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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER BIOMET, INC. TLOC 133 MP SP T1 PPS HO 7X99; PROTHESIS, HIP

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ZIMMER BIOMET, INC. TLOC 133 MP SP T1 PPS HO 7X99; PROTHESIS, HIP Back to Search Results
Model Number N/A
Medical Device Problem Code Tear, Rip or Hole in Device Packaging (2385)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 08/12/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
(b)(4).G2: foreign: japan.The customer has indicated that the product is in the process of being returned to zimmer biomet for investigation.Once the investigation has been completed, a follow-up mdr will be submitted.
 
Event or Problem Description
It was reported that the plastic packaging surrounding the implant was damaged.No patient involvement and no adverse consequences reported.No further event information is available at the time of this report.
 
Additional Manufacturer Narrative
This follow-up report is being submitted to relay additional information.The following sections were updated: a1; d9; g3; h2; h3; h6.Complaint can be confirmed through the returned product analysis.Sterility has been compromised.Visual evaluation of the returned product/provided photos identified damage to the sterile packaging (pouch).The device history record was reviewed and no discrepancies relevant to the reported event were found.Root cause has been identified as transit damage and a packaging design issue.An action has been previously raised to implement improved packaging changes.These packaging changes will reduce the number of transit related packaging damage events.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 or Problem Description
No further information.
 
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Brand Name
TLOC 133 MP SP T1 PPS HO 7X99
Common Device Name
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 Key22975288
Report Number0001825034-2025-02792
Device Sequence Number9430421
Product Code KWA
UDI-Device Identifier00880304513013
UDI-Public(01)00880304513013(17)261022(10)3886218
Combination Product (Y/N)N
Initial Reporter CountryJA
PMA/510(K) Number
K110400
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Foreign,Company Representative
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial,Followup
Report Date (Section B) 11/07/2025
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
Operator of Device Health Professional
Device Model NumberN/A
Device Catalogue Number51-109070
Device Lot Number3886218
Was Device Available for Evaluation? Device Returned to Manufacturer
Was the Report Sent to FDA? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 08/12/2025
Supplement Date Received by Manufacturer11/07/2025
Initial Report FDA Received Date09/05/2025
Supplement Report FDA Received Date12/02/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured10/22/2016
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
Patient SexUnknown
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