Pt id: (b)(6); as part of a 2-stage revision for a (b)(6) infection, on (b)(6) 2012, he underwent revision of pmma spacers to a cemented total hip arthroplasty.The cemented hip components included a zimmer tm augment 50 mm by 10mm socket, zca longevity liner, palacos x1 with 1.2 grams of tobramycin and 3 grams of vancomycin, 180 mm size 3 valgus neck cpt stem, 32mm +0 cocr head, 2.5 lv palacos with 2.4 grams of tobramycin and 6 grams of vancomycin.Of note, he also has a left tha with osteonics with a c-taper titanium stem with a cobalt head, both of these artificial knees have cocr femoral components, and both artificial shoulders have cocr components.On (b)(6) 2017, his serum / plasma cobalt level was 2.9 mcg/l and urine cobalt level was 9.7 mcg/l.On (b)(6) 2019, his whole blood cobalt level was 4.0 mcg/l and his urine cobalt level was 9.2 mcg/l.He has some new issues with mood and memory.He also notes new sleep disturbances and myalgia namely affecting his shoulders.Fda safety report id# (b)(4).
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