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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. TPRLC XR MP T1 PPS 16X117MM 117MM T1; PROSTHESIS, HIP

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ZIMMER BIOMET, INC. TPRLC XR MP T1 PPS 16X117MM 117MM T1; PROSTHESIS, HIP Back to Search Results
Model Number N/A
Device Problem Packaging Problem (3007)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 05/28/2021
Event Type  malfunction  
Manufacturer Narrative
(b)(4).Report source: source: (b)(6).Multiple reports were submitted along with this report: 0001825034-2021-01795, 0001825034-2021-01796, 0001825034-2021-01797, 0001825034-2021-01798, 0001825034-2021-01799.Customer has indicated that the product is in process of being returned to zimmer biomet for investigation.Once the investigation has been completed, a follow-up mdr will be submitted.
 
Event Description
It was reported that the sterile package was damaged.No adverse events have been reported as a result of the malfunction and additional information on the reported event is unavailable.
 
Manufacturer Narrative
This follow-up report is being submitted to relay additional information.The following sections were updated: b4, b5, d4, g3, h1, h2, h3, h4, h6, h10 visual evaluation of the returned products identified that the outer sterile cavities have been damaged.Sterility has not been compromised on any of the products complaint sample was evaluated and the reported event was confirmed.Review of the device history records identified no related deviations or anomalies during manufacturing.These products were likely conforming when they left zimmer biomet control.The root cause of the reported issue is attributed to transit damage.A corrective action has been previously raised to implement improved packaging changes that were determined.These packaging changes will reduce the number of transit-related packaging damage events.A corrective action was raised to assess the risk.It was determined that no further corrective actions are necessary at this time.Upon investigation, it has been determined that the product is conforming to specifications.Event is no longer considered reportable, and initial report should be voided if any further information is found which would change or alter any conclusions or information, a supplemental will be filed accordingly.Zimmer biomet will continue to monitor for trends.
 
Event Description
No further event information available at the time of this report.
 
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Brand Name
TPRLC XR MP T1 PPS 16X117MM 117MM T1
Type of Device
PROSTHESIS, HIP
Manufacturer (Section D)
ZIMMER BIOMET, INC.
56 e. bell drive
warsaw IN 46582
MDR Report Key12010539
MDR Text Key256545688
Report Number0001825034-2021-01794
Device Sequence Number1
Product Code JDI
Combination Product (y/n)N
PMA/PMN Number
K101086
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,distri
Type of Report Initial,Followup
Report Date 08/25/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received06/16/2021
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberN/A
Device Catalogue Number51-145160
Device Lot Number6147984
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer06/16/2021
Was the Report Sent to FDA? No
Date Manufacturer Received08/19/2021
Is This a Reprocessed and Reused Single-Use Device? No
Removal/Correction NumberN/A
Patient Sequence Number1
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