BEUDAMED
    FDA Adverse Event Injury Summary report: N

    DEPUY PINNACLE - SIZE 7 HIGH OFFSET

    MDR report key: 2348570 · Received November 21, 2011

    Report

    Report Number
    MW5023185
    Event Type
    Injury
    Date Received
    November 21, 2011
    Date of Event
    November 1, 2009
    Report Date
    November 15, 2011
    Manufacturer
    DEPUY ORTHO. INC.
    Product Code
    LPH
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    (B)(6), 2009, I HAD A TOTAL HIP REPLACEMENT OF MY LEFT/SIDE/HIP - IT WAS A DEPUY PINNACLE MODEL. AFTER A FEW MONTHS THE PAIN BECAME SO INTENSE, IT AFFECTED SLEEP, WALKING, MOST MOVEMENTS OF MY BODY - IN (B)(6) 2010, I LEARNED OF HIP-RECALLS BY DEPUY. MY SURGEON DID ANOTHER REPLACEMENT (B)(6) 2011. NOW I'M HAVING MORE PAIN PROBLEMS THAN EVER. I REPORTED THIS TO THE DEPUY CORP. (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DEPUY PINNACLE - SIZE 7 HIGH OFFSET TOTAL HIP REPLACEMENT LPH DEPUY ORTHO. INC.
    2 TRI LOCK SYSTEM A56-3 HOLE PINNACLE CUP TOTAL HIP REPLACEMENT KWA DEPUY ORTHO. INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 70 YR Other| R| S