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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. TAPERLOC COMPLETE XR 123 MICRO FEMORAL POROUS COATED STEM; PROSTHESIS, HIP

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ZIMMER BIOMET, INC. TAPERLOC COMPLETE XR 123 MICRO FEMORAL POROUS COATED STEM; PROSTHESIS, HIP Back to Search Results
Model Number N/A
Device Problems Device Packaging Compromised (2916); Device Contamination with Chemical or Other Material (2944)
Patient Problem No Patient Involvement (2645)
Event Type  malfunction  
Manufacturer Narrative
(b)(4).Foreign: (b)(6).Customer has indicated that the product will not be returned to zimmer biomet for investigation, as product location is unknown.The investigation is in process.Once the investigation has been completed, a follow-up mdr will be submitted.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.Multiple mdr reports were filed for this event, please see associated reports:0001825034 - 2018 - 01183, 0001825034 - 2018 - 01184, 0001825034 - 2018 - 01185, 0001825034 - 2018 - 01186, 0001825034 - 2018 - 01187.Product location is unknown.
 
Event Description
It was reported that the incoming inspection team member found debris in sterile packaging.
 
Event Description
No further event information available at the time of this report.
 
Manufacturer Narrative
(b)(4).This follow-up report is being submitted to relay additional information.Reported event was confirmed by visual inspection of the affected products' photographs.The root cause of the reported issue is a manufacturing deficiency.The work instruction i000132 rev.10 provides adequate detail instructing the operator to look for any contamination.Failure mode: process: packaging: foreign particles : particulate : debris, hair, fiber, cinder, lint.Device history record (dhr) was reviewed and no discrepancies were found.The root cause of the reported issue is a manufacturing deficiency.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
TAPERLOC COMPLETE XR 123 MICRO FEMORAL POROUS COATED STEM
Type of Device
PROSTHESIS, HIP
Manufacturer (Section D)
ZIMMER BIOMET, INC.
56 e. bell drive
warsaw IN 46582
MDR Report Key7290109
MDR Text Key101006605
Report Number0001825034-2018-01185
Device Sequence Number1
Product Code LPH
Combination Product (y/n)N
PMA/PMN Number
PK120030
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative
Type of Report Initial,Followup
Report Date 12/06/2018
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 Physician
Device Model NumberN/A
Device Catalogue Number51-149050
Device Lot Number6147950
Other Device ID Number(01)00880304517424
Was Device Available for Evaluation? No
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 01/25/2018
Initial Date FDA Received02/22/2018
Supplement Dates Manufacturer Received12/05/2018
Supplement Dates FDA Received12/06/2018
Is This a Reprocessed and Reused Single-Use Device? No
Removal/Correction NumberN/A
Patient Sequence Number1
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