R3 71366438Recalls & reported problems
Smith & Nephew, Inc. · R3 LINER IMPACTOR HEAD II 38-42MM · Class 2
Data updated Oct 16, 2026 from official FDA records · Editorial policy
- Adverse event reports
- 19
- Deaths reported
- 0
- Injuries reported
- 3
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 19 adverse event reports that list this exact device (DI 03596010656087), received between Oct 9, 2020 and Jul 14, 2026 — classified as 3 injuries, 16 malfunctions.
The most frequently reported specific device problem is “Crack” (8 reports).
2 other recalls cover devices cleared under the same FDA submission (K123598); 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
- Crack8
- Break6
- Fracture5
- Naturally Worn3
- Scratched Material3
Patient problems
- No Clinical Signs, Symptoms or Conditions18
- Foreign Body In Patient1
- No Known Impact Or Consequence To Patient1
Recent adverse event reports
The 19 most recent of 19 reports, in the reporter's own words as published by the FDA.
MalfunctionJul 14, 2026Fracture
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 25817997 ↗MalfunctionJun 30, 2026Break
IT WAS REPORTED THAT, DURING A THR SURGERY, ONE (1) R3 LNR MPACTOR HD II 38-42MM BROKE WHEN HITTING THE CUP IN. IT IS UNKNOWN HOW THE PROCEDURE WAS PERFORMED OR IF THERE WAS ANY DELAY. NO FURTHER COMPLICATIONS WERE REPORTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 25662651 ↗MalfunctionOct 31, 2025Fracture; Fracture
IT WAS REPORTED THAT, DURING A THR SURGERY, AFTER IMPACTION OF THE DEFINITIVE LINER INTO THE SHELL, IT WAS NOTICED THAT ONE (1) R3 LNR MPACTOR HD II 38-42MM WAS CRACKED IN HALF UPON REMOVAL FROM THE PATIENT. THERE WAS ONE HALF PIECE THAT WAS IN THE PATIENT AND WAS REMOVED IT USING A KOCHER. ALL PIECES WERE REMOVED AND ACCOUNTED FOR. THE PROCEDURE WAS RESUMED, WITHOUT ANY DELAY, USING A SIMILAR S+N BACK-UP PRODUCT. NO FURTHER COMPLICATIONS WERE REPORTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 23438187 ↗MalfunctionAug 14, 2025Fracture; Fracture
IT WAS REPORTED THAT, DURING A THR SURGERY ONE (1) R3 LNR MPACTOR HD II 38-42MM CRACKED WHILE IMPACTING BUT STAYED ATTACHED TO IMPACTOR HANDLE AND WHOLE. NOTHING FELL IN WOUND. ALL BROKEN PIECES WERE ACCOUNTED FOR. THE PROCEDURE WAS RESUMED, WITHOUT ANY DELAY, USING A SN BACK-UP DEVICE. NO INJURY WAS REPORTED AS A CONSEQUENCE OF THIS ISSUE.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 22811478 ↗MalfunctionNov 26, 2024Fracture; Fracture
IT WAS REPORTED THAT DURING A THR SURGERY, THE R3 LNR MPACTOR HD II 38-42MM BROKE WHILE IMPACTING AN OR3O LINER. NO PIECE OF THE IMPACTOR HEAD WAS LEFT OR FELL IN THE PATIENT. THE PROCEDURE WAS RESUMED, AFTER A NON-SIGNIFICANT DELAY, WITH A S+N BACK-UP DEVICE. PATIENT WAS NOT INJURED AS CONSEQUENCE OF THIS PROBLEM.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 20784366 ↗MalfunctionAug 8, 2024Fracture; Fracture
IT WAS REPORTED THAT DURING A THR SURGERY, THE R3 LNR MPACTOR HD II 38-42MM BROKE DURING IMPACTION. NONE OF THE PIECES THAT BROKE OFF WENT INTO THE PATIENT. THE PROCEDURE WAS RESUMED, AFTER A NON-SIGNIFICANT DELAY, WITH A S+N BACK-UP DEVICE. PATIENT WAS NOT INJURED AS CONSEQUENCE OF THIS PROBLEM.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 19940087 ↗MalfunctionOct 14, 2022Break; Break
IT WAS REPORTED THAT, TWO R3 LNR MPACTOR HD II 38-42MM ARE BROKEN. SINCE IT WAS NOTICED DURING A FIELD INSPECTION, NO PATIENT WAS INVOLVED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 15612144 ↗MalfunctionOct 12, 2022Break; Break
IT WAS REPORTED THAT, TWO (2) R3 LNR MPACTOR HD II 38-42MM WERE FOUND BROKEN. AS THIS WAS NOTICED UPON FIELD INSPECTION, NO PATIENT WAS INVOLVED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 15592086 ↗MalfunctionFeb 16, 2022Crack; Crack
IT WAS REPORTED THAT, DURING THE INSPECTION, IT WAS FOUND THAT AN R3 LNR MPACTOR HD II 38-42MM HAVE A CRACK IN THEM. NO CASE WAS INVOLVED; THEREFORE, THERE WAS NO PATIENT INVOLVEMENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 13540191 ↗MalfunctionFeb 14, 2022Crack; Naturally Worn; Crack; Naturally Worn
IT WAS REPORTED THAT, THE R3 LNR MPACTOR HD II 38-42MM IS WORN AND CRACKED. AS THIS HAPPENED IN A NON-SURGICAL ENVIRONMENT, THERE WAS NOT PATIENT INVOLVEMENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 13529726 ↗MalfunctionDec 27, 2021Crack; Crack
IT WAS REPORTED THAT, A R3 LNR MPACTOR HD II 38-42MM WAS CRACKED. AS THIS WAS NOTICED DURING INSPECTION, NO CASE WAS INVOLVED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 13090478 ↗MalfunctionJul 6, 2021Crack; Naturally Worn; Scratched Material; Crack; Naturally Worn; Scratched Material
IT WAS REPORTED THAT A R3 LINER IMPACTOR HEAD WERE SCRATCHED, CRACKED AND WORN. AS THIS WAS NOTICED UPON INSPECTION, THERE WAS NOT PATIENT INVOLVEMENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 12121614 ↗MalfunctionJul 5, 2021Crack; Naturally Worn; Scratched Material; Crack; Naturally Worn; Scratched Material
IT WAS REPORTED THAT A R3 LINER IMPACTOR HEAD II WAS SCRATCHED, CRACKED AND WORN. AS THIS WAS NOTICED UPON INSPECTION, THERE WAS NOT PATIENT INVOLVEMENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 12119343 ↗MalfunctionJul 5, 2021Crack; Scratched Material; Crack; Scratched Material
IT WAS REPORTED THAT, DURING INSPECTION A R3 LNR MPACTOR HD II WAS NOTICED SCRATCHED AND CRACKED. AS THIS WAS NOTICED IN A NON-SURGICAL ENVIRONMENT, THERE WAS NOT ANY PATIENT INVOLVED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 12119325 ↗InjuryMar 4, 2021Break; Break
IT WAS REPORTED THAT, DURING A THA PROCEDURE, THE METAL RING OF A R3 LNR MPACTOR HD II 38-42MM BROKE OFF DURING IMPACTION, PIECES WERE RETRIEVED WITH TWEEZERS. PROCEDURE WAS COMPLETED WITH A BACKUP DEVICE. THERE WAS NO DELAY.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 11408863 ↗MalfunctionJan 4, 2021Crack; Crack
IT WAS REPORTED THAT, DURING AN OFFICE INSPECTION IT WAS FOUND THAT FOR A R3 LNR MPACTOR HD II 38-42MM, THE TRIAL WAS CRACKED AND NEEDS TO BE REPLACED. NO CASE REPORTED; THEREFORE, THERE WAS NO PATIENT INVOLVEMENT. ALL AVAILABLE INFORMATION HAS BEEN DISCLOSED. IF ADDITIONAL INFORMATION SHOULD BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED ACCORDINGLY.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 11115038 ↗InjuryDec 29, 2020Break; Break
IT WAS REPORTED THAT A R3 LNR IMPACTOR HD II 38-42 MM CRACKED VERTICALLY WHILE IMPACTING A LINER. THIS OCCURRED DURING THR PROCEDURE, INSTRUMENT INSIDE THE PATIENT. NO HARM OR INJURY REPORTED ON PATIENT. PROCEDURE WAS FINISHED WITH A SMITH AND NEPHEW BACK UP DEVICE. THERE WAS A LESS THAN 30 MINUTES DELAY. ALL AVAILABLE INFORMATION HAS BEEN DISCLOSED. IF ADDITIONAL INFORMATION SHOULD BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED ACCORDINGLY.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 11088917 ↗InjuryNov 10, 2020Break; Break
IT WAS REPORTED THAT WHILE PERFORMING A THR PROCEDURE THE R3 LNR IMPACTOR HD II 38-42MM BROKE WHILE IMPACTING LINER. THE PROCEDURE WAS COMPLETED WITH AN SMITH&NEPHEW BACKUP DEVICE. NO PATIENT HARM OR ADDITIONAL COMPLICATIONS WERE REPORTED. ALL AVAILABLE INFORMATION HAS BEEN DISCLOSED. IF ADDITIONAL INFORMATION SHOULD BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED ACCORDINGLY.
Patient problems: Foreign Body In Patient; No Clinical Signs, Symptoms or Conditions
MAUDE report 10819520 ↗MalfunctionOct 9, 2020Crack; Crack
IT WAS REPORTED THAT DURING A ROUTINE EFIP INSPECTION THE R3 LINER WAS FOUND TO BE CRACKED. NO CASE INVOLVED. ALL AVAILABLE INFORMATION HAS BEEN DISCLOSED. IF ADDITIONAL INFORMATION SHOULD BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED ACCORDINGLY.
Patient problems: No Known Impact Or Consequence To Patient
MAUDE report 10658912 ↗
Recalls under the same FDA submission
These recalls involve devices cleared under K123598. One submission often covers many models, so check the product and lot details in each record.
- Z-0730-2019 · Jan 7, 2019 · TerminatedSL PLUS MIA DOUBLE OFFSET ADAPTER RIGHT 60/25MM, S&N 75004613
- Z-1008-2017 · Nov 16, 2016 · TerminatedREFLECTION(R) DEAD BLOW MALLET, REF 71362106, QTY: (1), NON-STERILE, Smith & Nephew, Inc,. Memphis, TN 38116
Other Prosthesis, hip, femoral component, cemented, metal devices
- GENESIS II 71440005Smith & Nephew, Inc. · Prosthesis, hip, femoral component, cemented, metal599 reports
- NA 71364073Smith & Nephew, Inc. · Prosthesis, hip, femoral component, cemented, metal436 reports
- Peri-Loc 71173377Smith & Nephew, Inc. · Prosthesis, hip, femoral component, cemented, metal401 reports
- R3 71368569Smith & Nephew, Inc. · Prosthesis, hip, femoral component, cemented, metal398 reports
- NA 71364006Smith & Nephew, Inc. · Prosthesis, hip, femoral component, cemented, metal197 reports
- NA 71364011Smith & Nephew, Inc. · Prosthesis, hip, femoral component, cemented, metal176 reports
- Accord 71360046Smith & Nephew, Inc. · Prosthesis, hip, femoral component, cemented, metal171 reports
- REFLECTION 71362279Smith & Nephew, Inc. · Prosthesis, hip, femoral component, cemented, metal155 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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