FDA Adverse Event
Injury
Summary report: N
NOVATION
MDR report key: 24682412
·
Received March 24, 2026
Report
- Report Number
- 1038671-2026-00332
- 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
- 10885862207029
- 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: 164-02-09 - ELEMENT-STEM, COLLARLESS W/HA, HIGH OFFSET, SZ 9: (B)(6), 186-01-50 -INTEGRIP CC, CLUSTER 50MM, G1: (B)(6), 01-032-03-3200 - UNIVERSAL CUP, HEAD, DELTA, 32MM, +0: (B)(6). SHOULD ADDITIONAL RELEVANT INFORMATION BE OBTAINED, A FOLLOW-UP MDR WILL BE SUBMITTED ACCORDINGLY.
Description of Event or Problem · 0
IT WAS REPORTED A PATIENT, WHO HAD A LEFT 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 |
|---|---|---|---|---|---|---|---|
| 742942 | NOVATION | PROSTHESIS, HIP, SEMI-CONSTRAINED, UNCEMENTED, METAL/POLYMER, NON-POROUS, CALICU | MEH | EXACTECH, INC. | 10885862207029 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Required Intervention| H | SEE H11. |