BEUDAMED
    FDA Adverse Event Injury Summary report: N

    DEPUY PINNACLE HIP REPLACEMENT

    MDR report key: 2172226 · Received July 14, 2011

    Report

    Report Number
    MW5021426
    Event Type
    Injury
    Date Received
    July 14, 2011
    Date of Event
    July 28, 2008
    Report Date
    July 14, 2011
    Manufacturer
    DEPUY ORTHOPAEDICS., INC.
    Product Code
    LPH
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IL, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    HAD A DEPUY PINNACLE HIP REPLACEMENT ON (B)(6) 2008. OVER THE LAST YR, I HAVE HAD INCREASING PAIN AND DIFFICULTY WALKING OR STANDING. X-RAYS IN (B)(6) 2011 REVEALED, THE HIP REPLACEMENT MIGHT BE COMING LOOSE AND WAS EMBEDDED IN TISSUE. IT HAS GOTTEN PROGRESSIVELY WORSE OVER THE LAST 3 MONTHS AND I AM SEEING THE ORTHOPEDIC SURGEON AGAIN ON (B)(6) 2011 AND WILL PROBABLY HAVE TO HAVE REVISION SURGERY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DEPUY PINNACLE HIP REPLACEMENT DEPUY PINNACLE HIP REPLACEMENT LPH DEPUY ORTHOPAEDICS., INC. 1217-22-060 CE9FK1000

    Patients

    Seq Age Sex Outcome Treatment
    1 60 YR Disability