Posts Tagged ‘Metal on metal’

Urgent – Depuy ASR Hip Cup Pulled From US Market

Friday, June 18th, 2010

Depuy ASR Cup

In March of 2010, Depuy finally halted sales of its ASR metal on metal hip implant.  While Depuy did not announce a formal recall of the device, and maintains that it is not defective, it is curious that they pulled the device from the market in December of 2009 in Australia, where the National Device Registry there showed alarmingly high failure rates of this device, yet continued to sell it in the United States, which also happens to be Depuy’s largest market.  Depuy continued to sell this device to unsuspecting patients throughout the country despite the fact that the FDA has received approximately 300 complaints regarding the Depuy ASR cup since 2008.

The alleged problems with this implant are numerous and very serious.  Some experts feel that the design of the ASR XL cup is too shallow, resulting in hip implant dislocations.  Further, studies have shown that the metallic debris caused by the friction of these implants is causing metallosis, an allergic reaction that causes the tissues surrounding the joint to darken or turn black and often causing tumors in the area surrounding the implant.  While not conclusive at this point, other studies suggest that this metal wear debris can affect organs away from the implant itself, as both Cobalt and Chromium (the elements which make up the implants) can be hazardous to humans, and in some cases are considered carcinogenic.  You can read more about the problems with metal-on-metal implants HERE.

The Depuy ASR Cup was cleared by the FDA in 2005 via a process known as the 510(k) approval process.  This process allows a manufacturer to obtain market approval with very little clinical testing of the device.  All the manufacturer has to argue is that the device is “substantially equivalent” to a device that is already on the market, and they can get approval.  For more information about the 510(k) approval process versus the more rigorous PMA process, click HERE.

If you or a loved one believes that they may have a Depuy ASR hip implant and would like more information, please contact us immediately for a fee consultation.

Hip Resurfacing vs. Total Hip Replacement

Thursday, June 17th, 2010

Hip resurfacing has recently become a very popular alternative to total hip replacement.  Proponents argue that it is a less invasive procedure that preserves more healthy bone.  However, the differences between total hip replacement and hip resurfacing are not as dramatic as one might think.  In this video Dr. Ball explains the differences between the procedures and helps us to understand the risks and benefits of hip resurfacing…

Metal on Metal Implants – Important Risk Information

Tuesday, June 15th, 2010

Metal on metal hip implants account for approximately one-third of the 250,000 hip implants done in the United States annually.  However there is mounting evidence that these implants may be defective, and that these defects may cause a variety of serious problems in patients.  Data from joint registries confirms that metal on metal implants are more likely to fail and require a revision surgery than any other bearing interface.

When a metal on metal hip implant is used in a total hip arthroplasty or a hip resurfacing surgery, the acetabular insert, which was typically made with a type of plastic known as ultra high molecular weight polyethylene, is instead made out of cobalt chromium, and articulates against a metal femoral head, which is also made of cobalt chromium.

The problem with this type of interface is multi-factorial.  When hip or knee implant components move against each other, the friction causes wear.  This happens with any medical device implant, just as it occurs with your god given joints.  The body attempts to rid itself of this particulate debris by carrying the particles away in the lymphatic system.  However, the wear particles that are produced from a metal on metal implant may be detrimental to patients’ health in a number of ways.   (more…)