| Brand Name | EXETER V40 STEM 37.5MM NO 0 |
| Common Device Name | PROSTHESIS, HIP, SEMI-CONSTRAINED, METAL/POLYMER, CEMENTED |
| Manufacturer (Section D) |
| STRYKER ORTHOPAEDICS-MAHWAH |
| 325 corporate drive |
| mahwah NJ 07430 |
|
| Manufacturer (Section G) |
| STRYKER ORTHOPAEDICS-CORK |
| ida industrial estate |
|
| carrigtwohill NA |
|
EI
NA
|
|
| Manufacturer Contact |
|
marisol
santiago
|
| 325 corporate drive |
| mahwah, NJ 07430
|
|
2018315000
|
|
| MDR Report Key | 24616800 |
| Report Number | 0002249697-2026-00185 |
| Device Sequence Number | 10334371 |
| Product Code |
JDI
|
| UDI-Device Identifier | 04546540153241 |
| UDI-Public | 04546540153241 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | AS |
| PMA/510(K) Number | K240418 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Device Implanted Year | 2023 |
| Device Explanted Year | 2026 |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial |
| Report Date (Section B) |
03/13/2026 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
Yes
|
| Is this a Product Problem Report? |
No
|
| Operator of Device |
Health Professional
|
| Device Catalogue Number | 0580-1-352 |
| Device Lot Number | G8594396 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Initial |
| Initial Date Received by Manufacturer | 02/13/2026 |
| Initial Report FDA Received Date | 03/17/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Is the Device Labeled for Single Use? (Y/N) |
Yes
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Initial
|
| Patient Sequence Number | 1 |
| Outcome Attributed to Adverse Event |
Hospitalization;
Required Intervention;
|
| Patient Sex | Female |