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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. TAPERLOC COMPLETE PRIMARY FEMORAL 133 TYPE1 BM HO 9.0; PROSTHESIS, HIP

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ZIMMER BIOMET, INC. TAPERLOC COMPLETE PRIMARY FEMORAL 133 TYPE1 BM HO 9.0; PROSTHESIS, HIP Back to Search Results
Catalog Number 51-114090
Medical Device Problem Code Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Code Unequal Limb Length (4534)
Date of Event 08/04/2025
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
(b)(4).Proposed component code: mechanical (g04) - stem.D10: cat# 650-1159 lot# 3157030 delta cer fem hd 28/-3mm t1.G2: foreign: australia.The customer has indicated that the product will not be returned to zimmer biomet for investigation as it was discarded the investigation is in process.Once the investigation has been completed, a follow-up mdr will be submitted.
 
Event or Problem Description
It was reported that the patient underwent an initial hip procedure.Subsequently, the patient was revised approximately a year and a half later due to the patient alleging feeling tight and unequal leg length.It was reported that no further information could be provided.
 
Additional Manufacturer Narrative
This follow-up report is being submitted to relay additional information.The following sections were {update/corrected}.Corrected: b1.Updated: g3; h2; h3; h6.No product was returned or pictures provided; visual and dimensional evaluations could not be performed.Review of the device history records identified no deviations or anomalies during manufacturing related to the reported event.Radiographs were provided and reviewed by a health care professional.Review of the available records identified the following: the standing leg length study shows rightward pelvic tilt and apparent lengthening of the left femur compared with the right.A definitive root cause cannot be determined.This complaint can be confirmed via the x-ray evaluation.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 or Problem Description
No further information at the time of this report.
 
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Brand Name
TAPERLOC COMPLETE PRIMARY FEMORAL 133 TYPE1 BM HO 9.0
Common Device Name
PROSTHESIS, 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 Key22894946
Report Number0001825034-2025-02688
Device Sequence Number8896638
Product Code LZO
UDI-Device Identifier00880304499249
UDI-Public(01)00880304499249(17)321003(10)7340854
Combination Product (Y/N)N
Initial Reporter CountryAS
PMA/510(K) Number
K200196
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2024
Device Explanted Year2025
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Foreign,Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 09/08/2025
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? Yes
Operator of Device Lay User/Patient
Device Catalogue Number51-114090
Device Lot Number7340854
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 08/04/2025
Supplement Date Received by Manufacturer08/26/2025
Initial Report FDA Received Date08/26/2025
Supplement Report FDA Received Date09/08/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured10/03/2022
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Concomitant Medical Products
and Therapy/Usage Dates
SEE H11 NARRATIVE
Outcome Attributed to Adverse Event Required Intervention; Hospitalization;
Patient Age74 YR
Patient SexUnknown
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