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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
MAXX ORTHOPEDICS, INC.
  SUBSTANTIALLY EQUIVALENT 1
WALDEMAR LINK GMBH & CO. KG
  SUBSTANTIALLY EQUIVALENT 1

MDR Year MDR Reports MDR Events
2021 276 282
2022 208 213
2023 178 187
2024 209 212
2025 180 180
2026 50 50

Device Problems MDRs with this Device Problem Events in those MDRs
Adverse Event Without Identified Device or Use Problem 460 462
Device Dislodged or Dislocated 267 274
Fracture 75 82
Difficult to Insert 66 69
Naturally Worn 31 31
Detachment of Device or Device Component 27 27
Insufficient Information 24 24
Loosening of Implant Not Related to Bone-Ingrowth 22 23
Appropriate Term/Code Not Available 19 19
Material Erosion 19 20
Break 15 16
Patient Device Interaction Problem 14 17
Loss of Osseointegration 12 12
Positioning Failure 10 11
Unstable 8 8
Device Contaminated During Manufacture or Shipping 8 8
Migration 7 7
Loss of or Failure to Bond 6 7
No Apparent Adverse Event 6 6
Biocompatibility 5 5
Tear, Rip or Hole in Device Packaging 5 5
Material Integrity Problem 5 5
Positioning Problem 5 5
Mechanical Problem 4 4
Crack 4 4
Packaging Problem 4 4
Failure to Osseointegrate 4 4
Noise, Audible 3 3
Osseointegration Problem 3 3
Mechanical Jam 3 4
Corroded 3 4
Use of Device Problem 3 3
Degraded 3 3
Expiration Date Error 3 3
Device Damaged Prior to Use 3 3
Malposition of Device 3 4
Off-Label Use 3 3
Device-Device Incompatibility 3 3
Fitting Problem 3 3
Difficult to Remove 2 3
Manufacturing, Packaging or Shipping Problem 2 2
Product Quality Problem 2 2
Patient-Device Incompatibility 2 2
Separation Failure 2 2
Device Markings/Labelling Problem 2 2
Loose or Intermittent Connection 2 2
Separation Problem 2 2
Activation, Positioning or Separation Problem 2 2
Contamination 1 1
Therapeutic or Diagnostic Output Failure 1 1

Patient Problems MDRs with this Patient Problem Events in those MDRs
Joint Dislocation 246 253
Unspecified Infection 160 162
No Clinical Signs, Symptoms or Conditions 153 160
Pain 140 146
Insufficient Information 126 128
Failure of Implant 99 105
Joint Laxity 68 68
Bone Fracture(s) 53 54
Fall 45 48
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 40 41
Metal Related Pathology 38 41
Inadequate Osseointegration 24 24
Osteolysis 17 18
Ambulation Difficulties 13 14
Loss of Range of Motion 13 13
Hematoma 12 12
Muscle/Tendon Damage 11 12
Arthralgia 11 11
Implant Pain 10 10
Hip Fracture 10 10
Foreign Body Reaction 9 9
Discomfort 9 9
Fluid Discharge 8 8
Limb Fracture 8 8
Hypersensitivity/Allergic reaction 8 8
Local Reaction 8 8
Osteopenia/ Osteoporosis 8 8
Unspecified Tissue Injury 7 8
Wound Dehiscence 7 7
No Information 6 6
Necrosis 6 6
Inflammation 5 5
Swelling/ Edema 5 6
Physical Asymmetry 5 5
Ossification 5 5
Sleep Dysfunction 5 5
Cyst(s) 4 5
Adhesion(s) 4 4
Scar Tissue 4 4
Dyspnea 4 4
Post Operative Wound Infection 4 4
Bacterial Infection 4 4
Non-union Bone Fracture 3 3
Erythema 3 3
Unequal Limb Length 3 3
Nerve Damage 3 4
Numbness 3 4
Hemorrhage/Bleeding 3 3
Thrombosis/Thrombus 2 3
Swollen Lymph Nodes/Glands 2 3

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