Reported Reactions

Devices › Prosthesis, hip, semi-constrained, metal/metal, resurfacing

Device brand name · Prosthesis hip semi-constrained metal/metal resurfacing

Acetlr Cup Hap 56mm W/ Imptr: medical device reports filed with FDA

181 reports name it, 2015–2025. Manufacturer given most often on reports: Smith & Nephew Orthopaedics. Product code NXT.

181
device reports naming the brand
0% of all MAUDE reports · about 16 a year
1
reports, 12 months to August 2026
4 in the 12 months before
1.1%
classified as malfunction
1.7% across the product code
0.6%
classified as death, as reported
1 reports · not verified by FDA

181 medical device reports received by FDA name the brand "Acetlr Cup Hap 56mm W/ Imptr" (prosthesis hip semi-constrained metal/metal resurfacing); the manufacturer given most often on reports is Smith & Nephew Orthopaedics; received from February 2015 to October 2025. Brand names are as the reporter or manufacturer wrote them, so one product can appear under several spellings.

1 reports arrived in the 12 months to August 2026, down 75% from 4 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 (98.3%), malfunction (1.1%) and death (0.6%); across all prosthesis, hip, semi-constrained, metal/metal, resurfacing reports (product code NXT) death is recorded in 0.3% and malfunction in 1.7%. Event type is the reporter's classification of the report, not a verified outcome.

The device problems coded most often are biocompatibility (26%), insufficient device problem information (13.8%) and patient device interaction problem (11.6%). The patient problems coded most often are pain, metal related pathology and injury. 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."

Reports by month, five years

036Sep 2021: 1Oct 2021: 4Nov 2021: 4Dec 2021: 12022Jan 2022: 1Feb 2022: 2Mar 2022: 0Apr 2022: 5May 2022: 6Jun 2022: 3Jul 2022: 1Aug 2022: 1Sep 2022: 0Oct 2022: 0Nov 2022: 1Dec 2022: 12023Jan 2023: 0Feb 2023: 0Mar 2023: 0Apr 2023: 1May 2023: 2Jun 2023: 0Jul 2023: 0Aug 2023: 1Sep 2023: 3Oct 2023: 2Nov 2023: 1Dec 2023: 02024Jan 2024: 1Feb 2024: 2Mar 2024: 2Apr 2024: 0May 2024: 5Jun 2024: 0Jul 2024: 1Aug 2024: 0Sep 2024: 1Oct 2024: 0Nov 2024: 1Dec 2024: 02025Jan 2025: 0Feb 2025: 0Mar 2025: 0Apr 2025: 0May 2025: 2Jun 2025: 0Jul 2025: 0Aug 2025: 0Sep 2025: 0Oct 2025: 1Nov 2025: 0Dec 2025: 02026Jan 2026: 0Feb 2026: 0Mar 2026: 0Apr 2026: 0May 2026: 0Jun 2026: 0Jul 2026: 0Aug 2026: 0

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

By year received

015302015: 320152016: 42017: 1620172018: 272019: 2720192020: 272021: 3020212022: 212023: 1020232024: 132025: 32025

Event type and report source

Event type, as classified on the report

Death0.6%1
Injury98.3%178
Malfunction1.1%2
Other0%0
Not given0%0

Who filed the report

Manufacturer report100%181
Voluntary report0%0
User facility report0%0
Distributor report0%0
Not given0%0

Grey bar: all 6,888 reports carrying product code NXT. Event type is the filer's classification and is not verified by FDA.

Device problems coded

Device problem (FDA code)ReportsShareShare across product code
Biocompatibility4726%11.6%
Insufficient device problem information2513.8%35.4%
Patient device interaction problem2111.6%6.4%
Patient-device incompatibilitythe device did not suit the patient73.9%3%
Material fragmentation52.8%0.6%
Compatibility problem42.2%1.2%
Device dislodged or dislocated42.2%1.8%
Fracturea broken bone42.2%2.3%
Noise, audible42.2%1.5%
Device operates differently than expectedthe device behaved unexpectedly31.7%3.4%
Metal shedding debris31.7%4.4%
Migrationthe device moved from where it was placed31.7%0.5%
Corrodedthe device corroded21.1%0.7%
Degraded21.1%0.3%
Device appears to trigger rejection21.1%0.3%
Loosening of implant not related to bone-ingrowth21.1%0.9%
Loss of osseointegration21.1%0.4%
Naturally worn21.1%0.9%
Breakthe device broke10.6%1.5%
Device slipped10.6%2.5%

FDA's device problem codes as entered on the report; one report can carry several. Generic codes such as "no apparent adverse event" are left out.

Patient problems coded

Patient problem (FDA code)ReportsShare
Painpain, site not specified6837.6%
Metal related pathology5429.8%
Injurya physical injury4524.9%
Toxicity4122.7%
Failure of implant3318.2%
Test result168.8%
Osteolysis95%
Swellingswelling84.4%
Ambulation or postural difficulties73.9%
Loss of range of motion73.9%
Limited mobility of the implanted joint63.3%
Reactiona reaction, type not specified63.3%
Bone fracture(s)52.8%
Cyst(s)52.8%
Discomfortdiscomfort52.8%

Patient problem codes are present mainly in reports filed since 2019 and are often blank.

In context

MeasureAcetlr Cup Hap 56mm W/ ImptrProduct code NXTAll MAUDE reports
Reports1816,88826,136,888
Share of that pool—2.6%0%
Classified as death, per 1,000 reports639
Classified as injury98.3%95.5%36.2%
Classified as malfunction1.1%1.7%62.3%
Filed by the manufacturer100%98.6%94.9%

Shares are of reports, not of devices in use. 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."

Other brands with product code NXT

BrandReportsLatest 12 monthsClassified as death
Bhr2,27500%
R342400.2%
Unkn Birmingham Hip Resurfacing Bhr Cup Unkn Type22700.9%
Acetlr Cup Hap 52mm W/ Imptr16700%
Cormet16100%
Cormet Resurfacing16200%
Bhr Acetabular Cup15000%
Conserve R Plus Cup1,32800%
Asr Acetabular Implant 6042600.7%
Trinity673600.1%
Unknown Hip Implant1,11490.6%
Total Asr Fem Imp Size 4653400%

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." FDA also states that "common products may have a higher number of adverse events due to the higher total number of people using the product."

Questions about Acetlr Cup Hap 56mm W/ Imptr reports

How many FDA reports name Acetlr Cup Hap 56mm W/ Imptr?

181 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 1 in the latest 12 months.

What kinds of events are reported?

injury (98.3%), malfunction (1.1%) and death (0.6%). "Event type" is how the report was classified when filed: death, injury, malfunction or other.

What device problems are coded?

biocompatibility (26%), insufficient device problem information (13.8%), patient device interaction problem (11.6%), patient-device incompatibility (3.9%) and material fragmentation (2.8%). These are FDA's device problem codes as entered on the report.

Who files these reports?

manufacturer reports (100%). Manufacturers and user facilities are required to report; voluntary reports come from health professionals and the public.

Do these reports show that Acetlr Cup Hap 56mm W/ Imptr was at fault?

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." FDA adds that "a causal relationship cannot be established between product and reactions listed in a report."

How do I report a problem with a medical device?

Through FDA MedWatch (Form FDA 3500 for health professionals and consumers), or to the manufacturer. See the guide on how to report.

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. A report counts here when any device it lists carries this brand name after punctuation and capitalisation are normalised. 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.