PINNACLE ALTRX 1221-44-462Recalls & reported problems
Depuy Orthopaedics, Inc. · PINNACLE HIP SOLUTIONS ALTRX LD POLYETHYLENE ACETABULAR LINER +4 NEUTRAL 44mm ID 62mm OD · Class 2 · Implant
All models of PINNACLE ALTRX (98)
Data updated Oct 18, 2026 from official FDA records · Editorial policy
- Adverse event reports
- 8
- Deaths reported
- 0
- Injuries reported
- 8
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 8 adverse event reports that list this exact device (DI 10603295016663), received between Sep 21, 2018 and Nov 18, 2019 — classified as 8 injuries.
The most frequently reported specific device problem is “Device Dislodged or Dislocated” (4 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.
Most reported problems
Device problems
- Device Dislodged or Dislocated4
- Adverse Event Without Identified Device or Use Problem3
- Appropriate Device Problem Term/Code Not Available1
- Naturally Worn1
- Noise, Audible1
Patient problems
- No Code Available5
- Unspecified Infection5
- Joint Dislocation4
- Foreign Body Reaction2
- Pain2
- Test Result2
- Ambulation or Postural Difficulties1
- Edema1
Recent adverse event reports
The 8 most recent of 8 reports, in the reporter's own words as published by the FDA.
InjuryNov 18, 2019Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
MEDICAL RECORDS RECEIVED. ON 05/15/2012 PATHOLOGY REPORT SHOWS SEVERAL OF THE FRAGMENTS ARE NECROTIC IN APPEARANCE, ONE OF THE FRAGMENTS SHOWS CHRONIC INFLAMMATORY CELLS ON (B)(6) 2012, THE PATIENT HAD AN EXTENDED FEMORAL OSTEOTOMY, REMOVAL OF TOTAL HIP COMPONENTS INCLUDING BOTH FEMORAL AND ACETABULAR COMPONENTS, IMPLANTATION OF CEMENT SPACER WITH ANTIBIOTICS TO ADDRESS PROBABLE INFECTION IN THE LEFT HIP. PATIENT WAS REPORTED TO HAVE HAD PAIN. PRIOR TO THIS REVISION, THE PATIENT HAD SEVERAL INJECTIONS TO ATTEMPT TO ALLEVIATE THE PAIN WITH LIMITED SUCCESS. DURING THIS REVISION SURGERY, THE SURGEON OBSERVED SILVER DISCOLORATION TO THE JOINT FLUID. ALL COMPONENTS WERE REVISED DUE TO THE PROBABLE INFECTION. AN EXTENDED OSTEOTOMY WAS REQUIRED TO REMOVE THE WELL-FIXED FEMORAL STEM. (NO MENTION OF THE MANUFACTURER OF THE COMPONENTS REMOVED OR THE COMPONENTS IMPLANTED IN THE CURRENT MEDICAL RECORDS). CEMENT SPACERS WERE PLACED DURING THIS PROCEDURE. (B)(4). ON (B)(6) 2012, THE PATIENT HAD A REVISION OF LEFT TOTAL HIP ARTHROPLASTY, REIMPLANTATION AND FINISHING OF THE SECOND STAGE, TO ADDRESS POST INFECTED LEFT TOTAL HIP ARTHROPLASTY. IT WAS NOTED THAT THE PATIENT HAD A PREVIOUS TROCHANTERIC
Patient problems: Metal Related Pathology; No Code Available; Test Result; Unspecified Infection
MAUDE report 9337458 ↗InjuryOct 7, 2019Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
PPF AND STICKER SHEETS RECEIVED. PPF ALLEGES INFECTION. DOI: (B)(6) 2011, (HEAD AND LINER); DOR: (B)(6) 2012 (LEFT HIP). DOI: (B)(6) 2008, (CUP, SCREWS, STEM, AND SLEEVE).
Patient problems: No Code Available; Unspecified Infection
MAUDE report 9162994 ↗InjuryOct 1, 2019Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
ON JUN 27, 2017: LEGAL MEDICAL RECORDS RECEIVED. PFS ALLEGES PAIN, LACK OF MOBILITY AND LEG DISCREPANCY THAT RESULTED TO ROTOSCOLIOSIS, AND LOWER BACK PAIN. AFTER REVIEW OF THE MEDICAL RECORDS FOR MDR REPORTABILITY, IT WAS STATED THAT THE PATIENT WAS REVISED TO ADDRESS TRUNNIONOSIS WITH METAL DEBRIS. PATIENT WAS NOTED TO HAVE SIGNIFICANTLY ELEVATE METAL IONS. REVISION NOTE STATED THAT THERE WAS A SIGNIFICANT SCARRING BETWEEN ILIOTIBIAL BAND AND VASTUS LATERALIS, FLUID FROM THE HIP, CHRONIC GRANULOMATOUS TISSUE NOTICED IN THE PERICAPSULAR TISSUE. IT WAS ALSO STATED THAT THERE WAS A METAL WEAR AND DAMAGE TO THE SUPERIOR HALF OF THE FEMORAL TAPER CONSISTENT WITH GALVANIC AND CREVICE CORROSION AND DAMAGE TO THE TAPER ON THE FEMORAL HEAD. CLINIC NOTES INDICATE SOME EDEMA AROUND THE LEFT HIP. THERE ARE NO LAB VALUES PROVIDED FOR THE REPORTED ELEVATED METAL IONS. REVIEW OF MEDICAL RECORDS FOR MDR REPORTABILITY DETERMINED THAT NO INDICATION OF POLYETHYLENE LINER BEARING WEAR WAS REPORTED. ADDITIONALLY, AS NO REPORT WAS MADE FOR PSEUDOTUMOR, METALLOSIS, OR ALVAL WITHIN RECORDS, ONLY THE NON-SPECIFIC CHRONIC GRANULOMATOUS TISSUE, THE ADVERSE TISSUE REACTION HARM IS NOT SUPPORTED. BOTH OF THE
Patient problems: Edema; Foreign Body Reaction; Limited Mobility Of The Implanted Joint; No Code Available; Pain; Scarring; Test Result
MAUDE report 9139633 ↗InjuryJul 11, 2019Device Dislodged or Dislocated; Naturally Worn; Noise, Audible; Device Dislodged or Dislocated; Naturally Worn; Noise, Audible
OFFICE NOTES (B)(6) 2007 INDICATE THE PATIENT IS EXPERIENCING PAIN, POPPING, AND LOCKING FEELINGS WITHIN THE RIGHT HIP. RADIOLOGY REPORT (B)(6) 2008 INDICATES THE PATIENT HAS A RIGHT TOTAL HIP WITH EVIDENCE OF BONE FRACTURE. FINDINGS FROM THE RADIOLOGY IMAGES INCLUDE THAT THE PATIENT IS STATUS POST TOTAL RIGHT HIP ARTHROPLASTY WITH FIXATION PLATE AND SCREWS TRANSFIXING AN ACETABULAR FRACTURE.
Patient problems: Ambulation or Postural Difficulties; Embolism/Embolus; Foreign Body Reaction; Hypersensitivity/Allergic reaction; Joint Dislocation; Joint Laxity; Pain; Pulmonary Embolism; Unspecified Infection; Unspecified Tissue Injury
MAUDE report 8780664 ↗InjuryMay 31, 2019Device Dislodged or Dislocated; Device Dislodged or Dislocated
CLINICAL ADVERSE EVENT RECEIVED FOR MIGRATION / LOOSENING OF THE ACETABULAR SHELL. EVENT IS SERIOUS AND IS CONSIDERED SEVERE. EVENT IS POSSIBLY RELATED TO BOTH DEVICE AND PROCEDURE. REVISION OF SHELL, LINER AND HEAD HAS OCCURRED. DOI: (B)(6) 2012; DOE: (B)(6) 2016; DOR: (B)(6) 2016; (RIGHT HIP).
Patient problems: Joint Dislocation; No Code Available; Unspecified Infection
MAUDE report 8660242 ↗InjuryApr 23, 2019Device Dislodged or Dislocated; Device Dislodged or Dislocated
PPF ALLEGES LOOSENING OF CUP, DISLOCATION AND INFECTION AFTER FIRST REVISION (RIGHT HIP).
Patient problems: Joint Dislocation; No Code Available; Unspecified Infection
MAUDE report 8539914 ↗InjuryNov 29, 2018Device Dislodged or Dislocated; Device Dislodged or Dislocated
PPF AND STICKER SHEETS RECEIVED. PPF ALLEGES DISLOCATION.
Patient problems: Joint Dislocation
MAUDE report 8114955 ↗InjurySep 21, 2018Appropriate Device Problem Term/Code Not Available; Appropriate Device Problem Term/Code Not Available
PATIENT WAS REVISED TO ADDRESS ELEVATED ION LEVELS IN BLOOD. HEAD AND LINER WAS REVISED. DOI: UNKNOWN; DOR: (B)(6) 2018; RIGHT HIP.
Patient problems: Not Applicable
MAUDE report 7897433 ↗
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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