PINNACLE ALTRX 1221-36-458Recalls & reported problems
Depuy Orthopaedics, Inc. · PINNACLE HIP SOLUTIONS ALTRX POLYETHYLENE ACETABULAR LINER +4 NEUTRAL 36mm ID 58mm OD · Class 2 · Implant
All models of PINNACLE ALTRX (98)
Data updated Oct 18, 2026 from official FDA records · Editorial policy
Quick summary
This is a DePuy Pinnacle AltrX polyethylene liner used in hip replacements. Reports describe dislocations, unstable hips and infections, with some leading to revision surgery. There are 80 injuries and no deaths among the 84 reports. 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
- 86
- Deaths reported
- 0
- Injuries reported
- 82
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 86 adverse event reports that list this exact device (DI 10603295016519), received between Aug 25, 2014 and Sep 17, 2026 — classified as 82 injuries, 4 malfunctions.
The most frequently reported specific device problem is “Device Dislodged or Dislocated” (32 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
- Adverse Event Without Identified Device or Use Problem47
- Device Dislodged or Dislocated32
- Insufficient Device Problem Information4
- Appropriate Device Problem Term/Code Not Available2
- Difficult to Insert2
- Defective Device1
- Naturally Worn1
Patient problems
- Joint Dislocation32
- Unspecified Infection31
- No Code Available29
- Pain15
- Joint Laxity8
- Ambulation or Postural Difficulties3
- Extraskeletal ossification3
- Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available2
Recent adverse event reports
The 25 most recent of 86 reports, in the reporter's own words as published by the FDA.
InjurySep 17, 2026Device Dislodged or Dislocated
It was reported that patient dislocated hip. Surgeon placed a constrained liner. There were no delays or complaints. No harm to patient.Affected side-Right hip.
Patient problems: Joint Dislocation
MAUDE report 50800526 ↗InjurySep 10, 2026Adverse Event Without Identified Device or Use Problem
Patient problems: Unspecified Infection
MAUDE report 50724323 ↗InjuryAug 7, 2026Naturally Worn; Appropriate Device Problem Term/Code Not Available
Thayer School of Engineering at Dartmouth first report of retrievals for Statement of Work 10 for Q2 of 2026. Darthmouth is the research location, and not the facility of placement.A DePuy Synthes Implant was revised and reviewed for analysisReason for revision: Revision due to fractured femoral stem and pain. The non-articular surface of the polyethylene acetabular liner shows minor yellowing and 3 screw hole defects.
Patient problems: Pain
MAUDE report 50178628 ↗InjuryJul 7, 2026Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT THE PATIENT COMPLAINED HE FELT UNSTABLE. THERE WAS NO HARM TO PATIENT. NO DELAY. NO ADDITIONAL INFORMATION IS AVAILABLE. DOI: (B)(6) 2026. DOR: (B)(6) 2026. AFFECTED SIDE: RIGHT HIP.
Patient problems: Joint Laxity
MAUDE report 25735764 ↗InjuryMay 18, 2026Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT PATIENT BECAME INFECTED, I & D WASHOUT WAS PERFORMED WITH A HEAD AND LINER EXCHANGE. DOI: (B)(6) 2024, DOR: (B)(6) 2026, AFFECTED SIDE: RIGHT HIP.
Patient problems: Unspecified Infection
MAUDE report 25205948 ↗InjuryJan 26, 2026Device Dislodged or Dislocated
IT WAS REPORTED THAT PATIENT DISLOCATED ABOUT 12 TIMES IN THE LAST 2 YEARS. DOI: (B)(6) 2018. DOR: (B)(6) 2026. AFFECTED SIDE: RIGHT HIP.
Patient problems: Joint Dislocation
MAUDE report 24179613 ↗InjuryDec 18, 2025Device Dislodged or Dislocated; Device Dislodged or Dislocated
IT WAS REPORTED THAT THE PATIENT UNDERWENT REVISION DUE TO INSTABILITY/DISLOCATION. NO OTHER INFORMATION IS KNOWN. DOI: UNKNOWN. DOR: (B)(6) 2025. AFFECTED SIDE: LEFT.
Patient problems: Joint Dislocation
MAUDE report 23838194 ↗InjuryMar 18, 2025Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT THIS PATIENT HAD A RIGHT TOTAL HIP THAT WAS INFECTED. THE SURGEON DID A WASHOUT WITH HEAD AND LINER EXCHANGE. AFFECTED SIDE: RIGHT HIP.
Patient problems: Unspecified Infection
MAUDE report 21632302 ↗InjuryJan 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 UNSTABLE RIGHT TOTAL HIP. THE SURGEON REVISED THE LINER TO A FACE CHANGING LINER AND WENT TO A LARGER DIAMETER HEAD. AFFECTED SIDE: RIGHT HIP.
Patient problems: Joint Laxity
MAUDE report 21243146 ↗InjuryJan 7, 2025Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT THE PATIENT HAD SUBCUTANEOUS INFECTION. HEAD, LINER, STEM WERE REMOVED. THERE WAS NO DELAY IN CASE. DOI: ON (B)(6) 2024, DOR: ON (B)(6) 2024, AFFECTED SIDE: UNKNOWN.
Patient problems: Unspecified Infection
MAUDE report 21091491 ↗InjuryNov 19, 2024Device Dislodged or Dislocated; Device Dislodged or Dislocated
IT WAS REPORTED THAT THE PATIENT HIP SUBLUXATION DUE TO HETERETOPIC BONE ON RIM OF THE SHELL. DOI: (B)(6) 2024 , DOR: (B)(6) 2024 , AFFECTED SIDE: RIGHT HIP.
Patient problems: Extraskeletal ossification; Joint Dislocation; Joint Laxity
MAUDE report 20726291 ↗InjuryJun 20, 2024Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT THE PATIENT HAD A PAINFUL CORAIL, SUSPECTED PADDING. REMOVAL REQUIRED EXTENSIVE OSTEOTOMY AFTER A LONG ATTEMPT TO REMOVE. SUMMIT WAS CONSIDERED BUT THE LENGTH OF OSTEOTOMY REQUIRED A MODULAR RECLAIM. PATIENT WAS REAMED AND X-RAYS WERE BALANCED AND SOLID. PATIENT WAS REDUCED WELL & STABLE. SURGICAL DELAY WAS UNKNOWN. DOI: UNKNOWN. DOR: (B)(6) 2024. AFFECTED SIDE: RIGHT HIP.
Patient problems: Pain
MAUDE report 19574589 ↗MalfunctionApr 25, 2024Difficult to Insert; Difficult to Insert
IT WAS REPORTED THAT THERE WAS MULTIPLE ATTEMPTS TO SEAT/TAPER THE LINER WAS UNSUCCESSFUL. SURGEON IMPLANTED SAME LINER AFTER UNSUCCESSFUL ATTEMPTS WITH NO PROBLEM. DOE: (B)(6) 2024. AFFECTED SIDE: RIGHT HIP.
Patient problems: Insufficient Information
MAUDE report 19186411 ↗InjuryApr 4, 2024Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
ADDITIONAL INFORMATION WAS RECEIVED: - THE CUP WAS NOT REVISED AND NO SURGICAL DELAY.
Patient problems: Extraskeletal ossification
MAUDE report 19041881 ↗InjuryDec 12, 2023Device Dislodged or Dislocated; Device Dislodged or Dislocated
THE PATIENT WAS REVISED DUE TO DISLOCATION AND THE SURGEON CHANGED OUT THE HEAD AND LINER TO DUAL MOBILITY. SURGICAL DELAY WAS UNKNOWN. DOI: (B)(6) 2020, DOR: (B)(6) 2023, AFFECTED SIDE: RIGHT HIP.
Patient problems: Joint Dislocation
MAUDE report 18311004 ↗InjuryNov 8, 2023Device Dislodged or Dislocated; Device Dislodged or Dislocated
ADDITIONAL INFORMATION RECEIVED: A. WAS SURGERY TIME EXTENDED DUE TO A DEPUY SYNTHES PRODUCT? IF YES, WHAT WAS THE DURATION OF THE DELAY? SURGERY WAS NOT DELAYED DUE TO DEPUY PRODUCTS. B. PLEASE PROVIDE THE REASON WHY THE CUP AND SCREW WERE REVISED. WAS THERE AN INDICATION THAT THE CUP AND SCREW WERE MALPOSITIONED OR MIGRATION THAT CONTRIBUTED TO DISLOCATION? THE CUP HAD MORE ANTERVERSION THAN USUAL. THE DEPUY IMPLANTS HAD NOT MIGRATED. THE CUP WAS SOLID. I DUAL MOBILITY IMPLANT WAS EXCHANGED AND PATIENT WAS STABLE.
Patient problems: Joint Dislocation
MAUDE report 18096972 ↗InjuryNov 7, 2023Device Dislodged or Dislocated; Device Dislodged or Dislocated
PATIENT WAS REVISED DUE TO CHRONICALLY DISLOCATING, A 40MM LIPPED LINER WAS PLACED WITH A 40MM HEAD. DOI: UNKNOWN; DOR: (B)(6) 2023; AFFECTED SIDE: UNKNOWN.
Patient problems: Joint Dislocation
MAUDE report 18085158 ↗InjuryOct 17, 2023Device Dislodged or Dislocated; Device Dislodged or Dislocated
PATIENT WAS REVISED DUE TO DISLOCATION. DOI: UNKNOWN. DOR: (B)(6) 2023. AFFECTED SIDE: LEFT HIP.
Patient problems: Joint Dislocation
MAUDE report 17950055 ↗InjuryAug 16, 2023Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
PATIENT WAS REVISED DUE TO INFECTION. HEAD AND LINER WAS EXCHANGED. DOI: (B)(6) 2023. DOR: (B)(6) 2023. AFFECTED SIDE: LEFT HIP.
Patient problems: Unspecified Infection
MAUDE report 17556425 ↗InjuryAug 9, 2023Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
ADDITIONAL INFORMATION RECEIVED STATES THAT THERE'S NO SURGICAL DELAY.
Patient problems: Unspecified Infection
MAUDE report 17488027 ↗InjuryAug 4, 2023Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT THE PATIENT HAD A FAILED LEFT HIP. REVISION NECESSARY. INFECTION PLAUSIBLE. DOI: UNKNOWN. DOR: (B)(6) 2023. AFFECTED SIDE: LEFT HIP.
Patient problems: Unspecified Infection
MAUDE report 17458308 ↗InjuryJun 27, 2023Device Dislodged or Dislocated; Device Dislodged or Dislocated
UPDATED EVENT DESCRIPTION: AFTER REVIEW OF THE MEDICAL RECORDS, CLINICAL VISIT REPORTED CONSISTENT MOM DISEASE , PAIN AND LIMITED ADL, DIFFICULTY WALKING AND MUSCLE WEAKNESS AFTER FIRST REVISION OF THE LEFT HIP. ON (B)(6) 2020 COBALT 6.7 MCG/L CHROMIUM 34.6 MCG/L ON (B)(6) 2021 LEFT HIP MRI NOTED A LARGE FLUID COLLECTION ALONG WITH TEARS OF THE LEFT GLUTEUS MEDIUS AND MINIMUS TENDON INSERTIONS. ON (B)(6) 2021 LAB RESULTS: CHROMIUM 24.3 UG/L. ON (B)(6) 2022 RADIOGRAPHS OF THE LEFT HIP ARE REPORTED TO SHOW THE ACETABULAR COMPONENT IS A LITTLE VERTICAL IN ORIENTATION. THE PATIENT NOTED THAT THEIR HIP FEELS UNSTABLE. IT WAS NOTED THAT ON (B)(6) 2022 THE PATIENT¿S HIP DISLOCATED AND THEY NEEDED A CLOSED REDUCTION. ON (B)(6) 2022 LAB VALUES NOTED COBALT WAS 3.1 AND CHROMIUM PLASMA WAS 33.5 WITH NO UNIT OF MEASUREMENT PROVIDED. ON (B)(6) 2022 THE PATIENT LEFT TOTAL HIP REVISION TO ADDRESS INSTABILITY, PAIN, AND ABDUCTOR WEAKNESS LEFT HIP. PRIOR TO SURGERY, THE PATIENT REPORTED THAT THEY FEEL POPPING AND HAD DISLOCATED. DURING THIS PROCEDURE, THE SURGEON OBSERVED LARGE JOINT EFFUSION, METAL DEBRIS AS EVIDENCED BY BLACK SYNOVIAL TISSUE. THE PATIENT¿S ABDUCTOR MUSCLES WERE NOTED TO SIGNIFICA
Patient problems: Ambulation or Postural Difficulties; Fatigue; Joint Dislocation; Joint Laxity; Metal Related Pathology; Muscle/Tendon Damage; Necrosis; Pain; Swelling/ Edema; Unspecified Infection; Unspecified Tissue Injury
MAUDE report 17208272 ↗InjuryApr 17, 2023Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
THE PATIENT WAS REVISED DUE TO INSTABILITY. THE HEAD WAS REVISED FROM 36+5 TO 36+15.5. UNKNOWN SURGICAL DELAY. DOI: (B)(6) 2022. DOR: (B)(6) 2022. AFFECTED SIDE: RIGHT HIP.
Patient problems: Joint Laxity
MAUDE report 16751727 ↗InjuryApr 12, 2023Device Dislodged or Dislocated; Device Dislodged or Dislocated
CLINICAL ADVERSE EVENT RECEIVED FOR POSTERIOR DISLOCATION. EVENT IS SERIOUS AND IS CONSIDERED SEVERE. EVENT IS POSSIBLY RELATED TO BOTH DEVICE AND PROCEDURE. DATE OF IMPLANT: (B)(6) 2018. DATE OF EVENT: (B)(6) 2023. (LEFT HIP). TREATMENT: CLOSED REDUCTION/MANIPULATION.
Patient problems: Joint Dislocation
MAUDE report 16723243 ↗InjuryApr 3, 2023Device Dislodged or Dislocated; Device Dislodged or Dislocated
CLINICAL ADVERSE EVENT RECEIVED FOR DISLOCATION REOCCURRENCE. EVENT IS SERIOUS AND IS CONSIDERED MODERATE. EVENT IS POSSIBLY RELATED TO DEVICE. EVENT IS NOT RELATED TO PROCEDURE. DATE OF IMPLANT: ON (B)(6) 2013, DATE OF EVENT: ON (B)(6) 2023, (LEFT HIP). TREATMENT: CLOSED REDUCTION/MANIPULATION.
Patient problems: Joint Dislocation
MAUDE report 16662804 ↗
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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