BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PINNACLE DP REV ACET CUP 56MM

    MDR report key: 1053599 · Received May 22, 2008

    Report

    Report Number
    1818910-2008-01623
    Event Type
    Injury
    Date Received
    May 22, 2008
    Date of Event
    April 24, 2008
    Report Date
    April 24, 2008
    Manufacturer
    DEPUY ORTHOPAEDICS, INC.
    Product Code
    LPH
    PMA / PMN Number
    K033338
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NC, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THIS COMPLAINT IS STILL UNDER INVESTIGATION. DEPUY WILL NOTIFY THE FDA OF THE RESULTS OF THIS INVESTIGATION ONCE IT HAS BEEN COMPLETED.

    Description of Event or Problem · 1

    PT WAS REVISED TO ADDRESS LOOSENING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PINNACLE DP REV ACET CUP 56MM 87LPH LPH DEPUY ORTHOPAEDICS, INC. NA YK3DA1000

    Patients

    Seq Age Sex Outcome Treatment
    1 60 YR Required Intervention