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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
B-ONE ORTHO, CORP.
  SUBSTANTIALLY EQUIVALENT 1
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 182 182
2026 115 115

Device Problems MDRs with this Device Problem Events in those MDRs
Adverse Event Without Identified Device or Use Problem 475 477
Device Dislodged or Dislocated 283 290
Fracture 77 84
Difficult to Insert 69 72
Naturally Worn 31 31
Detachment of Device or Device Component 29 29
Insufficient Device Problem Information 23 23
Loosening of Implant Not Related to Bone-Ingrowth 22 23
Material Erosion 22 23
Break 14 15
Patient Device Interaction Problem 12 14
Positioning Failure 12 13
Loss of Osseointegration 12 12
Unstable 10 10
Migration 8 8
Device Contaminated During Manufacture or Shipping 8 8
Loss of or Failure to Bond 7 8
No Apparent Adverse Event 6 6
Mechanical Problem 5 5
Positioning Problem 5 5
Material Integrity Problem 5 5
Biocompatibility 5 5
Tear, Rip or Hole in Device Packaging 5 5
Packaging Problem 4 4
Mechanical Jam 4 5
Failure to Osseointegrate 4 4
Osseointegration Problem 3 3
Device-Device Incompatibility 3 3
Expiration Date Error 3 3
Device Damaged Prior to Use 3 3
Fitting Problem 3 3
Device Slipped 3 3
Difficult to Remove 3 4
Off-Label Use 3 3
Degraded 3 3
Crack 3 3
Separation Failure 2 2
Malposition of Device 2 2
Activation, Positioning or Separation Problem 2 2
Device Markings/Labelling Problem 2 2
Use of Device Problem 2 2
Manufacturing, Packaging or Shipping Problem 2 2
Material Deformation 2 2
Product Quality Problem 2 2
Noise, Audible 2 2
Corroded 2 3
Separation Problem 2 2
Solder Joint Fracture 1 1
Defective Device 1 1
Patient-Device Incompatibility 1 1

Patient Problems MDRs with this Patient Problem Events in those MDRs
Joint Dislocation 269 276
Unspecified Infection 169 171
No Clinical Signs, Symptoms or Conditions 162 169
Pain 142 148
Insufficient Information 135 137
Failure of Implant 100 106
Joint Laxity 73 73
Bone Fracture(s) 57 58
Fall 49 52
Metal Related Pathology 42 45
Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available 40 41
Medical device site infection 37 37
Inadequate Osseointegration 24 24
Osteolysis 19 20
Ambulation or Postural Difficulties 14 15
Loss of Range of Motion 13 13
Muscle/Tendon Damage 13 14
Hematoma 12 12
Arthralgia 11 11
High metal ion levels 11 11
Limb Fracture 10 10
Foreign Body Reaction 10 10
Hip Fracture 10 10
Implant Pain 10 10
Discomfort 9 9
Necrosis 8 8
Osteopenia/ Osteoporosis 8 8
Hypersensitivity/Allergic reaction 8 8
Local Reaction 8 8
Fluid Discharge 8 8
Unspecified Tissue Injury 7 8
Wound Dehiscence 7 7
No Information 6 6
Extraskeletal ossification 5 5
Physical Asymmetry 5 5
Inflammation 5 5
Swelling/ Edema 5 6
Sleep Dysfunction 5 5
Dyspnea 4 4
Cyst(s) 4 5
Bacterial Infection 4 4
Adhesion(s) 4 4
Scar Tissue 4 4
Post Operative Wound Infection 4 4
Unequal Limb Length 3 3
Joint effusion 3 3
Numbness 3 4
Hemorrhage/Blood Loss/Bleeding 3 3
Periprosthetic fracture 3 3
Nonunion/Delayed-union Bone Fracture 3 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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