1. DePuy Hip Implant Litigation

2. DePuy Hip Implant Recall DePuy Orthopaedics is the subsidiary of Johnson & Johnson. 8/24/2010 – DePuy Orthopaedics voluntarily recalls its ASR XL Acetabular System and DePuy ASR Hip Resurfacing System. (Recall 8.24.10) Over 93,000 people will be affected by hip replacement parts involved in the recall.

3. DePuy Hip Implant Symptoms Pain and popping noises in hip area Swelling and problems walking Loosening – when the implant does not stay attached to the bone in the right position Fracture – where the bone around the implant may have broken Disclosure – where the two parts of the implant are no longer aligned

4. Reason For DePuy Recall Revision/second hip replacement surgery(ies) – due to mal-function or coating metal components Medical monitoring – additional testing and monitoring is necessary within first 5 years after ASR hip surgery Metal Debris – can cause damage to muscle, bone or nerves around hip or may cause soft tissue damage which may compromise revision surgery

5. DePuy Hip Implant Criteria Any cases involving individuals who have a DePuy hip device implanted Any individuals unsure of the type of device implanted IF the individual: - has had a revision surgery, OR - experiencing hip pain, hip swelling, or difficulty walking

6. Identifying Product Identify Product by: - Product Id Card - Contacting Surgeon or - If surgeon unknown, then contact Primary Care Physician.

7. Identifying Injury Individuals with revision surgery(ies) Individuals with symptoms Individuals without symptoms will need follow- up appointment with doctor for: - X-rays to evaluate how ASR hip is positioned - Blood Tests (“Metal Ion”) indicates the level of microscopic particles in the body. - MRI / Ultrasound to determine if a reaction has occurred to the metal particles.