BEUDAMED
    FDA Adverse Event Injury Summary report: N

    DEPUY PINNACLE ACETABULAR CUP, 52-MM

    MDR report key: 2980695 · Received February 22, 2013

    Report

    Report Number
    MW5029126
    Event Type
    Injury
    Date Received
    February 22, 2013
    Manufacturer
    DEPUY ORTHOPAEDICS, INC.
    Product Code
    KWA
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    I UNDERWENT A TOTAL HIP REPLACEMENT ON (B)(6) 2006. I RECEIVED THE DEPUY PINNACLE ACETABULAR CUP, 52-MM. SINCE ABOUT 4 YEARS AFTER THE DATE OF IMPLANTATION, I BEGAN TO EXPERIENCE PAIN WHEN PERFORMING ORDINARY TASKS. SINCE 2011, THE PAIN HAS BECOME SEVERE AND CONTINUOUS. I LIVE WITH THE PAIN AS BEST AS I CAN BUT I CANNOT CLIMB STAIRS OR WALK FOR ANY CONSIDERABLE DISTANCE. I HAVE TO USE A CAN FOR ASSISTANCE. DIAGNOSIS OR REASON FOR USE: OSTEOARTHRITIS. AVN - BILATERAL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    77994 DEPUY PINNACLE ACETABULAR CUP, 52-MM METAL-ON-METAL HIP IMPLANT KWA DEPUY ORTHOPAEDICS, INC. 1217-22-052 ZWIE71000

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization| S IN-PATIENT PHYSICAL THERAPY 01/01/2011-01/01/2011