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Model note · Orthopedic Implants

DePuy PINNACLE Acetabular Cup System

PINNACLE is a modular acetabular (socket) system for total hip replacement, used by orthopaedic surgeons with cementless, porous-coated titanium alloy shells. Its distinctive feature is modularity: one shell family accepts several liner types, including cross-linked polyethylene (AltrX) and a cobalt-chrome dual mobility liner, matched to metal or ceramic femoral heads.

The model

Maker, model and type.

Maker
DePuy Orthopaedics, Inc. / DePuy Synthes (Johnson & Johnson MedTech)
Model
DePuy PINNACLE Acetabular Cup System (total hip)
Device type
Orthopedic Implants
Main document
Open the public document

Key specifications

What the public record says.

ItemValueSource
Shell materialPorous-coated hemispherical titanium alloy (Ti-6Al-4V)Source
FixationPorous-coated shells indicated for cementless useSource
Polyethylene liner (AltrX)Cross-linked UHMWPE, irradiated to 7.5 Mrad and remelted; neutral, lateralised neutral, lipped or lateralised face-changingSource
AltrX head size rangeFemoral heads 28 to 48 mmSource
Dual mobility linerCobalt-chrome-molybdenum liner, taper locked into PINNACLE shells, articulating with a BI-MENTUM polyethylene mobile bearingSource
RegulationClass II, 21 CFR 888.3358 and 888.3353, product codes LPH, LZO (MEH for dual mobility)Source
Original clearanceK001534, June 2000Source

Recalls

Known FDA recalls.

  • Z-1366-20132012-03-07

    One lot of AltrX liners had a box label that did not match the liner inside.

    FDA record
  • Z-0569-20132012-11-28

    Ten lots of PINNACLE cancellous screws carried the wrong description on the label.

    FDA record
  • Z-0802-20212020-12-15

    Some PINNACLE cups could have an oversized minor diameter, letting the Apex HE cross-thread through the shell.

    FDA record

Safety

Safety warnings from the record.

  • Where metal bearing or taper surfaces are involved, metal particles and ions such as cobalt and chromium can be released and cause adverse local tissue reactions that may need revision. Source
  • FDA notes it cannot yet be predicted who will react to metal debris, how or when, so symptomatic patients need surgeon review. Source
  • Dual mobility metal liners are for patients with enough sound bone to seat and support the components, and are single use only. Source
  • Manufacturer wear claims for AltrX come from hip simulator studies and may not predict clinical wear. Source

Sources

Where this note comes from.

Not covered: No current DePuy Synthes product page or surgical technique was opened, so shell size range, screw options and the current liner line-up are not listed; MAUDE counts cover all PINNACLE configurations together, so they cannot be tied to one liner or bearing type.

BMEssentia knowledge drafted from public information, reviewed by Hasan Khaled Ismail on 2026-10-24. Always follow the manufacturer's instructions for use and service manual.