MAUDE Adverse Event Report: DEPUY ORTHOPAEDICS INC US PINNACLE MTL INS NEUT40IDX58OD; PINNACLE HIP SYSTEM : HIP METAL ACETABULAR LINERS

Catalog Number 121887458

Device Problems Naturally Worn (2988); Adverse Event Without Identified Device or Use Problem (2993); Noise, Audible (3273)

Patient Problems Ossification (1428); Adhesion(s) (1695); Foreign Body Reaction (1868); Pain (1994); Loss of Range of Motion (2032); Scar Tissue (2060); Distress (2329); Discomfort (2330); Osteolysis (2377); Metal Related Pathology (4530); Unspecified Tissue Injury (4559); Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available (4581)

Event Date 04/14/2021

Event Type  Injury  

Manufacturer Narrative

(b)(4).If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.

Event Description

It was reported as " revised a pinnacle metal on metal to a new cup, poly liner and a ceramic ts head.Original cup was malpositioned.A lot of metallosis in the joint.High cobalt/chromium levels".Doi: (b)(6) 2009; dor: (b)(6) 2021; right hip.

Manufacturer Narrative

Product complaint#: (b)(4).Investigation summary: no device associated with this report was received for examination.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.Depuy considers the investigation closed.Should additional information be received, the information will be reviewed and the investigation will be re-opened as necessary.Device history lot: a device manufacturing (mre) review will not be performed even when product/lot information is known.Per wi-3430 it has been determined that, for the mom platform and related allegations an mre is not required.H10 additional narrative: added: h6 (clinical code).H6 clinical code: appropriate term / code not available (e2402) is used to capture blood heavy metal increased.

Manufacturer Narrative

Product complaint #
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> (b)(4) investigation summary
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> no device associated with this report was received for examination.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.Depuy considers the investigation closed.Should additional information be received, the information will be reviewed and the investigation will be re-opened as necessary.Device history lot
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> a device manufacturing (mre) review will not be performed even when product/lot information is known.Per wi-3430 it has been determined that, for the mom platform and related allegations an mre is not required.H10 additional narrative: added: b5, h6 health effect - clinical code corrected: e1, e2, e3, e4, g2, h6 (medical device problem code) e3 initial reporter occupation: lawyer.

Event Description

Litigation record received.The patient had a defective pinnacle hip and required surgical removal, injury to muscle and tissue, additional scar tissue formation, pain, tissue destruction, metal wear, metal poisoning, loss of enjoyment of life, limitation of daily activities, and emotional distress.

Manufacturer Narrative

Product complaint # (b)(4).This report is being submitted pursuant to the provisions of 21 cfr, part 803.This report may be based on information which has not been investigated or verified prior to the required reporting date.This report does not reflect a conclusion by depuy synthes joint reconstruction, or its employees that the report constitutes an admission that the product, depuy synthes joint reconstruction, or its employees caused or contributed to the potential event described in this report.If information is obtained that was not available for the initial report, a follow-up report will be filed as appropriate.

Event Description

Medical records were received and stated the following: on (b)(6) 2021.Patient was revised to failed right total hip replacement associated with adverse reaction to metallic debris, proximal femoral osteolysis, and comminuted fracture right greater trochanter.Operative indicated that the cat scan showed patient's cup position was 56 degrees of abduction and 48 degrees anteversion.Cobalt chromium ion levels and adverse tissue reaction to metallic debris and an osteolytic induced fracture of the greater trochanter.

Manufacturer Narrative

Product complaint # (b)(4).Investigation summary - no device associated with this report was received for examination.Review of the photographic evidence found nothing indicative of a device nonconformance.No signs of implant bearing wear were observed on the provided evidence.Additionally, there is not enough evidence to determine if audible sound could be caused by the acetabular liner and another device.Additional monitoring for any potential safety signals will be conducted through complaint trending and other post-market safety surveillance activities.Device history lot - a manufacturing record evaluation (mre) will not be performed since mom systems are obsolete.Added: g4.

Event Description

Additional information received progress reported that the patient on reaching down and developed pain in the right hip.A lot of osteolysis in the right hip.A comminuted fracture of the bone secondary to the osteolysis.The operative noted liner with gross wear with obvious metallosis and adverse reaction.(b)(6) 2021, medical reported that the cup component was not in an ideal position with abduction and inclination angle of about 61 degrees and anteversion of 62 degrees and he noted a pop was likely of his fracture.(b)(6) 2021, the operative reported that the patient had a failed right total hip replacement associated with an adverse reaction to metallic debris, proximal femoral osteolysis, and comminuted fracture.Medical records received.On (b)(6) 2009, the patient underwent a right total hip arthroplasty.The patient was reported to have experienced elevated metal ion levels, as well as pain and discomfort.On (b)(6) 2021 the patient had a revision right total hip replacement and open reduction internal fixation, right greater trochanteric fracture to address failed right total hip replacement associated with an adverse reaction to metallic debris, proximal femoral osteolysis, and comminuted fracture, right greater trochanter.Indications for surgery included pain and occasional squeaking, cat scan notes the cup is 67 degrees of inclination and 53 degrees of anteversion, as well as elevated metal ion levels.There was osteolysis in the right greater trochanter and an associated comminuted fracture of the bone secondary to osteolysis.Legal records note the patient had pain, discomfort, elevated ion levels, and metallosis.(b)(4) created a complaint under (b)(4)- 2nd right hip revision.Events were below as per mrr: (b)(6) 2022 right hip revision with debridement and hinge exchange (b)(6) 2022 with mssa infection.Legal notes that (b)(6) 2022 patient was admitted to er due to bacteria found in blood.On (b)(6) 2022 patient underwent revision of right hip, incision and drainage due to infection.Depuy femoral head implanted on this date.(1606 of 2064).On (b)(6) 2022, patient had right total hip revision, explant with placement of antibiotic spacers.Depuy femoral head implanted during this procedure (1606 of 2064).On (b)(6) 2022 incision was still draining, right hip needed irrigation and debridement with explanation of hardware and insert of antibiotic spacer.Depuy femoral head implanted during this procedure (1606 of 2064).On (b)(6) 2023 patient had right total hip reimplantation as infection had cleared.(pc will need to be created to cover all the previous infection related issues as our femoral head was present).On (b)(6) 2023 patient had to have another right hip incision and drainage.(no pc required, unknown components).

Manufacturer Narrative

Product complaint # (b)(4).This report is being submitted pursuant to the provisions of 21 cfr, part 803.This report may be based on information which has not been investigated or verified prior to the required reporting date.This report does not reflect a conclusion by depuy synthes joint reconstruction, or its employees that the report constitutes an admission that the product, depuy synthes joint reconstruction, or its employees caused or contributed to the potential event described in this report.If information is obtained that was not available for the initial report, a follow-up report will be filed as appropriate.

Manufacturer Narrative

Product complaint (b)(4).This report is being submitted pursuant to the provisions of 21 cfr, part 803.This report may be based on information which has not been investigated or verified prior to the required reporting date.This report does not reflect a conclusion by depuy synthes joint reconstruction, or its employees that the report constitutes an admission that the product, depuy synthes joint reconstruction, or its employees caused or contributed to the potential event described in this report.If information is obtained that was not available for the initial report, a follow-up report will be filed as appropriate.

Manufacturer Narrative

Product complaint # (b)(4).This report is being submitted pursuant to the provisions of 21 cfr, part 803.This report may be based on information which has not been investigated or verified prior to the required reporting date.This report does not reflect a conclusion by depuy synthes joint reconstruction, or its employees that the report constitutes an admission that the product, depuy synthes joint reconstruction, or its employees caused or contributed to the potential event described in this report.H10 additional narrative: added: a5, a6 and e1 (initial reporter facility name).If information is obtained that was not available for the initial report, a follow-up report will be filed as appropriate.A1.

Event Description

Medical records received.In addition to what was previously reported in the medical records.After review of the records radiology reported heterotopic ossification present in the soft tissue lateral arthroplasty, there is beam hardening artifact and streak structures immediately adjacent to the arthroplasty.

Manufacturer Narrative

Product complaint # (b)(4).This report is being submitted pursuant to the provisions of 21 cfr, part 803.This report may be based on information which has not been investigated or verified prior to the required reporting date.This report does not reflect a conclusion by depuy synthes joint reconstruction, or its employees that the report constitutes an admission that the product, depuy synthes joint reconstruction, or its employees caused or contributed to the potential event described in this report.If information is obtained that was not available for the initial report, a follow-up report will be filed as appropriate.

• Brand Name: PINNACLE MTL INS NEUT40IDX58OD
• Type of Device: PINNACLE HIP SYSTEM : HIP METAL ACETABULAR LINERS
• Manufacturer (Section D): DEPUY ORTHOPAEDICS INC US; 700 orthopaedic drive; warsaw IN 46581 0988
• Manufacturer (Section G): LEEDS MFG & MATERIAL WAREHOUSE; st anthonys road; leeds LS11 8DT; UK LS11 8DT
• Manufacturer Contact: kara ditty-bovard ; 700 orthopaedic dr.; warsaw, IN 46581 ; 6107428552
• MDR Report Key: 11743901
• MDR Text Key: 248863806
• Report Number: 1818910-2021-09133
• Device Sequence Number: 1
• Product Code: KWA
• Combination Product (y/n): N
• Reporter Country Code: US
• PMA/PMN Number: K062426
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: Other,Consumer,Health Professional,Company Representative
• Reporter Occupation: Other Health Care Professional
• Type of Report: Initial,Followup,Followup,Followup,Followup
• Report Date: 04/14/2021

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 04/29/2021
• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: No
• Device Operator: Health Professional
• Device Expiration Date: 04/28/2014
• Device Catalogue Number: 121887458
• Device Lot Number: 2908876
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Date Manufacturer Received: 10/09/2023
• Was Device Evaluated by Manufacturer?: Device Not Returned to Manufacturer
• Date Device Manufactured: 05/05/2009
• Is the Device Single Use?: Yes
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: Initial
• Removal/Correction Number: N/A
• Patient Sequence Number: 1
• Treatment: ASPHERE M SPEC 12/14 40 +1.5.; PINN SECTOR W/GRIPTION 58MM.; SUMMIT DUOFIX TAP SZ6 STD OFF.
• Patient Outcome(s): Required Intervention
• Patient Age: 53 YR
• Patient Sex: Male
• Patient Weight: 103 KG
• Patient Ethnicity: Non Hispanic
• Patient Race: White