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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: DEPUY ORTHOPAEDICS INC US UNK HIP FEMORAL HEAD METAL; METAL FEMORAL HEAD

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DEPUY ORTHOPAEDICS INC US UNK HIP FEMORAL HEAD METAL; METAL FEMORAL HEAD Back to Search Results
Catalog Number UNK HIP FEMORAL HEAD METAL
Device Problem Adverse Event Without Identified Device or Use Problem (2993)
Patient Problems Ossification (1428); Fall (1848); Pain (1994); Loss of Range of Motion (2032)
Event Date 06/01/2022
Event Type  Injury  
Event Description
This complaint is from a literature source.The following literature cite has been reviewed stoltny t, pasek j, rokicka d, wróbel m, dobrakowski m, kaminski p, domagalski r, czech s, strojek k, koczy b.Are there really specific risk factors for heterotopic ossifications? a case report of 'non-risk factor' after total hip replacement.J int med res.2022 jun;50(6):3000605221095225.Doi: 10.1177/03000605221095225.Pmid: 35726568; pmcid: pmc9218464.Objective and methods: this case report describes as a 70-year-old male patient that presented with an old hip fracture accompanied by a mild craniocerebral trauma after being beaten in july 2018.The fracture was treated with depuy pinnacle/corail total cementless hip arthroplasty followed by rehabilitation.After a fall 8 months after primary tha, the patient was diagnosed with brooker iv° heterotopic ossification in the area of the operated hip joint.Due to the persistent pain, walking difficulty, and complete loss of mobility in the operated joint, computed tomography imaging was performed, and the patient was recommended for a revision surgery in october 2019.The revision was performed 14 months after the original surgical treatment, with excision of the extraskeletal ossification, resulting in a significant improvement in the range of motion and reduction of pain.Lot, model and catalog number are not available, but the suspected depuy device possibly associated with reported adverse events: 52 mm pinnacle cup 35/52 mm marathon poly insert size 12 corail stem 32 mm +13 metal femoral head adverse event(s) and provided interventions associated with depuy devices: extraskeletal ossification, pain, walking difficulty, and medical device site joint range of motion decreased treated with revision radiographic.
 
Manufacturer Narrative
Product complaint #: (b)(4).If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.
 
Manufacturer Narrative
Product complaint # (b)(4).Investigation summary : no device associated with this report was received for examination.This complaint was opened to document complaints derived through a journal article review.Follow-ups were done to try and obtain additional information from the author of the journal article.No further information was received.Device history lot : a manufacturing record evaluation (mre), was not possible because the required lot code was not provided.
 
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Brand Name
UNK HIP FEMORAL HEAD METAL
Type of Device
METAL FEMORAL HEAD
Manufacturer (Section D)
DEPUY ORTHOPAEDICS INC US
700 orthopaedic drive
warsaw IN 46581 0988
Manufacturer (Section G)
DEPUY ORTHOPAEDICS, INC. 1818910
700 orthopaedic dr.
warsaw IN 46581 0988
Manufacturer Contact
kate karberg
700 orthpaedic dr.
warsaw, IN 46581
3035526892
MDR Report Key15053663
MDR Text Key296152875
Report Number1818910-2022-13416
Device Sequence Number1
Product Code JDI
Combination Product (y/n)N
Reporter Country CodePL
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Literature,Health Professional
Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date 07/19/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Device Catalogue NumberUNK HIP FEMORAL HEAD METAL
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 07/06/2022
Initial Date FDA Received07/19/2022
Supplement Dates Manufacturer Received08/23/2022
Supplement Dates FDA Received08/24/2022
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Treatment
UNK HIP ACETABULAR CUP PINNACLE; UNK HIP FEMORAL STEM CORAIL; UNKNOWN HIP ACETABULAR LINERS
Patient Outcome(s) Required Intervention;
Patient SexMale
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