| Brand Name | SIZE 3 ACCOLADE II 127 DEG |
| 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
|
|
+1(201)831-5000
|
|
| MDR Report Key | 24936296 |
| Report Number | 0002249697-2026-00309 |
| Device Sequence Number | 10671380 |
| Product Code |
JDI
|
| UDI-Device Identifier | 04546540669483 |
| UDI-Public | 04546540669483 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | US |
| PMA/510(K) Number | K250989 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Device Implanted Year | 2026 |
| Reporter Type |
Manufacturer
|
| Report Source |
Company Representative |
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
09/25/2026 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
No
|
| Is this a Product Problem Report? |
Yes
|
| Operator of Device |
Health Professional
|
| Device Catalogue Number | 6721-0330 |
| Device Lot Number | 27216251A |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
No
|
| Was the Report Sent to FDA? |
No
|
| Type of Report(Section G) | Initial |
| Initial Date Received by Manufacturer | 03/26/2026 |
| Supplement Date Received by Manufacturer | 08/31/2026
|
| Initial Report FDA Received Date | 04/21/2026 |
| Supplement Report FDA Received Date | 09/25/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 05/13/2025 |
| 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 |
| Patient Age | 74 YR |
| Patient Sex | Female |
|
|