BIRMINGHAM HIP RESURFACING (BHR) 74122156Recalls & reported problems
Smith & Nephew, Inc. · ACETABULAR CUP HAP SIZE 48/56 · Class 3
All models of BIRMINGHAM HIP RESURFACING (BHR) (47)
Data updated Oct 18, 2026 from official FDA records · Editorial policy
- Adverse event reports
- 7
- Deaths reported
- 0
- Injuries reported
- 7
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 7 adverse event reports that list this exact device (DI 03596010552303), received between Jul 12, 2017 and Feb 20, 2024 — classified as 7 injuries.
The most frequently reported specific device problem is “Biocompatibility” (2 reports).
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.
Reports received per month
Most reported problems
Device problems
- Adverse Event Without Identified Device or Use Problem3
- Biocompatibility2
- Insufficient Device Problem Information2
- Patient-Device Incompatibility1
Patient problems
- Injury2
- Metal Related Pathology2
- Pain2
- Toxicity2
- Bone Fracture(s)1
- Deformity/ Disfigurement1
- Failure of Implant1
- Implant Pain1
Recent adverse event reports
The 7 most recent of 7 reports, in the reporter's own words as published by the FDA.
InjuryFeb 20, 2024Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT AFTER THE PLAINTIFF UNDERWENT A BHR LEFT SURGERY ON (B)(6) 2014, HE EXPERIENCED A SIGNIFICANT PAIN IN THE GROIN AND THIGH, AND ALSO THE SENSATION OF LOOSENESS IN THE COMPONENTS. HE HAD NO SIGNS OF INFECTION, BUT PLAIN FILM X-RAYS SHOWED THE FEMORAL COMPONENT IN VALGUS POSITION THAT WAS MORE VALGUS THAN IDEAL. HOWEVER, THE X-RAY VIEWS SHOWED THAT THE CORTEX NEAR THE TIP OF THE IMPLANT WAS SOMEWHAT THIN. IT WAS FELT THAT DUE TO HIS INCREASE IN PAIN RECENTLY THAT THERE WAS A POSSIBILITY OF FRACTURE. A REVISION SURGERY WAS PERFORMED ON (B)(6) 2014, IN WHICH THE SURGEON FOUND THAT THE IMPLANTS WERE WELL FIXED, NO EVIDENCE OF LOOSENING. THE TRACTS FROM THE FEMORAL COMPONENT WERE TRACED WITHIN THE FEMORAL NECK. A BLUNT PROBE WAS PASSED IN THE SAME TRAJECTORY AND IN THE ANTERIOR NECK, WHERE THE BONE WAS QUITE THIN, THERE WAS A SLIGHT DEFECT INDICATING THAT THE CORTICAL BONE WAS BREACHED, WHICH IS PROBABLY THE SOURCE OF THE PATIENT'S PAIN. THE PREVIOUS BHR FEMORAL HEAD AND ACETABULAR CUP WERE EXPLANTED AND IT WAS CONVERTED INTO A THA, A SYNERGY STEM POROUS PLUS HA SZ 14 AND A +4MM FEMORAL HEAD AND NECK WERE IMPLANTED. NO INTRAOPERATIVE COMPLICATIONS WERE REPORTED. PATIE
Patient problems: Bone Fracture(s); Deformity/ Disfigurement; Implant Pain; Joint Laxity; Perforation
MAUDE report 18737875 ↗InjuryMay 26, 2022Biocompatibility; Biocompatibility
US LEGAL: BILATERAL PATIENT. IT WAS REPORTED THAT, AFTER RIGHT BHR SURGERY WAS PERFORMED ON (B)(6) 2010, THE PATIENT EXPERIENCED PAIN AND ELEVATED ION LEVELS. THIS ADVERSE EVENT WAS TREATED WITH REVISION SURGERY ON (B)(6) 2021. THE PATIENT'S CURRENT STATUS IS UNKNOWN.
Patient problems: Metal Related Pathology
MAUDE report 14516528 ↗InjuryApr 6, 2022Biocompatibility; Biocompatibility
IT WAS REPORTED THAT, AFTER RIGHT BHR WAS PERFORMED ON (B)(6) 2020 DUE TO RIGHT HIP ARTHRITIS, THE PATIENT EXPERIENCED PAIN IN GROIN, HIGH ION LEVELS AND SHORT-TERM MEMORY ISSUES. THIS ADVERSE EVENT WAS TREATED WITH A REVISION SURGERY ON (B)(6) 2020, IN WHICH AN ACETABULAR COMPONENT IN RETROVERSION AND SLIGHT METALLOSIS TO THE TISSUE WERE NOTICED. PATIENT'S CURRENT HEALTH STATUS IS UNKNOWN.
Patient problems: Memory Loss/Impairment; Metal Related Pathology; Pain
MAUDE report 14029329 ↗InjurySep 24, 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 (B)(6) 2020. THE REVISION SURGERY WAS PERFORMED DUE TO UNKNOWN REASONS. THE PATIENT OUTCOME IS UNKNOWN.
Patient problems: Injury
MAUDE report 10581034 ↗InjuryJan 28, 2019Insufficient Device Problem Information
IT WAS REPORTED THAT A REVISION SURGERY OF THE RIGHT HIP WAS PERFORMED DUE TO THE PRESENCE OF A PSEUDOTUMOR.
Patient problems: Injury; No Code Available
MAUDE report 8283377 ↗InjuryDec 31, 2018Insufficient Device Problem Information
IT HAS REPORTED THAT DOCTOR FOUND HIGH COBALT LEVELS IN PATIENT'S BLOOD SAMPLE AND DECIDED TO REVISE THE HIP.
Patient problems: No Information; Toxicity
MAUDE report 8206955 ↗InjuryJul 12, 2017Adverse Event Without Identified Device or Use Problem; Patient-Device Incompatibility; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT LEFT HIP REVISION SURGERY WAS PERFORMED DUE TO PAIN AND OTHER COMPLICATIONS. SURGEON'S NOTES REPORTEDLY NOTED "IMPENDING FEMORAL NECK FAILURE, SIGNIFICANT PAIN, AND ELEVATED METAL LEVELS" AND "A LOT OF SCLEROSIS AROUND WHERE THE STEM OF THE BHR COMPONENT WAS".
Patient problems: Failure of Implant; Pain; Toxicity
MAUDE report 6705133 ↗
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-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-2267-2018 · May 11, 2018 · TerminatedBirmingham Hip Resurfacing Femoral Head: (a) Size 58 mm, REF 74121158 (b) Size 56 mm, REF 74123156
- 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-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-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-0030-2008 · Jul 12, 2007 · TerminatedSmith + Nephew, Birmingham Hip Resurfacing, Acetabular Cup, 50 mm cup Ref.: 74120250. 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-0020-2008 · Jul 12, 2007 · TerminatedSmith + Nephew, Birmingham Hip Resurfacing, Acetabular Cup, 50 mm cup Ref.: 74120150. 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-0024-2008 · Jul 12, 2007 · TerminatedSmith + Nephew, Birmingham Hip Resurfacing, Acetabular Cup, 58 mm cup Ref.: 74120158. Hip implant component.
- Z-0026-2008 · Jul 12, 2007 · TerminatedSmith + Nephew, Birmingham Hip Resurfacing, Acetabular Cup, 62 mm cup Ref.: 74120162. 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-0018-2008 · Jul 12, 2007 · TerminatedSmith + Nephew, Birmingham Hip Resurfacing, Acetabular Cup, 46 mm cup Ref.: 74120146. 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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