Prosthesis, hip, semi-constrained, metal/metal, resurfacing: medical device reports filed with FDA

6,888 reports carry this product code, 2004–2026; 13 brands with a page.

Read first · FDA's statement on these data

Adverse event reports submitted to FDA do not undergo extensive validation or verification. Therefore, a causal relationship cannot be established between product and reactions listed in a report. While a suspected relationship may exist, it is not medically validated and should not be the sole source of information for clinical decision making or other assumptions about the safety or efficacy of a product. Additionally, it is important to remember that adverse event reports represent a small percentage of total usage numbers of a product. Common products may have a higher number of adverse events due to the higher total number of people using the product. openFDA, FDA

FDA adds: "Although MDRs are a valuable source of information, this passive surveillance system has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data. In addition, the incidence or prevalence of an event cannot be determined from this reporting system alone due to potential under-reporting of events and lack of information about frequency of device use." And: "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices."

Do not rely on openFDA to make decisions regarding medical care. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated.

Not medical advice. This site counts what was reported to FDA. Questions about a medicine or device belong with a pharmacist or clinician.

6,888
reports with this product code: 0% of all MAUDE reports; 42
reports, 12 months to August 2026: 105 in the 12 months before; 1.7%
classified as malfunction: 62.3% across all reports; 0.3%
classified as death, as reported: 0.9% across all reports

Product code NXT is FDA's classification for "Prosthesis, hip, semi-constrained, metal/metal, resurfacing" (unknown panel), a class 3 device. 6,888 medical device reports carry this product code, 0% of the MAUDE database, from September 2004 to August 2026.

42 reports arrived in the 12 months to August 2026, down 60% from 105 in the 12 months before. FDA releases MAUDE data monthly; reports can arrive months after an event, so the newest months grow in later releases. The event types recorded are injury (95.5%), malfunction (1.7%) and other (0.5%). 13 brand names with a page on this site carry this code; the brands table is ordered by report count for navigation only. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data."

Brands with this product code

Brand	Reports	Latest 12 months	Classified as death	Classified as malfunction
Bhr	2,148	0	0%	0.3%
R3	295	0	0.2%	0.5%
Unkn Birmingham Hip Resurfacing Bhr Cup Unkn Type	207	0	0.9%	0%
Acetlr Cup Hap 56mm W/ Imptr	181	1	0.6%	1.1%
Acetlr Cup Hap 52mm W/ Imptr	165	0	0%	0.6%
Cormet	156	0	0%	1.9%
Cormet Resurfacing	156	0	0%	3.7%
Bhr Acetabular Cup	150	0	0%	2%
Conserve R Plus Cup	7	0	0%	0.2%
Asr Acetabular Implant 60	2	0	0.7%	1.4%
Trinity	2	60	0.1%	22.6%
Unknown Hip Implant	2	9	0.6%	3.4%
Total Asr Fem Imp Size 46	1	0	0%	0.4%

Ordered by report count for navigation only. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data."

Manufacturers named

Manufacturer (as written on reports)	Reports	Share
Smith & Nephew Orthopaedics	5,997	87.1%
Smith & Nephew	278	4%
Depuy International	14	0.2%

Reports by month, five years

FDA releases MAUDE data monthly; reports can arrive months after an event, so the newest months grow in later releases.

Event type and report source

Event type

Death0.3%18

Injury95.5%6,579

Malfunction1.7%118

Other0.5%37

Not given2%136

Who filed

Manufacturer report98.6%6,793

Voluntary report1.2%82

User facility report0%0

Distributor report0%0

Not given0.2%13

Grey bar: all 26,136,888 MAUDE reports.

Device problems coded

Device problem (FDA code)	Reports	Share
Insufficient device problem information	2,439	35.4%
Biocompatibility	798	11.6%
Patient device interaction problem	439	6.4%
Metal shedding debris	305	4.4%
Device operates differently than expectedthe device behaved unexpectedly	234	3.4%
Patient-device incompatibilitythe device did not suit the patient	206	3%
Device slipped	174	2.5%
Fracturea broken bone	156	2.3%
Device dislodged or dislocated	123	1.8%
Noise, audible	105	1.5%
Breakthe device broke	103	1.5%
Loose or intermittent connection	93	1.4%
Compatibility problem	83	1.2%
Material integrity problema problem with the device material	69	1%
Loosening of implant not related to bone-ingrowth	65	0.9%
Malposition of device	64	0.9%
Naturally worn	61	0.9%
Explanted	57	0.8%
Corrodedthe device corroded	49	0.7%
Material fragmentation	43	0.6%

Questions about prosthesis, hip, semi-constrained, metal/metal, resurfacing reports

What is product code NXT?

FDA's classification code for "Prosthesis, hip, semi-constrained, metal/metal, resurfacing", class 3, reviewed by the unknown panel. Every device report carries the product code of the device involved.

How many reports carry this code?

6,888 reports through August 2026, 42 of them in the latest 12 months.

Which brands appear most often?

Bhr (2,148), R3 (295), Unkn Birmingham Hip Resurfacing Bhr Cup Unkn Type (207), Acetlr Cup Hap 56mm W/ Imptr (181) and Acetlr Cup Hap 52mm W/ Imptr (165). Widely used products collect more reports because more people use them.

Can the brands table be used to rank the devices?

No. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data." Brands differ in how many are in use, how long they have been sold and how reports are collected.

Where this comes from. Counts are built from the openFDA Device Adverse Event (MAUDE) bulk export released 28 Sep 2026, which holds reports FDA received through 31 Aug 2026. Brand, generic and manufacturer names are as written on the reports; product code names come from FDA's device classification. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.