BEUDAMED
    FDA Adverse Event Injury Summary report: N

    DEPUY PINNACLE

    MDR report key: 2072718 · Received April 25, 2011

    Report

    Report Number
    MW5020405
    Event Type
    Injury
    Date Received
    April 25, 2011
    Date of Event
    October 4, 2006
    Report Date
    April 25, 2011
    Product Code
    JDI
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    I HAD A HIP REPLACEMENT IN (B)(6) OF 2006. RECENTLY, I AM BACK TO THE LEVEL I WAS PRIOR TO HIP SURGERY. I WAS TOLD, BY MY DOCTOR, THAT THIS HIP SHOULD KEEP ME GOOD AS NEW FOR THE REST OF MY LIFE AS FAR AS HIPS GO. AFTER JUST 4 YEARS, I AM LIMPING AND AT TIMES HAVING TO USE A WALKER, THE PAIN FROM MY HIP IS AS BAD AS PRE SURGERY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DEPUY PINNACLE ARTICUL/EZE METAL ON METAL FEMORAL HEAD JDI 1365-51-000 2186567

    Patients

    Seq Age Sex Outcome Treatment
    1 49 YR Required Intervention