BEUDAMED
    FDA Adverse Event Injury Summary report: N

    DEPUY PINNACLE 300 ACETABULAR CUP

    MDR report key: 3050112 · Received March 15, 2013

    Report

    Report Number
    MW5029663
    Event Type
    Injury
    Date Received
    March 15, 2013
    Manufacturer
    DEPUY ORTHOPAEDICS, INC
    Product Code
    KWA
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    KY, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    RIGHT TOTAL HIP REPLACEMENT ON (B)(6) 2009. HE RECEIVED THE DEPUY TOTAL HIP PINNACLE ACETABULAR CUP SZ MM 58, AND THE PINNACLE METAL INSERT 40MM ID X 58MM OD, IN (B)(6) 2010 HE BEGAN HAVING PAIN IN HIS RIGHT HIP MAKING IT DIFFICULT TO WALK OR PERFORM PHYSICAL ACTIVITY. HE ALSO HAS PAIN AND SORENESS WHEN HE LIFTS HIS RIGHT LEG. REASON FOR USE: SEVERE OSTEOARTHRITIS OF RIGHT HIP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    110328 DEPUY PINNACLE 300 ACETABULAR CUP METAL-ON-METAL HIP IMPLANT KWA DEPUY ORTHOPAEDICS, INC 1217-03-058 DH2CT1000
    110329 DEPUY PINNACLE METAL INSERT METAL-ON-METAL HIP IMPLANT KWA DEPUY ORTHOPAEDICS, INC 1218-87-458 2928649
    110331 DEPUY PINNACLE SECTOR 11 ACETABULAR CUP METAL-ON-METAL HIP IMPLANT KWA DEPUY ORTHOPAEDICS, INC 1217-22-058 D1VF7100

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention| S