X3 1236-2-858Recalls & reported problems
Howmedica Osteonics Corp. · X3 Insert for ADM/ MDM · Class 2 · Implant
Data updated Oct 13, 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 04546540639028), received between Jun 30, 2017 and Jul 28, 2025 — classified as 7 injuries.
The most frequently reported specific device problem is “Insufficient Device Problem Information” (2 reports).
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. How this data works · Data updated Oct 13, 2026.
Reports received per month
Most reported problems
Device problems
- Adverse Event Without Identified Device or Use Problem3
- Insufficient Device Problem Information2
- Detachment of Device or Device Component1
- Device Dislodged or Dislocated1
- Unstable1
Patient problems
- Unspecified Infection4
- Injury2
- Pain2
- Joint Laxity1
Recent adverse event reports
The 7 most recent of 7 reports, in the reporter's own words as published by the FDA.
InjuryJul 28, 2025Unstable; Detachment of Device or Device Component; Unstable; Detachment of Device or Device Component
AS REPORTED: "REVISION OF LEFT TOTAL HIP DONE TODAY. THIS PATIENT PRESENTED WITH A PERIPROSTHETIC FRACTURE OF HIS RIGHT HIP WHICH WAS COMPETITOR TOTAL HIP. ORIGINALLY THE LEFT HIP WAS NOT A PROBLEM. THE RIGHT HIP WAS REVISED ON (B)(6) 2025 TO ADDRESS THE FRACTURE USING COMPETITOR PRODUCTS. AFTER THAT SURGERY IT WAS DISCOVERED THAT THE LEFT HIP HAD DISLOCATED. THE LEFT HIP WAS REDUCED AND TRANSFERRED FROM TRAUMA SERVICE TO JOINT REPLACEMENT SERVICE. IT WAS DISCOVERED THAT THE 28MM HEAD HAD DISASSOCIATED FROM THE MDM POLY LINER. IT IS THOUGHT THAT THIS DISASSOCIATION OCCURS WHEN THE HIP WAS REDUCED. THE REVISION TODAY WAS TO ADDRESS THE INSTABILITY OF THE LEFT HIP. MDM IMPLANTS WERE REMOVED AND A CONSTRAINED LINER WAS PLACED. IT WAS ALSO DECIDED TO GO FROM A +4 NECK LENGTH TO A +8 TO ADDRESS LIMB LENGTH DISCREPANCY. NO FURTHER INFORMATION AVAILABLE FROM SURGEON OR HOSPITAL." REP CONFIRMED THAT INTRA-OPERATIVELY, THE POLY WAS FOUND FLOATING IN THE JOINT.
Patient problems: Joint Laxity
MAUDE report 22638123 ↗InjuryDec 13, 2022Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
THE PATIENT HAD A PRIMARY LEFT THA OUT OF CORS SCOPE. ON (B)(6) 2022 THE PATIENT HAS A PERIPROSTHETIC JOINT INFECTION AND IS ENTERED INTO CORS WITH A PROXIMAL FEMORAL REPLACEMENT. THE PATIENT DEVELOPED AGAIN INFECTION OF THE LEFT HIP AND UNDERWENT REVISION FOR PJI WITH ONLY THE MDM & HEAD COMPONENTS EXCHANGED ON (B)(6) 2022.
Patient problems: Unspecified Infection
MAUDE report 15974370 ↗InjuryMay 4, 2021Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT THE PATIENT'S RIGHT HIP WAS REVISED DUE TO INFECTION. ALL REPORTED DEVICES WERE REVISED. PATIENT HAD PREVIOUSLY HAD A POLY SWAP THE WEEK BEFORE. REP CONFIRMED THAT NO FURTHER INFORMATION WILL BE RELEASED BY THE HOSPITAL OR SURGEON.
Patient problems: Unspecified Infection
MAUDE report 11770794 ↗InjuryApr 27, 2021Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT THE PATIENT'S RIGHT HIP WAS REVISED DUE TO INFECTION. A POLY SWAP WAS DONE. REP CONFIRMED THAT NO FURTHER INFORMATION WILL BE RELEASED BY THE HOSPITAL OR SURGEON.
Patient problems: Unspecified Infection
MAUDE report 11733680 ↗InjuryDec 17, 2019Insufficient Device Problem Information; Insufficient Device Problem Information
AS REPORTED "SURGEON DID A HEAD EXCHANGE DUE TO POSSIBLE INFECTION. X-RAY, ORIGINAL [USAGE] SHEET, REVISION. [USAGE] SHEET ALL ATTACHED. NO OTHER INFORMATION AVAILABLE PER HOSPITAL POLICY." THE FEMORAL HEAD AND ADM/ MDM INSERT WERE REVISED.
Patient problems: Injury; Unspecified Infection
MAUDE report 9484893 ↗InjuryAug 16, 2019Insufficient Device Problem Information; Insufficient Device Problem Information
THIS PATIENT IS A SUBJECT IN STRYKER ADM X3 ACETABULAR SYSTEM STUDY. AT THE SUBJECT'S 6-YEAR FOLLOW-UP THE SUBJECT REPORTED HE WAS UNSATISFIED WITH THE RESULTS OF HIS HIP REPLACEMENT DUE TO SORENESS IN HIP WITH EXTENDED WALKING.
Patient problems: Pain
MAUDE report 8902284 ↗InjuryJun 30, 2017Device Dislodged or Dislocated; Device Dislodged or Dislocated
THE SURGEON REVISED A THA PATIENT DUE TO DISLOCATION. WITH CONTINUED PAIN THE SURGEON HAD A CT SCAN DONE WHICH SHOWED THAT THE FEMORAL HEAD PULLED OUT OF THE MDM OUTER BALL. SURGEON REVISED THE PATIENT TO A COBALT CHROME HEAD AND NEW MDM OUTER BALL.
Patient problems: Injury; Pain
MAUDE report 6681004 ↗
Other Prosthesis, hip, semi-constrained, uncemented, metal/polymer, non-porous, calicum-phosphate devices
- Novation 130-32-51Exactech, Inc. · Prosthesis, Hip, Semi-Constrained, Uncemented, Metal/Polymer, Non-Porous, Calicum-Phosphate2 recalls156 reports
- Novation 130-36-53Exactech, Inc. · Prosthesis, Hip, Semi-Constrained, Uncemented, Metal/Polymer, Non-Porous, Calicum-Phosphate2 recalls79 reports
- CORAIL 3L92511Depuy (Ireland) · Prosthesis, hip, semi-constrained, uncemented, metal/polymer, non-porous, calicum-phosphate158 reports
- Acumatch A Series 138-36-29Exactech, Inc. · Prosthesis, Hip, Semi-Constrained, Uncemented, Metal/Polymer, Non-Porous, Calicum-Phosphate3 recalls1 report
- Novation 136-32-51Exactech, Inc. · Prosthesis, Hip, Semi-Constrained, Uncemented, Metal/Polymer, Non-Porous, Calicum-Phosphate2 recalls43 reports
- Novation 130-32-53Exactech, Inc. · Prosthesis, Hip, Semi-Constrained, Uncemented, Metal/Polymer, Non-Porous, Calicum-Phosphate2 recalls33 reports
- Novation 132-32-51Exactech, Inc. · Prosthesis, Hip, Semi-Constrained, Uncemented, Metal/Polymer, Non-Porous, Calicum-Phosphate2 recalls26 reports
- Novation 136-36-53Exactech, Inc. · Prosthesis, Hip, Semi-Constrained, Uncemented, Metal/Polymer, Non-Porous, Calicum-Phosphate2 recalls22 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 13, 2026 · each report above links to its original FDA record
- Recalls: FDA Medical Device Recalls, file dated Oct 13, 2026
- Page last rebuilt: Oct 13, 2026. Data downloaded through openFDA, which notes it is not validated for clinical or regulatory use.
How reports and recalls are matched · Editorial policy · Report an error on this page