BEUDAMED
    FDA Adverse Event Death Summary report: N

    DEPUY ASR HIP RESURFACING SYSTEM

    MDR report key: 2081823 · Received May 3, 2011

    Report

    Report Number
    MW5020504
    Event Type
    Death
    Date Received
    May 3, 2011
    Date of Event
    May 18, 2010
    Report Date
    May 3, 2011
    Manufacturer
    DEPUY
    Product Code
    KWA
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MI, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND

    Narratives

    Description of Event or Problem · 1

    IN 2004, MY BROTHER HAD HIS RIGHT HIP RESURFACED WITH A DEPUY HIP. IN 2008, HE HAD HIS LEFT HIP RESURFACED WITH ANOTHER DEPUY HIP. AFTER WHAT APPEARED TO BE GREAT SUCCESS, HE HAD HORRIBLE SCIATIC PAIN STARTING IN 2009. MANY MRI'S AND CAT SCANS WERE DONE BUT NO SIGN OF CANCER OR OTHER SERIOUS PROBLEMS COULD BE FOUND BY SEVERAL MEDICAL PROFESSIONALS. AT (B)(6) 2009, MY BROTHER STARTED TO HAVE SERIOUS GASTRIC PROBLEMS. BY (B)(6) OF 2009, TO OUR HORROR, HE WAS DIAGNOSED WITH STAGE 4 NON PRIMARY LIVER AND LUNG CANCER. NO PRIMARY CANCER SITE COULD BE FOUND BY TWO DIFFERENT TUMOR BOARDS. NEAR THE END OF HIS LIFE, A MASSIVE TUMOR WAS FOUND "HIDING" BEHIND HIS LEFT PROSTHETIC WHICH ACTUALLY BROKE HIS FEMUR. WHILE HIS ONCOLOGIST COULD NOT AT THIS POINT "PROVE" THE CANCER WAS CAUSED BY A MALFUNCTION WITH THE METAL ON METAL DEPUY HIP, IT IS OUR FIRM BELIEF THIS IS WHAT CAUSED MY BROTHER'S CANCER, HORRIBLE SUFFERING AND ULTIMATELY TOOK HIS LIFE. DATES OF USE: (B)(6) 2004 - (B)(6) 2010; (B)(6) 2008 - (B)(6) 2010. DIAGNOSIS OR REASON FOR USE: LATE SEQUELAE OF LEGG PERTHES DISEASE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DEPUY ASR HIP RESURFACING SYSTEM DEPUY ASR HIP KWA DEPUY UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 51 YR Death