FDA Adverse Event
Injury
Summary report: N
NOVATION
MDR report key: 24681372
·
Received March 24, 2026
Report
- Report Number
- 1038671-2026-00330
- Event Type
- Injury
- Date Received
- March 24, 2026
- Date of Event
- March 3, 2026
- Report Date
- March 24, 2026
- Manufacturer
- EXACTECH, INC.
- Product Code
- MEH
- UDI-DI
- 10885862207074
- PMA / PMN Number
- K121392
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SP
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
D10: 164-01-10 - VASTAGO ELEMENT S/COLLAR OFFSET STD. Nº10 5438237. 180-11-48 - (DISC) NOVATION CROWN CU P, CLUSTER-HOLE WITH HA, 5620359. 01-032-03-3294 - UNIV.CUP CABEZA CERAM. DELTA 32 -4 1807.7914.217/005. SHOULD ADDITIONAL RELEVANT INFORMATION BE OBTAINED, A FOLLOW-UP MDR WILL BE SUBMITTED ACCORDINGLY.
Description of Event or Problem · 0
IT WAS REPORTED A FEMALE PATIENT, WHO HAD A RIGHT THA, REPORTED EARLY WEAR OF PROSTHETIC POLYETHYLENE WITH PARTICULATE DISEASE AND WAS ADMITTED TO THE HOSPITAL AND NEEDS SURGICAL INTERVENTION TO PREVENT INJURY OR PERMANENT DISABILITY. NO FURTHER INFORMATION PROVIDED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 270015 | NOVATION | PROSTHESIS, HIP, SEMI-CONSTRAINED, UNCEMENTED, METAL/POLYMER, NON-POROUS, CALICU | MEH | EXACTECH, INC. | 10885862207074 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |