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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: CORIN LTD TAPERFIT HIP STEM; TAPERFIT STEM 45MM OFFSET SIZE 1

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CORIN LTD TAPERFIT HIP STEM; TAPERFIT STEM 45MM OFFSET SIZE 1 Back to Search Results
Model Number 588.4501
Medical Device Problem Code Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Code Periprosthetic fracture (4902)
Date of Event 05/14/2026
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
Per (b)(4) initial report: additional information, including post primary and pre revision x-rays, operative notes (primary and revision), patient activity level, weight and medical history, whether the patient followed correct post-op protocol, and an update on the patient post revision was requested in order to progress with the investigation of this event, however, this information could not be provided and thus the scope of the investigation was limited.The appropriate device details were provided and the relevant device manufacturing records have been identified and reviewed.All parts associated with these records conformed to material and dimensional specification at the time of manufacture.Based on the information provided, the root cause is determined as a patient related issue (trauma / fall) and not linked to the device design or performance.This case is now considered closed.Please note: this report is filed with the fda due to an adverse event experienced with a device that is similar to those placed on the market in the usa, however, this event occurred outside of the usa.The submission of this report does not constitute an admission that the device, reporting entity, entities representative or distributor caused or contributed to this event.
 
Event or Problem Description
Trinity dual mobility / taperfit revision of the stem, biolox delta ceramic head and ecima insert after approximately 6 years and 3 months due to a peri-prosthetic fracture following a fall.
 
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Brand Name
TAPERFIT HIP STEM
Common Device Name
TAPERFIT STEM 45MM OFFSET SIZE 1
Manufacturer (Section D)
CORIN LTD
the corinium centre
cirencester, gloucestershire GL7 1 YJ
UK  GL7 1YJ
Manufacturer (Section G)
CORIN LTD
the corinium centre
cirencester, gloucestershire GL7 1 YJ
UK   GL7 1YJ
Manufacturer Contact
franck didier
the corinium centre
cirencester, gloucestershire GL7 1-YJ
UK   GL7 1YJ
MDR Report Key25426491
Report Number9614209-2026-00059
Device Sequence Number5988288
Product Code JDI
UDI-Device Identifier05055343868508
UDI-Public05055343868508
Combination Product (Y/N)N
Initial Reporter CountryAS
PMA/510(K) Number
K142761
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2020
Device Explanted Year2026
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Company Representative
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial
Report Date (Section B) 06/08/2026
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
Operator of Device Health Professional
Device Expiration Date07/17/2024
Device Model Number588.4501
Device Catalogue NumberNOT APPLICABLE
Device Lot Number433111
Was Device Available for Evaluation? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 05/15/2026
Initial Report FDA Received Date06/08/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured08/27/2019
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
BIOLOX DELTA MOD HEAD: 104.2810 LOT 444154.; TRINITY DM ECIMA INSERT: 325.03.040 LOT 436610.
Outcome Attributed to Adverse Event Hospitalization; Required Intervention;
Patient SexFemale
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