R3 71335760Recalls & reported problems
Smith & Nephew, Inc. · R3 20 DEGREE XLPE ACETABULAR LINER 36MM INNER DIAMETER X OUTER DIAMETER 60MM · Class 2 · Implant
Data updated Oct 16, 2026 from official FDA records · Editorial policy
- Adverse event reports
- 8
- Deaths reported
- 0
- Injuries reported
- 8
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 8 adverse event reports that list this exact device (DI 03596010598370), received between Sep 6, 2018 and May 5, 2026 — classified as 8 injuries.
The most frequently reported specific device problem is “Insufficient Device Problem Information” (2 reports).
3 other recalls cover devices cleared under the same FDA submission (K113848, K211176); 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.
Reports received per month
Most reported problems
Device problems
- Adverse Event Without Identified Device or Use Problem4
- Insufficient Device Problem Information2
- Connection Problem1
- Device Dislodged or Dislocated1
- Fitting Problem1
Patient problems
- Injury2
- Unspecified Infection2
- Failure of Implant1
- Joint Dislocation1
- No Information1
- Pain1
- Subluxation1
Recent adverse event reports
The 8 most recent of 8 reports, in the reporter's own words as published by the FDA.
InjuryMay 5, 2026Device Dislodged or Dislocated
IT WAS REPORTED THAT, AFTER A THA SURGERY HAD BEEN PERFORMED ON (B)(6) 2022, THE PATIENT EXPERIENCED RECURRENT DISLOCATIONS ON AN R3 CUP. THIS ADVERSE EVENT WAS SOLVED BY REVISION SURGERY ON (B)(6) 2026, IN WHICH THE R3 20 DEG XLPE ACET LNR 36MM X 60MM AND THE COCR 12/14 FEM HEAD 36MM +4 WERE EXCHANGED FOR DUAL MOBILITY FOR EXTRA STABILITY. PATIENT'S CURRENT HEALTH STATUS IS UNKNOWN. NO FURTHER COMPLICATIONS WERE REPORTED.
Patient problems: Joint Dislocation
MAUDE report 25089345 ↗InjuryFeb 13, 2026Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT, AFTER A THA SURGERY WAS PERFORMED ON (B)(6) 2022, THE PATIENT EXPERIENCED A LUXATION. THIS ADVERSE EVENT WAS TREATED BY A REVISION SURGERY ON (B)(6) 2023, IN WHICH A R3 20 DEG XLPE ACET LNR 36MM X 60MM, R3 3 HOLE ACET SHELL 60MM AND OXINIUM FEM HD 12/14 36 MM L/+8 WERE EXCHANGED. PATIENT'S CURRENT HEALTH STATUS IS UNKNOWN.
Patient problems: Subluxation
MAUDE report 24333106 ↗InjuryFeb 16, 2022Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT, AFTER A THR SURGERY HAD BEEN PERFORMED ON (B)(6) 2021, THE PATIENT REPORTED AN INFECTION. THE ADVERSE EVENT WAS ADDRESSED WITH A REVISION SURGERY ON (B)(6) 2022 TO REPLACE THE R3 20 DEG XLPE ACET LNR 36MM X 60MM. THE CONDITION OF THE PATIENT IS UNKNOWN.
Patient problems: Unspecified Infection
MAUDE report 13540242 ↗InjuryMay 21, 2021Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT, AFTER A RIGHT THR PERFORMED IN (B)(6) 2013, AS A REVISION SURGERY FOR INFECTION OF NON SMITH AND NEPHEW DEVICES, THE PATIENT EXPERIENCED PAIN IN THE RIGHT HIP AND A POSSIBLE RECURRENT INFECTION WAS SUSPECTED. A REVISION SURGERY WAS PERFORMED ON (B)(6) 2021 TO TREAT THESE ADVERSE EVENTS. THE OXINIUM FEM HD 12/14 36 MM +0 ((B)(4)), THE R3 20 DEG XLPE ACET LNR 36MM X 60MM ((B)(4)), THE CPCS COCR PRIM HO 12/14 SZ 5 ((B)(4)), AND THE CPCS DIST CENT SZ 16MM ((B)(4)) WERE EXPLANTED. IT IS UNKNOWN WHICH NEW DEVICES WERE IMPLANTED. NO OTHER COMPLICATIONS WERE REPORTED. THE PATIENT OUTCOME IS UNKNOWN.
Patient problems: Pain; Unspecified Infection
MAUDE report 11861818 ↗InjuryJun 24, 2020Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT A 36/60 20 DEGREE LINER WAS PLACED IN A 60MM R3 HOUSING. ONCE THE SURGEON HAD IMPACTED THE LINER, HE PUSHED IT AWAY AND THE BLOOD/FLUID SQUIRTED OUT FROM BETWEEN THE LINER AND THE SHELL. AFTER THAT, IT IMPACTED THE LINER A LITTLE MORE AND HE CONTINUED WITH THE PROCEDURE (WITH THE SAME DEVICE). THERE WAS NO SMITH AND NEPHEW REPRESENTATIVE IN THE CASE.
Patient problems: No Information
MAUDE report 10188004 ↗InjuryJan 21, 2020Insufficient Device Problem Information; Insufficient Device Problem Information
IT WAS REPORTED A SUBSEQUENT RIGHT HIP REVISION SURGERY DUE TO SEPTIC HIP. LINER AND FEMORAL HEAD EXCHANGED.
Patient problems: Failure of Implant
MAUDE report 9610966 ↗InjuryApr 9, 2019Fitting Problem; Connection Problem; Fitting Problem; Connection Problem
IT WAS REPORTED THAT DURING THE TOTAL HIP REPLACEMENT SURGERY, AFTER MEASUREMENT, THE INSERT 60MM WAS CHOSEN TO BE USED. WHILE IMPLANTING, THE INSERT WAS COMPLETELY INSIDE THE CUP, BUT IT WAS NOT CLOSE TO FIT, IT COULD STILL BE MOVED. A CALL FOR HELP FROM THE S&N WAS DONE AND IT WAS INFORMED THAT IT COULD BE RE-IMPLANTED AFTER SOAKING IN ICE WATER, BUT AFTER SOAKING IN THE ICE WATER FOR 5 MINUTES, THE SITUATION OCCURRED AGAIN. THEN, IT WAS TRIED TO SOAK IT IN HOT WATER, AND IT STILL COULD NOT BE TIGHTENED. AFTER REPEATED TRIALS FOR MORE THAN AN HOUR, THE PATIENT HAD ALREADY HAD A LOT OF BLEEDING. INQUIRING THE S&N AGAIN, IT WAS DECIDED TO CHANGE THE CUP AND FAILED AGAIN. AT THAT TIME, THE PATIENT HAD MORE BLOOD LOSS AND ARRHYTHMIA. THEN THE SURGEON HAD TO TAKE OUT THE ACETABULAR PROSTHESIS, REPLACED IT WITH THE 62MM ACETABULAR CUP PROSTHESIS, AND SUCCESSFULLY IMPLANTED THE 62MM HIGH CROSS-LINKED LINER. THE SURGERY WAS COMPLETED AFTER MORE THAN 2 HOURS DELAY.
Patient problems: Injury
MAUDE report 8495478 ↗InjurySep 6, 2018Insufficient Device Problem Information; Insufficient Device Problem Information
Recalls under the same FDA submission
These recalls involve devices cleared under K113848, K211176. 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-1929-2013 · May 29, 2013 · TerminatedR3 (TM) XLPE ACETABULAR LINER UHMWPE, 20o OVERHANG, 36 MM ID, 60 MM OD, QTY: (1), STERILE H2O2, REF 71335760. Orthopaedic.
- Z-1928-2013 · May 29, 2013 · TerminatedR3 (TM) XLPE ACETABULAR LINER UHMWPE, 20o OVERHANG, 36 MM ID, 62 MM OD, QTY: (1), STERILE H2O2, REF 71335762. Orthopaedic.
Other Prosthesis, hip, semi-constrained, metal/polymer, cemented devices
- NA 1365-51-000Depuy (Ireland) · Prosthesis, hip, semi-constrained, metal/polymer, cemented753 reports
- NA 1365-50-000Depuy (Ireland) · Prosthesis, hip, semi-constrained, metal/polymer, cemented412 reports
- ARTICUL/EZE 1365-21-000Depuy (Ireland) · Prosthesis, hip, semi-constrained, metal/polymer, cemented1 recall280 reports
- ARTICUL/EZE 1365-11-000Depuy (Ireland) · Prosthesis, hip, semi-constrained, metal/polymer, cemented1 death262 reports
- LFIT 6260-9-236Howmedica Osteonics Corp. · Prosthesis, hip, semi-constrained, metal/polymer, cemented256 reports
- PINNACLE GRIPTION 1217-32-052Depuy Orthopaedics, Inc. · Prosthesis, hip, semi-constrained, metal/polymer, cemented2 deaths239 reports
- ELEOS™ 25002111EOnkos Surgical, Inc. · Prosthesis, hip, semi-constrained, metal/polymer, cemented3 deaths230 reports
- Novation 130-36-52Exactech, Inc. · Prosthesis, Hip, Semi-Constrained, Metal/Polymer, Cemented2 recalls124 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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