BEUDAMED
    FDA Adverse Event Injury Summary report: N

    DEPUY ORTHOPEDICS

    MDR report key: 2220383 · Received August 17, 2011

    Report

    Report Number
    MW5021811
    Event Type
    Injury
    Date Received
    August 17, 2011
    Date of Event
    April 11, 2006
    Report Date
    August 17, 2011
    Manufacturer
    JOHNSON & JOHNSON
    Product Code
    LPH
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NE, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    LT & RT TOTAL HIP ARTHROPLASTY. DEPUY PINNACLE METAL ON METAL. CONSTANT PAIN, SWELLING IN LEGS, INABILITY TO WALK, SHARP AND EXCRUCIATING PAINS IN THE GROIN, HIP AND LOWER BACK AREA. NO BLOOD WORK DONE AS OF YET, NO INSURANCE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DEPUY ORTHOPEDICS PINNACLE LPH JOHNSON & JOHNSON
    2 DEPUY ORTHOPEDICS PINNACLE LPH JOHNSON & JOHNSON

    Patients

    Seq Age Sex Outcome Treatment
    1 45 YR Life Threatening| O| R