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U.S. Department of Health and Human Services

TPLC - Total Product Life Cycle

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Device prosthesis, hip, constrained, cemented or uncemented, metal/polymer
Product CodeKWZ
Regulation Number 888.3310
Device Class 2


Premarket Reviews
ManufacturerDecision
DEPUY IRELAND UC
  SUBSTANTIALLY EQUIVALENT 1
ENCORE MEDICAL, L.P.
  SUBSTANTIALLY EQUIVALENT 2
SMITH & NEPHEW, INC.
  SUBSTANTIALLY EQUIVALENT 4
ZIMMER, INC.
  SUBSTANTIALLY EQUIVALENT 1

MDR Year MDR Reports MDR Events
2014 278 278
2015 634 634
2016 1181 1181
2017 478 478
2018 282 282
2019 533 533
2020 288 288
2021 216 216
2022 158 158
2023 165 165
2024 109 109

Device Problems MDRs with this Device Problem Events in those MDRs
Device Dislodged or Dislocated 1502 1502
Insufficient Information 1119 1119
Adverse Event Without Identified Device or Use Problem 399 399
Fracture 243 243
Naturally Worn 208 208
Appropriate Term/Code Not Available 185 185
Failure To Adhere Or Bond 149 149
Migration or Expulsion of Device 114 114
Break 101 101
Corroded 99 99
Unstable 82 82
Device Contaminated During Manufacture or Shipping 68 68
Detachment of Device or Device Component 52 52
Difficult to Insert 46 46
Disassembly 45 45
Malposition of Device 43 43
Noise, Audible 30 30
Loose or Intermittent Connection 28 28
Mechanical Problem 24 24
Device Slipped 21 21
Device Operates Differently Than Expected 21 21
Material Deformation 20 20
Material Erosion 20 20
Detachment Of Device Component 19 19
Material Separation 19 19
Scratched Material 19 19
Loss of Osseointegration 18 18
Fitting Problem 18 18
Nonstandard Device 15 15
Packaging Problem 15 15
Loss of or Failure to Bond 13 13
Off-Label Use 13 13
Positioning Failure 12 12
Material Integrity Problem 11 11
Positioning Problem 11 11
Loosening of Implant Not Related to Bone-Ingrowth 11 11
Device-Device Incompatibility 11 11
Separation Failure 10 10
Difficult to Remove 10 10
Tear, Rip or Hole in Device Packaging 10 10
Improper or Incorrect Procedure or Method 10 10
Metal Shedding Debris 9 9
Migration 9 9
Use of Device Problem 9 9
Unintended Movement 9 9
Compatibility Problem 8 8
Biocompatibility 7 7
Crack 7 7
Failure to Osseointegrate 6 6
Inadequacy of Device Shape and/or Size 6 6

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Code Available 1023 1023
Joint Dislocation 918 918
No Information 878 878
Pain 577 577
Unspecified Infection 428 428
Injury 265 265
Osteolysis 122 122
Bone Fracture(s) 104 104
No Known Impact Or Consequence To Patient 100 100
Foreign Body Reaction 100 100
Fall 94 94
Insufficient Information 90 90
No Clinical Signs, Symptoms or Conditions 87 87
No Consequences Or Impact To Patient 85 85
Reaction 77 77
Ambulation Difficulties 67 67
Not Applicable 63 63
Tissue Damage 60 60
Failure of Implant 59 59
No Patient Involvement 56 56
Loss of Range of Motion 54 54
Joint Laxity 52 52
Limited Mobility Of The Implanted Joint 52 52
Discomfort 45 45
Swelling 43 43
Test Result 42 42
Inflammation 40 40
Ossification 36 36
Hematoma 36 36
Hip Fracture 30 30
Toxicity 29 30
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 28 28
Hypersensitivity/Allergic reaction 24 24
Death 22 22
Thrombosis 17 17
Erosion 16 16
Scar Tissue 15 15
Necrosis 14 14
Pulmonary Embolism 14 14
Edema 14 14
Inadequate Osseointegration 13 13
Impaired Healing 13 13
Osteopenia/ Osteoporosis 13 13
Host-Tissue Reaction 13 13
Metal Related Pathology 12 12
Adhesion(s) 12 12
Joint Disorder 10 10
Fatigue 10 10
Swelling/ Edema 9 9
Unspecified Tissue Injury 9 9

Recalls
Manufacturer Recall Class Date Posted
1 DePuy Orthopaedics, Inc. II Sep-20-2012
2 Encore Medical, Lp II Apr-10-2019
3 Exactech, Inc. II Jan-18-2024
4 Exactech, Inc. II Sep-09-2022
5 Smith & Nephew Inc II Oct-18-2010
6 Smith & Nephew, Inc. II Jun-09-2015
7 Zimmer, Inc. II Nov-20-2012
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