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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. TPRLC 133 FP TYPE1 PPS SO 15.0; PROSTHETIC, HIP

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ZIMMER BIOMET, INC. TPRLC 133 FP TYPE1 PPS SO 15.0; PROSTHETIC, HIP Back to Search Results
Model Number N/A
Device Problem Adverse Event Without Identified Device or Use Problem (2993)
Patient Problems Wound Dehiscence (1154); Bacterial Infection (1735); Impaired Healing (2378)
Event Date 07/05/2017
Event Type  Injury  
Manufacturer Narrative
(b)(4).D10:110017104 item name g7 finned 4 hole shell 54f lot # 6038566.010000858 item name g7 neutral e1 liner 36mm f lot # 6033052.650-1057 item name cer bioloxd option hd 36mm lot # 2897727.650-1064 item name cer option type 1 tpr sleve - 6 lot # 2897761.Multiple mdr reports were filed for this event, please see associated reports 0001825034 - 2023 - 02914, 0001825034 - 2023 - 02915.The device will not be returned for analysis as it remains implanted; however, an investigation of the reported event is in progress.Once the investigation is completed, a supplemental medwatch will be submitted h3 other text : device remains implanted.
 
Event Description
It was reported that three weeks post implantation, the rehab facility reported that the incision areas were not closing properly.The patient underwent weekly wound debridement's to assist with closure and a bacterial infection was confirmed.The complication resolved 4 months postop.There is no additional information available at the time of this report.
 
Event Description
There is no update to the prior event description provided.
 
Manufacturer Narrative
This follow-up report is being submitted to relay additional information.It is expected that a wound heals in stages and should be of normal appearance related to the timeframe since the incision was made.A surgical wound should be well approximated without redness, warmth, swelling and/or purulent drainage for the duration of its healing.The expression wound concerns or non-healing wound would imply that the appearance of the wound deviates from what a surgical wound should appear.It may be red, have drainage, additional pain, warmth and swelling as well as healing time may be delayed.This deviation signifies an alteration in the wound healing process which can be complicated by patient comorbidities such as diabetes, obesity, smoking, and other conditions that are known to slow a person¿s ability to heal.Wound complications can be treated conservatively or more invasively with an irrigation and debridement (i&d) which promotes healing at the site and prevents further complications.During the investigation process a review of the sterile certifications were reviewed and found to be conforming with no applicable deviations.There are multiple factors that may contribute to an infection that are outside the control of zimmer biomet, such as external factors, i.E.Hospital/surgical environment, provider related risk factors, and/or patient comorbidities/risk factors.As there are no indications of a product or process issues identified affecting implant safety or effectiveness, implanted products are not identified as the source or contributing to the reported infection.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.
 
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Brand Name
TPRLC 133 FP TYPE1 PPS SO 15.0
Type of Device
PROSTHETIC, 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 Key18290339
MDR Text Key330002350
Report Number0001825034-2023-02908
Device Sequence Number1
Product Code KWA
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K101086
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Health Professional,Company Representative
Reporter Occupation Physician
Type of Report Initial,Followup
Report Date 12/15/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Lay User/Patient
Device Expiration Date02/28/2021
Device Model NumberN/A
Device Catalogue Number51-100150
Device Lot Number2299334
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 11/16/2023
Initial Date FDA Received12/08/2023
Supplement Dates Manufacturer Received12/14/2023
Supplement Dates FDA Received12/19/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Unknown
Removal/Correction NumberN/A
Patient Sequence Number1
Treatment
PLEASE SEE H10.
Patient Outcome(s) Other; Hospitalization;
Patient SexFemale
Patient Weight139 KG
Patient RaceWhite
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