The Recall Desk
SevereFDA (Devices)·Z-1818-2025·Announced 2025-06-04

ELEOS Collar Stem 15mm mistakenly labeled as 13mm modular stem

Onkos Surgical is recalling ELEOS Collar Stem components (Model HC-15120-03M) that were packaged and labeled as 13mm modular segmental stems when they are actually 15mm in diameter. This mislabeling could result in implantation of an incorrectly-sized component during limb salvage surgery.

What this means for you

Illness, injury, or structural failure has been reported. Stop using the product immediately and contact the manufacturer for a refund or repair.

Our severity reasoning: This is an FDA Class II recall of an orthopedic implant with critical patient safety implications. A mislabeled surgical implant of incorrect size could result in improper surgical placement, structural failure, or patient harm during limb salvage procedures, meeting the criterion for Severe severity.

Plain-English summary

Onkos Surgical, Inc. is recalling 23 units of the ELEOS Collar Stem, Cemented, Fluted, 15mm x 120mm (Model Number HC-15120-03M), a component of the Limb Salvage System with BioGrip. The affected units were distributed nationwide to hospitals and surgical centers in California, Kentucky, and Wisconsin.

The recalled implants were mislabeled as 13mm modular segmental stems (Model HC-13120-03M) when they are actually 15mm in diameter. Packages indicated the contained stem was 13mm cemented in size, but the actual implant was 15mm cemented. This mislabeling could lead a surgeon to implant an implant of incorrect size during limb salvage surgery.

Affected units have Serial Numbers P230274-101 through P230274-123. Patients who received these implants or healthcare facilities with inventory should contact Onkos Surgical, Inc. immediately to identify whether they have affected units and determine the appropriate next steps.

The recalled product

Product
ELEOS COLLAR STEM, CEMENTED, FLUTED, 15MM X 120MM. Model Number: HC-15120-03M. Component of Limb Salvage System with BioGrip.
Manufacturer
Onkos Surgical, Inc.
Hazard
  • mislabeling
  • wrong-size-implant
  • surgical-implant-failure

Distribution

Distributed nationwide across the United States.