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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. TPRLC XR FP TYPE1 PPS 4X128MM; PROTHESIS, HIP

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ZIMMER BIOMET, INC. TPRLC XR FP TYPE1 PPS 4X128MM; PROTHESIS, HIP Back to Search Results
Model Number N/A
Device Problem Tear, Rip or Hole in Device Packaging (2385)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 11/18/2022
Event Type  malfunction  
Event Description
It was reported circulated items in stock were inspected and the sterile package was damaged.There was no patient involvement.It was reported that no further information is available.
 
Manufacturer Narrative
(b)(4).Concomitant medical products: 51-100050 tprlc 133 fp type1 pps so 5.0 6747545, 51-104150 tprlc 133 t1 pps ho 15x150mm 6133620.Customer had 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.Multiple mdr reports were filed for this event, please see associated reports: 0001825034 -2022 -02767, 0001825034 -2022 -02769.
 
Manufacturer Narrative
This follow-up report is being submitted to relay additional and/or corrected information.Multiple mdr reports were filed for this event, please see associated reports: 0001825034 - 2022 -02767 - 1, 0001825034 - 2022 -02769 - 1.Lot 6826058 -visual evaluation of the returned product/provided photo(s) identified damage to the sterile packaging (blister).Sterility has not been compromised.Reported event has been confirmed review of the device history records identified no deviations or anomalies during manufacturing related to the reported event.Lots 6757545; 6826058 -review of complaint history identified additional similar complaints for the reported item(s) and no additional complaints for the reported item and lot combination(s).The reported event did not occur in an operating room or as part of a medical procedure; medical records are not available for review.The condition of the device when it left zimmer biomet is conforming to specification.The root cause of the reported event can be attributed to transit damage and a packaging design issue.If any further information is found which would change or alter any conclusions or information, a supplemental report will be filed accordingly.Zimmer biomet will continue to monitor for trends.
 
Event Description
No additional event information to report at this time.
 
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Brand Name
TPRLC XR FP TYPE1 PPS 4X128MM
Type of Device
PROTHESIS, HIP
Manufacturer (Section D)
ZIMMER BIOMET, INC.
56 e. bell drive
p.o. box 587
warsaw IN 46581
Manufacturer (Section G)
ZIMMER BIOMET, INC.
56 e. bell drive
p.o. box 587
warsaw IN 46581
Manufacturer Contact
jennifer rapsavage
56 e. bell dr.
warsaw, IN 46582
5745260384
MDR Report Key15958352
MDR Text Key305697804
Report Number0001825034-2022-02768
Device Sequence Number1
Product Code LPH
UDI-Device Identifier00880304516878
UDI-Public(01)00880304516878(17)300811(10)6826058
Combination Product (y/n)N
Reporter Country CodeJA
PMA/PMN Number
K120030
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Company Representative
Reporter Occupation Non-Healthcare Professional
Type of Report Initial,Followup
Report Date 01/26/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberN/A
Device Catalogue Number51-102040
Device Lot Number6826058
Was Device Available for Evaluation? Device Returned to Manufacturer
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 11/18/2022
Initial Date FDA Received12/12/2022
Supplement Dates Manufacturer Received01/25/2023
Supplement Dates FDA Received01/27/2023
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured08/11/2020
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Removal/Correction NumberN/A
Patient Sequence Number1
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