| Brand Name | Taperloc Complete |
| Common Device Name | Prosthesis, Hip, Semi-Constrained, Metal/Polymer, Porous Uncemented |
| 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
|
|
+1(574)526-0384
|
|
| MDR Report Key | 50097969 |
| Report Number | 0001825034-2026-02239 |
| Device Sequence Number | 18734094 |
| Product Code |
LPH
|
| UDI-Device Identifier | 00880304517356 |
| UDI-Public | (01)00880304517356(17)260920(10)3873634 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | US |
| PMA/510(K) Number | K120030 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,Company Representative |
| Initial Reporter Occupation |
Non-Healthcare Professional
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
09/22/2026 |
| 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 |
Other
|
| Device Expiration Date | 09/20/2026 |
| Device Catalogue Number | 51-145160 |
| Device Lot Number | 3873634 |
| Was Device Available for Evaluation? |
Yes
|
| Date Returned to Manufacturer | 07/29/2026 |
| Is the Reporter a Health Professional? |
No
|
| Was the Report Sent to FDA? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 07/08/2026 |
| Supplement Date Received by Manufacturer | 09/11/2026
|
| Initial Report FDA Received Date | 07/31/2026 |
| Supplement Report FDA Received Date | 09/22/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 09/20/2016 |
| Is the Device Labeled for Single Use? (Y/N) |
Yes
|
| Usage of Device |
Initial
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |
|
|