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U.S. Department of Health and Human Services

TPLC - Total Product Life Cycle

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Device prosthesis, hip, semi-constrained, uncemented, metal / polymer, non-porous, calcium phosphate
Regulation Description Hip joint metal/ceramic/polymer semi-constrained cemented or nonporous uncemented prosthesis.
Product CodeMEH
Regulation Number 888.3353
Device Class 2


Premarket Reviews
ManufacturerDecision
CONFORMIS INC
  SUBSTANTIALLY EQUIVALENT 1
CONFORMIS INC.
  SUBSTANTIALLY EQUIVALENT 1
CORIN USA LIMITED
  SUBSTANTIALLY EQUIVALENT 1
DEPUY IRELAND UC
  SUBSTANTIALLY EQUIVALENT 2
DEPUY ORTHOPAEDICS, INC.
  SUBSTANTIALLY EQUIVALENT 1
IMPLANTCAST, GMBH
  SUBSTANTIALLY EQUIVALENT 1
NEXTSTEP ARTHROPEDIX
  SUBSTANTIALLY EQUIVALENT 1
ORTHO DEVELOPMENT CORP.
  SUBSTANTIALLY EQUIVALENT 1
SIGNATURE ORTHOPAEDICS PTY LTD
  SUBSTANTIALLY EQUIVALENT 2
SIGNATURE ORTHOPAEDICS PTY LTD.
  SUBSTANTIALLY EQUIVALENT 4
STRYKER
  SUBSTANTIALLY EQUIVALENT 1
  1.  K211703  Insignia Hip Stem
STRYKER ORTHOPAEDICS
  SUBSTANTIALLY EQUIVALENT 1
  1.  K211703  Insignia Hip Stem

MDR Year MDR Reports MDR Events
2020 337 337
2021 372 372
2022 316 316
2023 335 335
2024 355 355
2025 97 97

Device Problems MDRs with this Device Problem Events in those MDRs
Adverse Event Without Identified Device or Use Problem 647 647
Device-Device Incompatibility 323 323
Insufficient Information 192 192
Device Dislodged or Dislocated 159 159
Appropriate Term/Code Not Available 116 116
Osseointegration Problem 90 90
Fracture 58 58
Break 55 55
Detachment of Device or Device Component 48 48
Migration 39 39
Loosening of Implant Not Related to Bone-Ingrowth 38 38
Degraded 35 35
Device Appears to Trigger Rejection 31 31
Material Erosion 31 31
Device Contaminated During Manufacture or Shipping 23 23
Tear, Rip or Hole in Device Packaging 21 21
Corroded 20 20
Naturally Worn 18 18
Unstable 17 17
Loose or Intermittent Connection 13 13
Loss of Osseointegration 12 12
Malposition of Device 10 10
Use of Device Problem 9 9
Inadequacy of Device Shape and/or Size 7 7
Failure to Cut 7 7
Inaccurate Information 6 6
Noise, Audible 6 6
Patient-Device Incompatibility 5 5
Difficult to Insert 4 4
Off-Label Use 4 4
Mechanical Problem 4 4
Patient Device Interaction Problem 4 4
Defective Device 4 4
Compatibility Problem 3 3
Device Damaged Prior to Use 3 3
Failure to Osseointegrate 3 3
No Apparent Adverse Event 3 3
Unintended Movement 3 3
Component Missing 3 3
Material Integrity Problem 3 3
Material Deformation 3 3
Manufacturing, Packaging or Shipping Problem 2 2
Difficult to Remove 2 2
Nonstandard Device 2 2
Material Fragmentation 2 2
Positioning Problem 2 2
Incomplete or Missing Packaging 2 2
Difficult to Open or Remove Packaging Material 2 2
Migration or Expulsion of Device 2 2
Difficult or Delayed Positioning 1 1

Patient Problems MDRs with this Patient Problem Events in those MDRs
Unspecified Infection 360 360
Pain 320 320
Insufficient Information 180 180
Metal Related Pathology 152 152
Joint Dislocation 148 148
No Clinical Signs, Symptoms or Conditions 143 143
Limb Fracture 135 135
Foreign Body Reaction 133 133
Inflammation 102 102
Inadequate Osseointegration 101 101
Ambulation Difficulties 88 88
Fall 75 75
Failure of Implant 70 70
Bone Fracture(s) 65 65
Injury 58 58
Reaction 48 48
Joint Laxity 38 38
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 37 37
Osteolysis 36 36
Implant Pain 19 19
No Known Impact Or Consequence To Patient 18 18
No Patient Involvement 17 17
Discomfort 15 15
Loss of Range of Motion 14 14
Bacterial Infection 14 14
Muscle/Tendon Damage 13 13
Swelling/ Edema 13 13
Hip Fracture 13 13
Local Reaction 13 13
No Code Available 13 13
Unequal Limb Length 11 11
Physical Asymmetry 11 11
Necrosis 10 10
Hematoma 8 8
Wound Dehiscence 7 7
No Information 7 7
Unspecified Tissue Injury 6 6
Ossification 5 5
Cyst(s) 5 5
Heart Failure/Congestive Heart Failure 5 5
Tissue Damage 5 5
No Consequences Or Impact To Patient 5 5
Joint Disorder 5 5
Deformity/ Disfigurement 5 5
Fluid Discharge 4 4
Nerve Damage 4 4
Foreign Body In Patient 4 4
Erythema 4 4
Hypersensitivity/Allergic reaction 4 4
Host-Tissue Reaction 4 4

Recalls
Manufacturer Recall Class Date Posted
1 Biomet, Inc. II Dec-17-2020
2 Corin Ltd II Sep-30-2021
3 Corin Ltd II Jun-11-2021
4 Corin Ltd II Mar-22-2021
5 Exactech, Inc. II Sep-09-2022
6 Signature Orthopaedics Europe Ltd II Mar-25-2020
7 Signature Orthopedics Pty Limited II May-28-2021
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