PINNACLE ALTRX 1221-28-046Recalls & reported problems
Depuy Orthopaedics, Inc. · PINNACLE HIP SOLUTIONS ALTRX POLYETHYLENE ACETABULAR LINER NEUTRAL 28mm ID 46mm OD · Class 2 · Implant
All models of PINNACLE ALTRX (98)
Data updated Oct 18, 2026 from official FDA records · Editorial policy
Quick summary
This DePuy Pinnacle AltrX polyethylene liner is the plastic socket liner used in hip replacements. The 37 reports mostly describe the liner coming loose or dislocating from its metal cup, along with joint dislocation, infection, pain, and normal wear; several patients needed revision surgery to replace the liner or the whole implant. 34 people were injured and no deaths were reported. No recalls name this device.
AI-generated from the FDA records on this page and checked automatically against the numbers below. Read the details before relying on it.
- Adverse event reports
- 37
- Deaths reported
- 0
- Injuries reported
- 34
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 37 adverse event reports that list this exact device (DI 10603295015932), received between Sep 1, 2017 and Sep 15, 2025 — classified as 34 injuries, 3 malfunctions.
The most frequently reported specific device problem is “Device Dislodged or Dislocated” (21 reports).
Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event, and counts can't be used to compare devices or estimate failure rates. What reports can and can't tell you · How this data works · Data updated Oct 18, 2026.
Reports received per month
Most reported problems
Device problems
- Device Dislodged or Dislocated21
- Adverse Event Without Identified Device or Use Problem11
- Naturally Worn3
- Insufficient Device Problem Information2
- Device-Device Incompatibility1
- Difficult to Insert1
- Disassembly1
Patient problems
- Joint Dislocation13
- Unspecified Infection9
- Insufficient Information7
- No Code Available7
- Pain4
- Joint Laxity3
- Not Applicable3
- Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available2
Recent adverse event reports
The 25 most recent of 37 reports, in the reporter's own words as published by the FDA.
InjurySep 15, 2025Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT THE PATIENT WAS REVISED DUE TO INSTABILITY. AFFECTED SIDE: UNKNOWN.
Patient problems: Joint Laxity
MAUDE report 23052985 ↗InjuryJun 3, 2025Device Dislodged or Dislocated; Device Dislodged or Dislocated
IT WAS REPORTED THAT PATIENT WAS REVISED FOR DISLOCATION. THERE WAS NO HARM TO PATIENT AND NO DELAYS. THERE WAS NO BROKEN INSTRUMENT. AFFECTED SIDE: UNKNOWN HIP.
Patient problems: Joint Dislocation
MAUDE report 22133872 ↗InjuryMay 27, 2025Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT THE PATIENT WAS REVISED DUE TO INSTABILITY. AFFECTED SIDE: RIGHT HIP.
Patient problems: Joint Laxity
MAUDE report 22089478 ↗InjuryJul 1, 2024Device Dislodged or Dislocated; Device Dislodged or Dislocated
IT WAS REPORTED THAT THE PATIENT HAD BEEN DISLOCATING AND HAD A MINOR INFECTION SINCE DISCHARGE FROM THE ORIGINAL IMPLANT ON MAY 1. THE PATIENT HAD A DEEP INFERIOR FEMORAL FRACTURE ABOUT TWO YEARS PRIOR AND HAD BEEN LIVING WITHOUT A FUNCTIONING JOINT UNTIL (B)(6) 2024. THE PATIENT WAS 58MM SHORT AT THE INITIAL IMPLANT AND SOFT TISSUES WERE EXTREMELY TIGHT, POSSIBLY AIDING IN DISLOCATION. DR. ACCESSED THAT THE STEM WAS IN GOOD VERSION, WELL-FIXED, AND AT GOOD LEG LENGTH. DR. ACCESSED THAT THE CUP WAS IN GOOD INCLINATION AND VERSION. THE NEUTRAL LINER WAS EXCHANGED FOR A +4 10 DEG LINER AND THE +1.5 HEAD WAS CHANGED FOR A + 5 TS HEAD DUE TO SOFT TISSUE LACTATION OVER THE LAST MONTH. THERE WERE NO COMPLAINTS FROM THE SURGEON OR STAFF AND NO DELAY IN OR TIME. DOI: ON (B)(6) 2024, DOR: ON (B)(6) 2024, AFFECTED SIDE: RIGHT HIP.
Patient problems: Joint Dislocation; Unspecified Infection; Unspecified Tissue Injury
MAUDE report 19648991 ↗InjuryMay 9, 2024Device Dislodged or Dislocated; Naturally Worn; Device Dislodged or Dislocated; Naturally Worn
IT WAS REPORTED THAT THERE WAS A POLY AND LINER EXCHANGE DUE TO X RAYS SHOWING THE FEMORAL HEAD WAS ARTICULATING SUPERIOR. AFTER EXPOSING THE ACETABULUM IT WAS EVIDENT THERE WAS SOME UNUSUAL WEAR PATTERNS ON THE POLY. AFTER FURTHER INVESTIGATION IT SEEMS THAT THE LINER WAS NOT PROPERLY INSERTED IN THE PINNACLE CUP. NO ISSUES WERE FOUND WITH THE LOCKING MECHANISM OF THE CUP. NEW LINER WAS INSERTED. FEMORAL HEAD SHOWS AUDIBLE WEAR FROM RUBBING ON THE ACETABULAR RIM. SURGICAL TIME WAS NOT EXTENDED. PRODUCTS WILL BE RETURNED. NO FURTHER INFORMATION IS AVAILABLE. DOI: UNKNOWN. DOR: (B)(6) 2024. AFFECTED SIDE: UNKNOWN.
Patient problems: Insufficient Information
MAUDE report 19278930 ↗InjuryApr 24, 2024Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
A DEPUY SYNTHES IMPLANT WAS REVISED AND REVIEWED FOR ANALYSIS. REASON FOR REVISION: PAIN, OTHER.
Patient problems: Pain
MAUDE report 19176654 ↗InjuryApr 4, 2024Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
PATIENT WAS REVISED DUE TO INFECTION. DOI: UNKNOWN DOR: (B)(6) 2024 AFFECTED SIDE : UNKNOWN.
Patient problems: Unspecified Infection
MAUDE report 19044310 ↗InjuryMar 27, 2024Device Dislodged or Dislocated; Device Dislodged or Dislocated
IT WAS REPORTED THAT THE POLYETHYLENE LINER WAS DISLODGED FROM THE CUP AND NEEDED TO BE REMOVED AND REPLACED WITH A NEW ONE ALONG WITH THE FEMORAL HEAD. DOI: UNKNOWN DOR: (B)(6) 2024 AFFECTED SIDE : LEFT HIP.
Patient problems: Insufficient Information
MAUDE report 18989130 ↗InjuryMar 25, 2024Device Dislodged or Dislocated; Device Dislodged or Dislocated
IT WAS REPORTED THAT LINER LOCKING MECHANISM FAILED. SURGICAL DELAY UNKNOWN. DOE: (B)(6) 2024. AFFECTED SIDE: RIGHT HIP.
Patient problems: Insufficient Information
MAUDE report 18967887 ↗InjuryDec 20, 2023Device Dislodged or Dislocated; Device Dislodged or Dislocated
IT WAS REPORTED THAT THE PATIENT WAS HAVING A HIP DISLOCATION THEREFORE WENT TO DUAL MOBILITY. UNKNOWN SURGICAL DELAY. DOI: (B)(3) 2023. DOR: (B)(3) 2023. AFFECTED SIDE: UNKNOWN.
Patient problems: Joint Dislocation
MAUDE report 18363354 ↗MalfunctionNov 29, 2023Difficult to Insert; Difficult to Insert
IT WAS REPORTED THAT THE LINER DISASSOCIATED DURING REDUCTION. SURGICAL DELAY 15 MINUTES. DOE: (B)(6). 2023 AFFECTED SIDE: UNKNOWN HIP.
Patient problems: Insufficient Information
MAUDE report 18226384 ↗MalfunctionNov 9, 2023Device Dislodged or Dislocated; Device Dislodged or Dislocated
PATIENT WAS REVISED DUE TO DISSOCIATION OF LINER DURING FINAL REDUCTION OF HIP. THE SURGEON REMOVED THE LINER AND IMPLANTED A NEW ONE. DOI: (B)(6) 2023. DOR: (B)(6) 2023. AFFECTED SIDE: RIGHT HIP.
Patient problems: Insufficient Information
MAUDE report 18103181 ↗InjuryJun 26, 2023Device Dislodged or Dislocated; Device Dislodged or Dislocated
PATIENT WAS REVISED FOR DISLOCATION. SURGEON EXPLANTED THE CUP, LINER, HEAD AND SCREW. REAMING WAS CONDUCTED TO INCREASE THE SIZE OF THE CUP. DOI: (B)(6) 2023. DOE: (B)(6) 2023. AFFECTED SIDE: UNKNOWN.
Patient problems: Joint Dislocation; Joint Laxity
MAUDE report 17200022 ↗InjuryMar 3, 2023Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
PATIENT REVISED DUE TO INFECTION SURGEON REPLACED POLY LINER AND HEAD. DOI: (B)(6) 2022. DOR: (B)(6) 2023. AFFECTED SIDE: LEFT HIP.
Patient problems: Unspecified Infection
MAUDE report 16477831 ↗InjuryFeb 15, 2023Device Dislodged or Dislocated; Device Dislodged or Dislocated
PATIENT WAS REVISED DUE TO LINER BECAME DISASSOCIATED FROM THE CUP. SURGICAL DELAY WAS UNKNOWN. DOI: UNKNOWN, DOR: ON (B)(6) 2023, AFFECTED SIDE: LEFT HIP.
Patient problems: Insufficient Information
MAUDE report 16381264 ↗InjuryJan 13, 2023Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
THE PATIENT WAS REVISED FOR HEAD AND LINER EXCHANGE DUE TO INFECTION. DOI: UNKNOWN. DOR: (B)(6) 2023. AFFECTED SIDE: RIGHT HIP.
Patient problems: Unspecified Infection
MAUDE report 16157374 ↗InjuryNov 15, 2022Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
REVISION COMPLETED DUE TO INFECTED HIP. SURGEON REMOVED ALL THE IMPLANTS, REAMED THE CANALS, IRRIGATED AND PLACED ANTIBIOTIC BEADS BEFORE RE-IMPLANTING. SURGEON USED A CORAIL REV STEM, CERAMIC HEAD AND ZIMMER CUP. NO FURTHER PATIENT INFORMATION WAS AVAILABLE AT THIS TIME. DOI: UNKNOWN. DOR: (B)(6) 2022. AFFECTED SIDE: LEFT HIP.
Patient problems: Unspecified Infection
MAUDE report 15799014 ↗InjuryOct 12, 2022Device Dislodged or Dislocated; Device Dislodged or Dislocated
REVISION COMPLETED DUE TO THE LINER DISASSOCIATED FROM CUP. NO SURGICAL DELAY. DOI: (B)(6) 2022, DOR: (B)(6) 2022, AFFECTED SIDE: RIGHT.
Patient problems: Joint Dislocation
MAUDE report 15588356 ↗InjurySep 1, 2022Device Dislodged or Dislocated; Device Dislodged or Dislocated
SECOND REVISION COMPLETED DUE TO DISLOCATION. DOI- (B)(6) 2022; DOR- (B)(6) 2022; AFFECTED SIDE- LEFT HIP.
Patient problems: Joint Dislocation
MAUDE report 15335056 ↗InjuryJun 7, 2022Device Dislodged or Dislocated; Device Dislodged or Dislocated
PATIENT WAS REVISED DUE TO DISLOCATION. THERE WAS NO SURGICAL DELAY. AFFECTED SIDE: LEFT HIP.
Patient problems: Joint Dislocation
MAUDE report 14622403 ↗InjuryNov 10, 2021Device Dislodged or Dislocated; Device Dislodged or Dislocated
A: FOR REPORTS OF DISASSOCIATION WE ARE REQUIRED TO ENTER THE ACETABULAR CUP EVEN IF IT WAS NOR REVISED . CAN YOU PLEASE PROVIDE THE ACETABULAR CUP PRODUCT / LOT INFORMATION? ALTRX PE-INLAY 28 X46 MM, HZ5395, 01106032950159321723 AND PINNACLE BANTAM CUP 46 MM, UDI (B)(4). B: WAS THERE A SURGICAL DELAY DURING THE RE VISION SURGERY? IF YES, PLEASE INDICATE NUMBER OF MINUTES DELAYED. I DON'T UNDERSTAND THIS QUESTION, I DIDN'T PERSONALLY DO THE REVISION. IT WAS DONE BY PROF. DORA. THE CASE TOOK ABOUT 1 1 /2 HOURS SO I GUESS WENT NORMAL. C. CAN YOU CONFIRM THE PRIMARY SURGERY DATE OR THE ORIGINAL IMPLANTATION DATE? THE PRIMARY THA WAS DONE ON (B)(6) 2019 AND THE PATIENT DID QUITE WELL AND WAS VERY HAPPY FOR 2 YEARS UNTIL THE DISLOCATION HAPPENED (SPIN OUT) . D: WHAT IS THE AFFECTED SIDE INVOLVED IN THIS EVENT? LEFT HIP. E: PLEASE PROVIDE PATIENT INITIALS. (B)(6) F. WAS THE PATIENT EXPERIENCING ANY ADVERSE SYMPTOMS THAT LED TO THE REVISION SURGERY? IF YES, PLEASE PROVIDE DETAILS. YES WHEN SHE EXPERIENCED THIS SPIN OUT SHE WAS UNABLE TO WALK UNTIL THAT DAY SHE WAS COMPLETELY SYMPTOM FREE. G: PLEASE PROVIDE ALL X-RAYS RELEVANT TO THE REPORTED EVENT FOR EXAMPLE - PRE-OPERATIVE, POST PRIMARY
Patient problems: Ambulation or Postural Difficulties; Insufficient Information
MAUDE report 12788449 ↗InjuryOct 12, 2021Device Dislodged or Dislocated; Device Dislodged or Dislocated
IT WAS REPORTED THAT PATIENT DISLOCATED. DOI: (B)(6) 2021, DOR: (B)(6)2021, RIGHT HIP.
Patient problems: Joint Dislocation
MAUDE report 12615833 ↗InjurySep 17, 2021Device Dislodged or Dislocated; Naturally Worn; Device Dislodged or Dislocated; Naturally Worn
COMPASS CASE (B)(4) REPORTS: IT WAS REPORTED THAT THE PATIENT PRESENTED WITH A SQUEAKING HIP AND UNDERWENT REVISION SURGERY. THE POLY WAS FOUND TO BE WORN, AND WAS DISSOCIATED FROM THE CUP. THE SURGEON SAYS IT ¿SPUN OUT¿. IT WAS ALSO INDICATED THAT THERE WAS LOOSENING OF THE CUP AT THE BONE TO IMPLANT INTERFACE. DOI: (B)(6) 2016, DOR: (B)(6) 2021, AFFECTED SIDE: UNKNOWN HIP.
Patient problems: Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available
MAUDE report 12487411 ↗InjuryDec 28, 2020Device Dislodged or Dislocated; Device Dislodged or Dislocated
IT WAS REPORTED THAT THE ACETABULAR LINER DISASSOCIATED FROM SHELL. DOI: (B)(6) 2020, DOR: (B)(6) 2020, RIGHT HIP.
Patient problems: Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available
MAUDE report 11078341 ↗InjuryJun 23, 2020Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
THE PATIENT WAS REVISED TO ADDRESS PAIN. DOI: UNKNOWN. DOR: (B)(6) 2020; LEFT SIDE.
Patient problems: No Code Available; Pain
MAUDE report 10184571 ↗
Other PROSTHESIS, HIP, SEMI-CONSTRAINED, METAL/POLYMER, POROUS UNCEMENTED devices
- PINNACLE 1217-25-500Depuy Orthopaedics, Inc. · PROSTHESIS, HIP, SEMI-CONSTRAINED, METAL/POLYMER, POROUS UNCEMENTED735 reports
- NA 1365-52-000Depuy (Ireland) · PROSTHESIS, HIP, SEMI-CONSTRAINED, METAL/POLYMER, POROUS UNCEMENTED683 reports
- APEX 1246-03-000Depuy (Ireland) · PROSTHESIS, HIP, SEMI-CONSTRAINED, METAL/POLYMER, POROUS UNCEMENTED3 deaths613 reports
- PINNACLE 1217-20-500Depuy Orthopaedics, Inc. · PROSTHESIS, HIP, SEMI-CONSTRAINED, METAL/POLYMER, POROUS UNCEMENTED2 deaths590 reports
- PINNACLE 1217-30-500Depuy Orthopaedics, Inc. · PROSTHESIS, HIP, SEMI-CONSTRAINED, METAL/POLYMER, POROUS UNCEMENTED1 death484 reports
- NA 1365-53-000Depuy (Ireland) · PROSTHESIS, HIP, SEMI-CONSTRAINED, METAL/POLYMER, POROUS UNCEMENTED404 reports
- PINNACLE ALTRX 1221-36-054Depuy Orthopaedics, Inc. · PROSTHESIS, HIP, SEMI-CONSTRAINED, METAL/POLYMER, POROUS UNCEMENTED388 reports
- PINNACLE ALTRX 1221-32-050Depuy Orthopaedics, Inc. · PROSTHESIS, HIP, SEMI-CONSTRAINED, METAL/POLYMER, POROUS UNCEMENTED386 reports
Sources and updates
- Device record: FDA GUDID, file dated Oct 13, 2026 · View this device in AccessGUDID ↗
- Adverse event reports: FDA MAUDE, file dated Oct 14, 2026 · each report above links to its original FDA record
- Recalls: FDA Medical Device Recalls, file dated Oct 16, 2026
- Page last rebuilt: Oct 18, 2026. Data downloaded through openFDA, which notes it is not validated for clinical or regulatory use.
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