BIRMINGHAM HIP RESURFACING (BHR) 74120144Recalls & reported problems
Smith & Nephew, Inc. · ACETABULAR CUP HAP 44MM WITH IMPACTOR · Class 3
All models of BIRMINGHAM HIP RESURFACING (BHR) (47)
Data updated Oct 18, 2026 from official FDA records · Editorial policy
- Adverse event reports
- 6
- Deaths reported
- 0
- Injuries reported
- 6
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 6 adverse event reports that list this exact device (DI 03596010502537), received between Sep 13, 2018 and Oct 19, 2020 — classified as 6 injuries.
The most frequently reported specific device problem is “Insufficient Device Problem Information” (1 report).
29 other recalls cover devices cleared under the same FDA submission (P040033); 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 18, 2026.
Most reported problems
Device problems
- Adverse Event Without Identified Device or Use Problem4
- Appropriate Device Problem Term/Code Not Available1
- Insufficient Device Problem Information1
- Patient Device Interaction Problem1
Patient problems
- Toxicity4
- Injury2
- Pain2
- Limited Mobility Of The Implanted Joint1
- Test Result1
Recent adverse event reports
The 6 most recent of 6 reports, in the reporter's own words as published by the FDA.
InjuryOct 19, 2020Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT A REVISION SURGERY WAS PERFORMED ON THE PATIENTS LEFT HIP DUE TO ELEVATED METAL ION LEVELS. THE PATIENT UNDERWENT LEFT HIP REPLACEMENT IN 2011 WITH BHR AND ADR COMPONENTS, AND RIGHT HIP REPLACEMENT WITH UNKNOWN DEVICES. THE PATIENT STARTED SUFFERING FROM METALLOSIS SYMPTOMS AND HAD TO UNDERGO 2 REVISIONS SURGERIES ON (B)(6) 2017 AND (B)(6) 2017 TO CORRECT THE ISSUE AND BEGIN REHABILITATION.
Patient problems: Toxicity
MAUDE report 10702531 ↗InjuryOct 19, 2020Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT A REVISION SURGERY WAS PERFORMED ON THE PATIENTS LEFT HIP DUE TO ELEVATED METAL ION LEVELS. THE PATIENT UNDERWENT LEFT HIP REPLACEMENT IN 2011 WITH BHR AND ADR COMPONENTS, AND RIGHT HIP REPLACEMENT WITH UNKNOWN DEVICES. THE PATIENT STARTED SUFFERING FROM METALLOSIS SYMPTOMS AND HAD TO UNDERGO 2 REVISIONS SURGERIES ON (B)(6) 2017 AND (B)(6) 2017 TO CORRECT THE ISSUE AND BEGIN REHABILITATION.
Patient problems: Injury
MAUDE report 10702504 ↗InjuryApr 7, 2020Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED A LEFT HIP REVISION SURGERY WAS PERFORMED DUE TO BILATERAL HIP PAIN AND INCREASED COBALT AND CHROMIUM LEVELS ON BLOOD.
Patient problems: Pain; Toxicity
MAUDE report 9933172 ↗InjuryMar 25, 2020Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT A SCHEDULED BHR RIGHT HIP REVISION SURGERY WILL BE PERFORMED DUE TO PAIN, LIMITED MOBILITY, PSEUDOTUMOR AND ELEVATED METAL ION LEVELS..
Patient problems: Limited Mobility Of The Implanted Joint; Pain; Toxicity
MAUDE report 9877753 ↗InjuryMar 24, 2020Insufficient Device Problem Information; Insufficient Device Problem Information
IT WAS REPORTED THAT A REVISION SURGERY ON THE RIGHT HIP WAS PERFORMED DUE TO PAIN, FAILURE OF HARDWARE, ELEVATED LEVELS OF COBALT AND CHROMIUM, METAL TOXICITY, METALLOSIS, PSEUDOTUMORS, BONE AND TISSUE LOSS, AND LOSS OF MOBILITY. THE PATIENT WAS PREVIOUSLY IMPLANTED WITH A BHR RESURFACING SYSTEM. THERE IS NO INFORMATION REGARDING TO THE DEVICES EXPLANTED ON THE REVISION SURGERY.
Patient problems: Injury
MAUDE report 9875606 ↗InjurySep 13, 2018Appropriate Device Problem Term/Code Not Available; Patient Device Interaction Problem; Patient Device Interaction Problem
IT WAS REPORTED THAT LEFT HIP REVISION SURGERY WAS PERFORMED DUE TO METALLOSIS AND ELEVATED LEVELS OF COBALT AND CHROMIUM.
Patient problems: Test Result; Toxicity
MAUDE report 7873369 ↗
Recalls under the same FDA submission
These recalls involve devices cleared under P040033. One submission often covers many models, so check the product and lot details in each record.
- Z-2242-2021 · Jul 14, 2021 · Terminatedsmith&nephew BHR SQUARE HEADED NAIL, REF CATALOG NUMBER 999908. For use during orthopedic surgery.
- Z-2267-2018 · May 11, 2018 · TerminatedBirmingham Hip Resurfacing Femoral Head: (a) Size 58 mm, REF 74121158 (b) Size 56 mm, REF 74123156
- Z-2268-2018 · May 11, 2018 · TerminatedBirmingham Hip Resurfacing Acetabular Cup with Impactor: (a) Size 56 mm, REF 74120156 (b) Size 64 mm, REF 74120164 (c) Size 54 mm, REF 74122154 (d) Size 58 mm, REF 74122158 (e) Siz
- Z-2745-2015 · Jun 3, 2015 · TerminatedSmith & Nephew BIRMINGHAM HIP (TM) RESURFACING FEMORAL HEAD, STERILE R, Rx only, REF Numbers: 74121138 (38 MM), 74123140 (40 MM), 74121142 (42 MM), 74123144 (44 MM), 74121146 (46 M
- Z-2746-2015 · Jun 3, 2015 · TerminatedSmith & Nephew BIRMINGHAM HIP (TM) RESURFACING ACETABULAR CUP W/IMPACTOR, REF Numbers: 74120144 (44 MM), 74120146 (46 MM), 74122146 (46 MM), 74122148 (48 MM), 74120148 (48 MM), 74
- Z-2747-2015 · Jun 3, 2015 · TerminatedSmith & Nephew BIRMINGHAM HIP (TM) RESURFACING DYSPLASIA CUP W/IMPACTOR, REF Numbers: 74120246 (46 MM), 74122248 (48 MM), 74120250 (50 MM), 74122252 (52 MM), 74120254 (54 MM) Pro
- Z-0031-2008 · Jul 12, 2007 · TerminatedSmith + Nephew, Birmingham Hip Resurfacing, Dysplasia Cup, 54 mm cup Ref.: 74120254. Hip implant component.
- Z-0016-2008 · Jul 12, 2007 · TerminatedSmith + Nephew, Birmingham Hip Resurfacing, Acetabular Cup 46 mm cup Ref.: 74120146. Hip implant component.
- Z-0027-2008 · Jul 12, 2007 · TerminatedSmith + Nephew, Birmingham Hip Resurfacing, Acetabular Cup, 64 mm cup Ref.: 74120164. Hip implant component.
- Z-0023-2008 · Jul 12, 2007 · TerminatedSmith + Nephew, Birmingham Hip Resurfacing, Acetabular Cup, 56 mm cup Ref.: 74120156. Hip implant component.
- Z-0033-2008 · Jul 12, 2007 · TerminatedSmith + Nephew, Birmingham Hip Resurfacing, Acetabular Cup, 62 mm cup Ref.: 74120262. Hip implant component.
- Z-0018-2008 · Jul 12, 2007 · TerminatedSmith + Nephew, Birmingham Hip Resurfacing, Acetabular Cup, 46 mm cup Ref.: 74120146. Hip implant component.
- Z-0025-2008 · Jul 12, 2007 · TerminatedSmith + Nephew, Birmingham Hip Resurfacing, Acetabular Cup, 60 mm cup Ref.: 74120160. Hip implant component.
- Z-0029-2008 · Jul 12, 2007 · TerminatedSmith + Nephew, Birmingham Hip Resurfacing, Dysplasia Cup, 50 mm cup Ref.: 74120250. Hip implant component.
- Z-0022-2008 · Jul 12, 2007 · TerminatedSmith + Nephew, Birmingham Hip Resurfacing, Acetabular Cup, 54 mm cup Ref.: 74120154. Hip implant component.
…and 14 more.
Other Prosthesis, Hip, Semi-Constrained, Metal/Metal, Resurfacing devices
- BIRMINGHAM HIP RESURFACING (BHR) 74120156Smith & Nephew, Inc. · Prosthesis, Hip, Semi-Constrained, Metal/Metal, Resurfacing3 deaths145 reports
- BIRMINGHAM HIP RESURFACING (BHR) 74120152Smith & Nephew, Inc. · Prosthesis, Hip, Semi-Constrained, Metal/Metal, Resurfacing139 reports
- BIRMINGHAM HIP RESURFACING (BHR) 74121146Smith & Nephew, Inc. · Prosthesis, Hip, Semi-Constrained, Metal/Metal, Resurfacing91 reports
- BIRMINGHAM HIP RESURFACING (BHR) 74121150Smith & Nephew, Inc. · Prosthesis, Hip, Semi-Constrained, Metal/Metal, Resurfacing1 death86 reports
- BIRMINGHAM HIP RESURFACING (BHR) 74122154Smith & Nephew, Inc. · Prosthesis, Hip, Semi-Constrained, Metal/Metal, Resurfacing75 reports
- BIRMINGHAM HIP RESURFACING (BHR) 74120154Smith & Nephew, Inc. · Prosthesis, Hip, Semi-Constrained, Metal/Metal, Resurfacing2 deaths70 reports
- BIRMINGHAM HIP RESURFACING (BHR) 74122158Smith & Nephew, Inc. · Prosthesis, Hip, Semi-Constrained, Metal/Metal, Resurfacing69 reports
- BIRMINGHAM HIP RESURFACING (BHR) 74120160Smith & Nephew, Inc. · Prosthesis, Hip, Semi-Constrained, Metal/Metal, Resurfacing62 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 18, 2026. Data downloaded through openFDA, which notes it is not validated for clinical or regulatory use.
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