BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PINNACLE TOTAL HIP REPLACEMENT

    MDR report key: 2132687 · Received June 9, 2011

    Report

    Report Number
    MW5021006
    Event Type
    Injury
    Date Received
    June 9, 2011
    Report Date
    June 9, 2011
    Manufacturer
    DEPUY ORTHOPAEDICS INC. - JOHNSON AND JOHNSON
    Product Code
    LPH
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    AR, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    PAIN AND INABILITY TO WALK PROPERLY AFTER A TOTAL HIP REPLACEMENT. IMPLANT IS A "DEPUY PINNACLE METAL-ON-METAL" DEVICE. SURGERY WAS PERFORMED ON (B)(6) 2007.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PINNACLE TOTAL HIP REPLACEMENT TOTAL HIP IMPLANT LPH DEPUY ORTHOPAEDICS INC. - JOHNSON AND JOHNSON 2333563
    2 PINNACLE TOTAL HIP REPLACEMENT TOTAL HIP IMPLANT LPH DEPUY ORTHOPAEDICS INC. - JOHNSON AND JOHNSON 232887356

    Patients

    Seq Age Sex Outcome Treatment
    1 Other| R| S