MAUDE Adverse Event Report: DEPUY ORTHOPAEDICS, INC. PINNACLE MULTIHOLE II CUP 54MM; HIP ACETABULAR CUP

Catalog Number 121720054

Device Problems Loss of Osseointegration (2408); Malposition of Device (2616); Appropriate Term/Code Not Available (3191)

Patient Problems Fall (1848); Inflammation (1932); Pain (1994); Discomfort (2330); Joint Swelling (2356)

Event Date 01/29/2015

Event Type  Injury  

Manufacturer Narrative

This complaint is still under investigation.Depuy will notify the fda of the results of this investigation once it has been completed.If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.(b)(4).

Event Description

Litigation alleges the patient suffers from pain, discomfort, inflammation, dislocation, and toxic cobalt-chromium metal ions and particles to be released into the blood, tissue, and bone.Update (b)(6) 2015 - pfs and medical records received.After review of the medical records for mdr reportability, it should be noted the patient had a poly liner implanted -not metal.Part/lot is being updated.No labs were provided for the alleged high metal ions.Update (b)(6) 2016 - pfs and medical records received.Pfs and medical records reviewed for mdr reportability.Pfs reported patient had pain, swelling, popping, grinding, hip catching, falls, back pain, nausea, vomiting, lack of sleep, numbness and tingling.Medical records reported the patient had a slip with groin pull, popping, grinding, swelling, pain, possible loosening, possible dislocations, and radiographs reportedly showed leg length discrepancy and slightly retroverted cup.There has been no reported revision surgery.Cup is being added to complaint for malposition.

Manufacturer Narrative

No device associated with this report was received for examination.A worldwide complaint database search found no other reported incident(s) against the provided lot since release for distribution.Based on previous investigations this complication of joint replacement is unlikely to have been the result of a device failing to meet required specifications.The information received will be retained for potential series investigations if triggered by trend analysis, post market surveillance, or other events within the quality system.Corrective action was not indicated.Depuy considers the investigation closed.Should additional information be received, the information will be reviewed and the investigation will be re-opened as necessary.

• Brand Name: PINNACLE MULTIHOLE II CUP 54MM
• Type of Device: HIP ACETABULAR CUP
• Manufacturer (Section D): DEPUY ORTHOPAEDICS, INC.; 700 orthopaedic drive; warsaw IN 46582
• Manufacturer (Section G): DEPUY ORTHOPAEDICS, INC. 1818910; 700 orthopaedic drive; warsaw IN 46582
• Manufacturer Contact: chad gibson ; 700 orthopaedic drive; warsaw, IN 46581 ; 5743725905
• MDR Report Key: 5590353
• MDR Text Key: 43078552
• Report Number: 1818910-2016-17652
• Device Sequence Number: 1
• Product Code: LPH
• Combination Product (y/n): N
• Reporter Country Code: US
• PMA/PMN Number: PK000306
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: consumer
• Reporter Occupation: Attorney
• Type of Report: Initial,Followup
• Report Date: 03/28/2016

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 Expiration Date: 02/17/2018
• Device Catalogue Number: 121720054
• Device Lot Number: CF6D51000
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: No
• Initial Date Manufacturer Received: 03/28/2016
• Initial Date FDA Received: 04/20/2016
• Supplement Dates Manufacturer Received: Not provided
• Supplement Dates FDA Received: 05/25/2016
• Was Device Evaluated by Manufacturer?: Device Not Returned to Manufacturer
• Date Device Manufactured: 02/20/2008
• Is the Device Single Use?: Yes
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: Initial
• Patient Sequence Number: 1
• Patient Outcome(s): Required Intervention
• Patient Age: 33 YR
• Patient Weight: 67