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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. TPRLC XR MP T1 PPS 15X115MM 115MM T1; PROSTHESIS, HIP

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ZIMMER BIOMET, INC. TPRLC XR MP T1 PPS 15X115MM 115MM T1; PROSTHESIS, HIP Back to Search Results
Model Number N/A
Device Problem Tear, Rip or Hole in Device Packaging (2385)
Patient Problem No Patient Involvement (2645)
Event Date 12/18/2019
Event Type  malfunction  
Manufacturer Narrative
(b)(4).Concomitant medical products: catalog#: 51-104140, tprlc, 133, t1, pps, ho, 14x148mm, 8mm, t1, lot#: 6127286.Catalog#: 51-107130, tprlc, 133, mp, type1, pps, ho, 13.0, m, t1, lot#: 3466844.Catalog#: 51-106140, tprlc, 133, mp, type1, pps, so, 14.0, 1, lot#: 3899136.Report source: (b)(6).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.Multiple mdr reports were filed for this event, please see associated reports: 0001825034-2019-05789, 0001825034-2019-05790, 0001825034-2019-05791.
 
Event Description
It was reported that upon incoming inspection the inner sterile packaging was damaged.Attempts have been made and additional information on the reported event is unavailable at this time.
 
Manufacturer Narrative
This follow-up report is being submitted to relay additional information.Udi#: (b)(4).The event is confirmed with product received.Evaluation of the returned product confirmed the sterile packaging (pouch/ blister and pouch) is damaged.Dhr was reviewed and no discrepancies relevant to the reported event were found.The likely condition of the device when it left zimmer biomet is conforming to specification.The root cause of the reported event it likely to be damage during transit.A corrective action was opened to assess all current sterile barrier systems used to package products at zimmer biomet bridgend.As part of this action, the pouch is being improved to use a stronger material (nylon), and foam end caps are being added.Also, the orientation the devices are packed in the shipper box is moving from vertical to horizontal, and the thickness of the shipper box has been increased.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 15X115MM 115MM T1
Type of Device
PROSTHESIS, HIP
Manufacturer (Section D)
ZIMMER BIOMET, INC.
56 e. bell drive
warsaw IN 46582
MDR Report Key9532795
MDR Text Key200872619
Report Number0001825034-2019-05788
Device Sequence Number1
Product Code LPH
Combination Product (y/n)N
PMA/PMN Number
K120030
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type distributor,foreign
Type of Report Initial,Followup
Report Date 04/08/2020
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 Number51-145150
Device Lot Number6100418
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer02/03/2020
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 12/18/2019
Initial Date FDA Received12/30/2019
Supplement Dates Manufacturer Received04/08/2020
Supplement Dates FDA Received04/08/2020
Is This a Reprocessed and Reused Single-Use Device? No
Removal/Correction NumberN/A
Patient Sequence Number1
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