REFLECTION 71336454Recalls & reported problems
Smith & Nephew, Inc. · REFLECTION THREE HOLE SHELL SIZE 54MM · Class 2 · Implant
All models of REFLECTION (112)
Data updated Oct 16, 2026 from official FDA records · Editorial policy
- Adverse event reports
- 9
- Deaths reported
- 0
- Injuries reported
- 6
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 9 adverse event reports that list this exact device (DI 03596010454362), received between Feb 6, 2018 and Dec 17, 2019 — classified as 6 injuries, 3 malfunctions.
The most frequently reported specific device problem is “Insufficient Device Problem Information” (3 reports).
2 other recalls cover devices cleared under the same FDA submission (K211176, K960094); they may or may not involve this specific model.
Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event, and counts can't be used to compare devices or estimate failure rates. What reports can and can't tell you · How this data works · Data updated Oct 16, 2026.
Most reported problems
Device problems
- Insufficient Device Problem Information3
- Adverse Event Without Identified Device or Use Problem2
- Connection Problem2
- Appropriate Device Problem Term/Code Not Available1
- Mechanical Problem1
Patient problems
- Injury5
- No Known Impact Or Consequence To Patient2
- Failure of Implant1
- No Consequences Or Impact To Patient1
Recent adverse event reports
The 9 most recent of 9 reports, in the reporter's own words as published by the FDA.
MalfunctionDec 17, 2019Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT DURING SURGERY, THE REFLECTION LINER COULDN'T BE IMPLANTED INTO THE CUP. FINALLY A R3 LINER AND CUP WERE USED TO COMPLETE THE SURGERY. NO INJURY OR IMPACT TO PATIENT REPORTED. DELAY OF 1 HOUR REPORTED.
Patient problems: No Known Impact Or Consequence To Patient
MAUDE report 9482182 ↗MalfunctionNov 20, 2019Connection Problem; Connection Problem
IT WAS REPORTED THAT DURING A TKA PROCEDURE, AFTER THE ACETABULAR CUP WAS IMPLANTED, THE LINER COULD NOT BE LOCKED. ANOTHER BACKUP S&N CUP WAS USED TO COMPLETE THE SURGERY (NO ADDITIONAL CUTS WERE MADE FOR THE CHANGE). THERE WAS A DELAY OF 31 TO 60 MIN, BUT THERE WAS NO IMPACT TO THE PATIENT BECAUSE OF IT.
Patient problems: No Consequences Or Impact To Patient
MAUDE report 9350109 ↗InjuryJun 20, 2019Connection Problem; Connection Problem
IT WAS REPORTED THAT DURING SURGERY THE LINER NOT LOCKED PROPERLY IN TO THE SHELL. THEY USED ANOTHER LINER THAT ALSO NOT LOCKED. THEY REMOVED REFLECTION SHELL 54 AND USED R3 SHELL 56 AND LINER. 30 MINUTES OF DELAY DUE TO THIS INCIDENT. A BACKUP DEVICE WAS AVAILABLE.
Patient problems: Injury
MAUDE report 8720166 ↗InjurySep 27, 2018Insufficient Device Problem Information; Insufficient Device Problem Information
IT WAS REPORTED THAT A REVISION SURGERY WAS PERFORMED, THE HEAD POPPED OUT OF THE LINER. THE REFLECTION CUP, THE CONSTRAINED LINER, THE FEMORAL HEAD AND THE REFLECTION 30MM SCREWS WERE EXPLANTED.
Patient problems: Injury
MAUDE report 7916704 ↗InjurySep 10, 2018Insufficient Device Problem Information; Insufficient Device Problem Information
IT WAS REPORTED THAT LINER IMPLANT DIDN'T LOCK WITH THE ACETABULAR CUP. THE SURGEON TRIED MANY TIMES TO GET IT SEATED IN THE CUP, WHICH WAS ALREADY IMPLANTED WITH A 6.5MM CANCELLOUS SCREW. THEN HE REMOVED THE SCREW, ACETABULAR CUP AND THE LINER. FINALLY COMPLETED THE PROCEDURE BY FIXING A REFLECTION ALLPOLY CEMENTED CUP, BUT SURGERY HAD A DELAY GREATER TAN 30 MINUTES.
Patient problems: Injury
MAUDE report 7862643 ↗MalfunctionSep 10, 2018Appropriate Device Problem Term/Code Not Available
IT WAS REPORTED THAT THE DOCTOR IMPLANTED THE REF CUP DURING THE OPERATION THEN OPENED THE INSERT WHILE IT COULDN'T GET INTO THE CUP. UNDER THE CONDITION THAT THE PRODUCT CODE WAS CONSISTENT WITH THE OUTER CUP, IT WAS ALWAYS NOT IN PLACE. THE STAFF TEMPORARILY TOOK A NEW SET OF PRODUCTS, BUT IT WAS STILL CAN NOT BE IMPLANTED. THE DOCTOR TRIED TO TAKE THE PRODUCT OUT OF THE BODY, AND THE INSERT AND THE CUP WERE NOT IN PLACE OUTSIDE THE BODY. FINALLY A NEW OUTER CUP WAS OPENED AND THE INSERT WAS RIGIDLY IMPLANTED.
Patient problems: No Known Impact Or Consequence To Patient
MAUDE report 7859888 ↗InjuryMay 13, 2018Insufficient Device Problem Information; Insufficient Device Problem Information
IT WAS REPORTED THAT ON (B)(6) 2018, 9:00 AM, IN LINFEN ORTHOPEDIC HOSPITAL DURING A TOTAL HIP REPLACEMENT, AFTER A 54MM REFLECTION SP3 ACETABULAR CUP WAS IMPLANTED, FOUND THE 54-56/28MM LINER CANNOT MATCH WITH THE 54MM CUP. SO REMOVED THE 54MM CUP, CHANGED TO IMPLANTED A 56MM REFLECTION SP3 ACETABULAR CUP, AND THE 54-56/28MM LINER WAS IMPLANTED SUCCESSFULLY, THE SURGERY WAS COMPLETED. 90MIN DELAY WAS REPORTED, AND INCREASED THE PATIENT BLOOD LOSS.
Patient problems: Injury
MAUDE report 7509695 ↗InjuryFeb 20, 2018Mechanical Problem; Mechanical Problem
IT WAS REPORTED A DELAY GREATER THAN 120 MINUTES DURING A THR DUE TO LOCKING INCONVENIENT OF THE IMPLANT.
Patient problems: Injury
MAUDE report 7281560 ↗InjuryFeb 6, 2018Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
A DELAY GREATER THAN 2 HOURS WAS REPORTED DUE TO CONNECTION PROBLEMS BETWEEN IMPLANTS. TO CORRECT THIS SITUATION, THE SURGEON DECIDED TO IMPLANT A BACK UP DEVICE INSTEAD.
Patient problems: Failure of Implant
MAUDE report 7244263 ↗
Recalls under the same FDA submission
These recalls involve devices cleared under K211176, K960094. One submission often covers many models, so check the product and lot details in each record.
- Z-0326-2025 · Oct 15, 2024 · Open, ClassifiedTandem Intl Bipolar Cocr Shell/UHMWPE Liner, TI-6AL-4V Retaining Ring, 28MM I.D. 46 MM O.D., REF 71324046, sterile, femoral head bipolar component of the Tandem Bipolar Hip System.
- Z-1066-2014 · Jan 23, 2014 · TerminatedReflection Interfit Shell, 52 MM OD, 3 HOLE, REF 71336052, QTY 1, STERILE R, Smith & Nephew, Inc. Indications for use include cemented or uncemented total hip arthroplasty for rh
Other Prosthesis, hip, semi-constrained, uncemented, metal/polymer, porous devices
- Accolade 6021-0537Howmedica Osteonics Corp. · Prosthesis, hip, semi-constrained, uncemented, metal/polymer, porous46 reports
- PROFEMUR® PHAC1252Microport Orthopedics Inc. · Prosthesis, Hip, Semi-Constrained, Uncemented, Metal/Polymer, Porous37 reports
- Accolade 6020-0335Howmedica Osteonics Corp. · Prosthesis, hip, semi-constrained, uncemented, metal/polymer, porous35 reports
- OXINIUM 71342340Smith & Nephew, Inc. · Prosthesis, hip, semi-constrained, uncemented, metal/polymer, porous32 reports
- EXETER 0580-1-351Howmedica Osteonics Corp. · Prosthesis, hip, semi-constrained, uncemented, metal/polymer, porous29 reports
- INSTRUMENT 2101-0200Howmedica Osteonics Corp. · Prosthesis, hip, semi-constrained, uncemented, metal/polymer, porous27 reports
- REFLECTION 71330001Smith & Nephew, Inc. · Prosthesis, hip, semi-constrained, uncemented, metal/polymer, porous20 reports
- Accolade 6720-0330Howmedica Osteonics Corp. · Prosthesis, hip, semi-constrained, uncemented, metal/polymer, porous18 reports
Sources and updates
- Device record: FDA GUDID, file dated Oct 13, 2026 · View this device in AccessGUDID ↗
- Adverse event reports: FDA MAUDE, file dated Oct 14, 2026 · each report above links to its original FDA record
- Recalls: FDA Medical Device Recalls, file dated Oct 16, 2026
- Page last rebuilt: Oct 16, 2026. Data downloaded through openFDA, which notes it is not validated for clinical or regulatory use.
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