BEUDAMED
    FDA Adverse Event Injury Summary report: N

    DEPUY PINNACLE SIZE 54 CUP

    MDR report key: 1893130 · Received November 1, 2010

    Report

    Report Number
    MW5018052
    Event Type
    Injury
    Date Received
    November 1, 2010
    Date of Event
    July 6, 2010
    Report Date
    November 1, 2010
    Manufacturer
    DEPUY IS A DIVISION OF JOHNSON & JOHNSON COMPANY
    Product Code
    KWA
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    ID, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    ON (B)(6) 2010, I HAD TOTAL HIP REPLACEMENT SURGERY USING DEPUY PINNACLE AND DEPUY SUMMIT DEVICES. I NEED THE ASSISTANCE OF A WALKER AND CANNOT WALK UNAIDED. I DO NOT THINK THIS IS NORMAL; I SHOULD BE COMPLETELY RECOVERED BY NOW, AND BE ABLE TO WALK. DIAGNOSIS OR REASON FOR USE: SEVERE OSTEOARTHRITIS OF RIGHT HIP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DEPUY PINNACLE SIZE 54 CUP MEDICAL DEVICES USED IN PERFORMING TOTAL HIP KWA DEPUY IS A DIVISION OF JOHNSON & JOHNSON COMPANY
    2 DEPUY SUMMIT SIZE 5 MEDICAL DEVICES USED IN PERFORMING TOTAL HIP KWA DEPUY IS A DIVISION OF JOHNSON & JOHNSON COMPANY

    Patients

    Seq Age Sex Outcome Treatment
    1 57 YR Required Intervention