FDA Adverse Event
Injury
Summary report: N
DEPUY PINNACLE HIP IMPLANT
MDR report key: 8546252
·
Received April 23, 2019
Report
- Report Number
- MW5086117
- Event Type
- Injury
- Date Received
- April 23, 2019
- Date of Event
- February 2, 2009
- Report Date
- April 21, 2019
- Manufacturer
- DEPUY SYNTHES, INC.
- Product Code
- LPH
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- NC, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
MOM HIP REPLACEMENT WITH DEPUY PINNACLE IN 2009. SIDE EFFECTS OVER THE YEARS INCLUDE TINNITUS, POSSIBLE RETINAL DETACHMENT, SEVERE DEPRESSION, ANXIETY, EXTREME WEIGHT GAIN, INABILITY TO WALK, CIRCULATORY PROBLEMS METALLOSIS. HIP REVISION. FDA SAFETY REPORT ID# (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 331681 | DEPUY PINNACLE HIP IMPLANT | PROSTHESIS, HIP | LPH | DEPUY SYNTHES, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 53 YR | Hospitalization| L| O| R| S |