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.