BEUDAMED
    FDA Adverse Event Injury Summary report: N

    DEPUY PINNACLE ACETABULAR CUP SYSTEM

    MDR report key: 2932866 · Received January 25, 2013

    Report

    Report Number
    MW5028752
    Event Type
    Injury
    Date Received
    January 25, 2013
    Manufacturer
    DEPUY ORTHOPAEDICS, INC.
    Product Code
    LPH
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    LA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    I HAD A TOTAL HIP REPLACEMENT ON (B)(6) 2010. I REC'D THE DEPUY TOTAL HIP PINNACLE ACETABULAR CUP, SZ MM50, ALTRX 10 DEGREES, 32 X 50 ID X OD +4, AML 6" SMALL STATURE. PRIOR TO SURGERY, I HAD LEFT ANTERIOR GROIN PAIN WHICH RADIATED INTO MY ANTERIOR THIGH. I AM UNABLE TO WORK AT MY JOB AS A REGISTERED NURSE, CANNOT WALK FOR EXTENDED PERIODS OF TIME, CLIMB STAIRS OR LADDERS, LIFTING, CANNOT SIT FOR AN EXTENDED PERIOD OF TIME. I AM LIMITED IN WHERE I GO AND WHEN, I SELDOM LEAVE HOME WITH OUT SOMEONE WITH ME AND I LIMIT WHERE I GO FOR FEAR FALLING. MY LEFT LEG IS WEAK AND I AM PRONE TO FALLING. REASON FOR USE: LEFT HIP OSTEOARTHROSIS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    36322 DEPUY PINNACLE ACETABULAR CUP SYSTEM METAL-ON-METAL HIP IMPLANT LPH DEPUY ORTHOPAEDICS, INC. 1217-22-050 EH6HS1000
    36323 DEPUY ALTRX ACETABULAR LINER JDI DEPUY ORTHOPAEDICS, INC.
    36324 DEPUY AML 6" SMALL STATURE 10 DEGREE, 32 X 50 ID X OD +4 HIP IMPLANT JDI DEPUY ORTHOPAEDICS, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization| R