| Brand Name | ABGII NO2 CEMENTLESS RIGHT V40 |
| 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 |
|
arokiya
raj
|
| 325 corporate drive |
| mahwah, NJ 07430
|
|
+1(201)831-5000
|
|
| MDR Report Key | 24681752 |
| Report Number | 0002249697-2026-00234 |
| Device Sequence Number | 18568386 |
| Product Code |
JDI
|
| UDI-Device Identifier | 07613327050967 |
| UDI-Public | 07613327050967 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | US |
| PMA/510(K) Number | K121308 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Device Implanted Year | 2012 |
| Device Explanted Year | 2026 |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
09/28/2026 |
| 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 Expiration Date | 10/31/2015 |
| Device Catalogue Number | 4845-0102 |
| Device Lot Number | G3033289 |
| Was Device Available for Evaluation? |
Yes
|
| Date Returned to Manufacturer | 06/04/2026 |
| Is the Reporter a Health Professional? |
No
|
| Was the Report Sent to FDA? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 03/03/2026 |
| Supplement Date Received by Manufacturer | 09/01/2026
|
| Initial Report FDA Received Date | 03/24/2026 |
| Supplement Report FDA Received Date | 09/28/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 10/29/2010 |
| 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 | Unknown |
|
|