMMER BIOMET, INC. | 833560 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |