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U.S. Department of Health and Human Services

TPLC - Total Product Life Cycle

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Device prosthesis, hip, hemi-, femoral, metal/polymer, cemented or uncemented
Regulation Description Hip joint femoral (hemi-hip) metal/polymer cemented or uncemented prosthesis.
Product CodeKWY
Regulation Number 888.3390
Device Class 2


Premarket Reviews
ManufacturerDecision
DEPUY IRELAND UC
  SUBSTANTIALLY EQUIVALENT 1
G21, S.R.L.
  SUBSTANTIALLY EQUIVALENT 1
HERAEUS MEDICAL GMBH
  SUBSTANTIALLY EQUIVALENT 1
KYOCERA MEDICAL TECHNOLOGIES, INC.
  SUBSTANTIALLY EQUIVALENT 1
MAXX ORTHOPEDICS, INC.
  SUBSTANTIALLY EQUIVALENT 1
WALDEMAR LINK GMBH & CO. KG
  SUBSTANTIALLY EQUIVALENT 1

MDR Year MDR Reports MDR Events
2020 1259 1266
2021 276 277
2022 208 208
2023 178 178
2024 209 209
2025 154 154

Device Problems MDRs with this Device Problem Events in those MDRs
Adverse Event Without Identified Device or Use Problem 1069 1069
Device Dislodged or Dislocated 484 484
Naturally Worn 134 134
Fracture 114 114
Difficult to Insert 85 85
Insufficient Information 62 62
Migration 56 56
Loss of Osseointegration 50 50
Appropriate Term/Code Not Available 39 45
Material Erosion 34 34
Noise, Audible 31 32
Detachment of Device or Device Component 31 31
Loosening of Implant Not Related to Bone-Ingrowth 31 31
Loss of or Failure to Bond 25 25
Device Contaminated During Manufacture or Shipping 22 22
Corroded 21 28
Degraded 20 20
Osseointegration Problem 19 19
Break 19 19
Unintended Movement 16 16
Malposition of Device 15 16
Positioning Failure 15 15
Nonstandard Device 14 14
Use of Device Problem 14 14
Patient Device Interaction Problem 14 15
Unstable 11 11
Device-Device Incompatibility 10 10
Mechanical Problem 8 8
No Apparent Adverse Event 7 7
Separation Failure 7 7
Biocompatibility 6 6
Off-Label Use 6 6
Tear, Rip or Hole in Device Packaging 6 6
Fitting Problem 5 5
Mechanical Jam 5 5
Crack 5 6
Packaging Problem 5 5
Manufacturing, Packaging or Shipping Problem 5 5
Material Integrity Problem 5 5
Failure to Osseointegrate 4 4
Expiration Date Error 4 4
Loose or Intermittent Connection 4 4
Positioning Problem 4 4
Device Damaged Prior to Use 3 3
Difficult to Remove 3 3
Activation, Positioning or Separation Problem 3 3
Patient-Device Incompatibility 2 2
Defective Device 2 2
Product Quality Problem 2 2
Scratched Material 2 2

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Code Available 851 851
Pain 506 507
Joint Dislocation 431 431
Unspecified Infection 357 357
Test Result 169 169
No Clinical Signs, Symptoms or Conditions 163 163
Foreign Body Reaction 156 156
Insufficient Information 137 137
Bone Fracture(s) 123 123
Failure of Implant 114 114
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 74 74
Inadequate Osseointegration 74 74
Joint Laxity 73 73
Osteolysis 70 71
Fall 66 66
Hypersensitivity/Allergic reaction 63 63
Discomfort 55 56
Injury 44 50
Edema 42 42
No Consequences Or Impact To Patient 41 41
Limited Mobility Of The Implanted Joint 40 40
Metal Related Pathology 40 41
Hematoma 39 39
No Information 38 38
Ambulation Difficulties 35 35
Inflammation 30 31
Necrosis 30 36
No Known Impact Or Consequence To Patient 29 29
Loss of Range of Motion 24 24
Not Applicable 23 23
Tissue Damage 23 23
Adhesion(s) 21 21
Thrombosis 19 19
Cyst(s) 19 21
No Patient Involvement 18 18
Ossification 18 18
Fatigue 17 23
Hip Fracture 16 16
Nerve Damage 14 14
Weakness 14 14
Hemorrhage/Bleeding 14 14
Osteopenia/ Osteoporosis 12 12
Arthralgia 12 12
Pulmonary Embolism 12 12
Impaired Healing 12 12
Swelling/ Edema 11 11
Local Reaction 11 11
Muscle/Tendon Damage 11 12
Wound Dehiscence 11 11
Unspecified Tissue Injury 10 10

Recalls
Manufacturer Recall Class Date Posted
1 BioPro, Inc. II Oct-14-2025
2 Biomet, Inc. II Apr-03-2020
3 Exactech, Inc. II Jun-28-2024
4 Smith & Nephew, Inc. II Nov-07-2024
5 Total Joint Orthopedics, Inc. II Nov-05-2025
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