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Service provided by NTH Solutions LLP, an NHS wholly owned company

The NHS Implant Analysis Service

To date there has not been an easily accessible and affordable explant analysis service within the NHS, and so most explanted revised joints end up in the operating room bin. With the introduction of the NHS Implant Analysis Service, hospitals and surgeons now have access to a fast, cost effective, NHS led service. 

The launch of this service enables the cost-effective analysis of explanted devices and provision of expert reports to surgeons and MDTs providing additional data to support patient reviews and insights that can inform clinical practice.

“In BC (Beyond Compliance) we have always thought that explant analysis of all retrieved implants, particularly if they are novel, should be undertaken. To date this has hardly happened and BC and ODEP are delighted that the NHS Implant Analysis Service is going to facilitate this essential part of implant monitoring.”
Keith Tucker, Chair of ODEP and the Beyond Compliance Advisory Group. Autumn 2022

Some of the benefits of explant analysis

Explant analysis enables the early detection of characteristic failure patterns, ensuring that devices which may be performing sub-optimally are rapidly identified

Corrosion and wear of explants can be quantified and mapped, so that prostheses exhibiting atypical features can be identified

Prosthetic surfaces can be analysed rapidly and accurately to identify issues which may not be visible to the naked eye

Adverse reactions to metal debris (ARMD) can often mimic infection in their clinical presentation. Analysis of explanted components may identify abnormal wear or corrosive processes commonly associated with ARMD

“Examination of explanted joints that have failed or caused problems in the body is one of the most valuable sources of data about how and why implants fail..”
Government response to the House of Commons Science & Technology Committee report of session regulation of medical implants in the EU and UK

Our Service Delivery Partners

The NHS Implant Analysis Service partners with suitably qualified and vetted, independent national service providers to deliver impartial expertise in explanted medical device analysis and reporting.

Our partners are sourced through established NHS competitive tendering processes, ensuring the highest levels of quality in service delivery.

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