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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 276 282
2022 208 213
2023 178 187
2024 209 212
2025 181 181

Device Problems MDRs with this Device Problem Events in those MDRs
Adverse Event Without Identified Device or Use Problem 1080 1082
Device Dislodged or Dislocated 489 496
Naturally Worn 136 136
Fracture 117 124
Difficult to Insert 85 88
Insufficient Information 62 62
Migration 57 57
Loss of Osseointegration 50 50
Appropriate Term/Code Not Available 39 45
Material Erosion 34 35
Detachment of Device or Device Component 31 31
Noise, Audible 31 32
Loosening of Implant Not Related to Bone-Ingrowth 31 32
Loss of or Failure to Bond 25 26
Device Contaminated During Manufacture or Shipping 23 23
Corroded 21 29
Break 20 21
Degraded 20 20
Osseointegration Problem 19 19
Unintended Movement 16 16
Malposition of Device 15 16
Positioning Failure 15 16
Nonstandard Device 14 14
Use of Device Problem 14 14
Patient Device Interaction Problem 14 17
Unstable 12 12
Device-Device Incompatibility 10 10
Mechanical Problem 8 8
Separation Failure 7 7
No Apparent Adverse Event 7 7
Biocompatibility 6 6
Off-Label Use 6 6
Tear, Rip or Hole in Device Packaging 6 6
Manufacturing, Packaging or Shipping Problem 5 5
Material Integrity Problem 5 5
Mechanical Jam 5 6
Crack 5 6
Packaging Problem 5 5
Fitting Problem 5 5
Loose or Intermittent Connection 4 4
Positioning Problem 4 4
Expiration Date Error 4 4
Failure to Osseointegrate 4 4
Difficult to Remove 3 4
Device Damaged Prior to Use 3 3
Activation, Positioning or Separation Problem 3 3
Defective Device 2 2
Deformation Due to Compressive Stress 2 2
Scratched Material 2 2
Patient-Device Incompatibility 2 2

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Code Available 851 851
Pain 508 515
Joint Dislocation 436 443
Unspecified Infection 363 365
Test Result 169 169
No Clinical Signs, Symptoms or Conditions 168 175
Foreign Body Reaction 156 156
Insufficient Information 141 143
Bone Fracture(s) 123 124
Failure of Implant 114 120
Joint Laxity 75 75
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 74 75
Inadequate Osseointegration 74 74
Osteolysis 70 71
Fall 67 70
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 43
Hematoma 40 40
No Information 38 38
Ambulation Difficulties 35 36
Inflammation 30 31
Necrosis 30 36
No Known Impact Or Consequence To Patient 29 29
Loss of Range of Motion 25 25
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 24
Hip Fracture 16 16
Nerve Damage 14 15
Weakness 14 14
Hemorrhage/Bleeding 14 14
Arthralgia 13 13
Osteopenia/ Osteoporosis 12 12
Pulmonary Embolism 12 13
Impaired Healing 12 12
Implant Pain 11 11
Swelling/ Edema 11 12
Local Reaction 11 11
Muscle/Tendon Damage 11 12
Wound Dehiscence 11 11

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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