BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ACETABULAR CUP

    MDR report key: 7137410 · Received December 19, 2017

    Report

    Report Number
    MW5074127
    Event Type
    Injury
    Date Received
    December 19, 2017
    Date of Event
    March 1, 2007
    Report Date
    December 18, 2017
    Manufacturer
    JOHNSON AND JOHNSON/ DEPUY
    Product Code
    KWA
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    AZ, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    I HAD A HIP REPLACEMENT IN (B)(6) 2006. SOON AFTER SURGERY, I DEVELOPED LIMITED MOVEMENT ISSUES AND DIFFERENT PAIN IN THAT AREA. OVER TIME NOW, I HAVE DEVELOPED A NUMBER OF ISSUES OF THE JOHNSON AND JOHNSON DEPUY HIP PARTS. THE PARTS ARE COBALT AND CHROMIUM. I HAVE KIDNEY FAILURE AND COBALT AND CHROMIUM POISONING. I HAVE HAD A HEART ATTACK AND NUMEROUS TUMORS NEAR MY HIP REPLACEMENT. I HAVE BEEN TO OTHER HIP SURGEONS WHO WON'T TOUCH IT FOR REPLACEMENT. THEY SAY IF IT ISN'T RECALLED THEY WON'T FIX IT. I REALLY WANT TO REPORT TO YOU THE ISSUES FOR A POSSIBLE FUTURE RECALL. I HAVE ALL LOT NUMBERS OF WHAT WAS PUT INTO MY BODY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    906990 ACETABULAR CUP HIP REPLACEMENT KWA JOHNSON AND JOHNSON/ DEPUY 62 MM Z3XDM1000

    Patients

    Seq Age Sex Outcome Treatment
    1 Disability OTC MEDS: NA.| RX MEDS: LIST CAN BE SENT TO YOU.