inforMED
InjuryJDI

36MM COCR MOD HD +3MM

Received Jul 13, 2026

Report 0001825034-2026-02041 · MDR key 25796220

Device

Generic name

Prosthesis, Hip, Semi-constrained, Metal/polymer, Cemented

Catalog number

11-363663

Lot number

206250

Product problems

  • Adverse Event Without Identified Device or Use Problem

Patient

NA · Male

  • Pain
  • Bursitis

Narrative

Additional Manufacturer Narrative

(B)(4). PROPOSED COMPONENT CODE: MECHANICAL (G04) - HEAD THE DEVICE WILL NOT BE RETURNED FOR ANALYSIS; HOWEVER, AN INVESTIGATION OF THE REPORTED EVENT IS IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETED, A SUPPLEMENTAL MEDWATCH 3500A WILL BE SUBMITTED.

Description of Event or Problem

IT WAS REPORTED THAT A PATIENT HAD AN INITIAL RIGHT TOTAL HIP ARTHROPLASTY. SUBSEQUENTLY, THE PATIENT WAS REVISED APPROXIMATELY 6 YEARS LATER DUE TO PAIN AND SLIGHTLY ELEVATED CHROMIUM LEVELS. THE INITIAL STEM WAS LEFT INTACT WHILE ALL OTHER COMPONENTS WERE REPLACED WITHOUT COMPLICATIONS. AFTER THE REVISION, THE PATIENT REPORTED ONGOING PAIN IN BILATERAL HIPS. THE SURGEON STATED HE FELT THE PATIENT HAD BILATERAL HIP TROCHANTERIC BURSITIS AND DISCUSSED INJECTIONS WITH THE PATIENT; HOWEVER, THE PATIENT DECLINED TREATMENT AND INTERVENTIONS. THE PATIENT TAKES CHRONIC OPIOIDS AND IS FOLLOWED BY PAIN MANAGEMENT FOR POLYARTHRALGIA. ATTEMPTS HAVE BEEN MADE AND NO FURTHER INFORMATION HAS BEEN PROVIDED.