MAUDE Adverse Event Report: ZIMMER BIOMET, INC. TAPERLOC POROUS COATED STEM REDUCED DISTAL; HIP PROSTHESIS

Model Number N/A

Device Problems Device Contamination with Chemical or Other Material (2944); Packaging Problem (3007)

Patient Problem No Patient Involvement (2645)

Event Date 05/24/2018

Event Type  malfunction  

Manufacturer Narrative

(b)(4).(b)(6).Reporter had indicated that product will be returned.The investigation is in process.Once the investigation has been completed, a follow-up mdr will be submitted.

Event Description

It was reported that foreign substances were inside of the sterile packages.No adverse events have been reported as a result of the malfunction.

Manufacturer Narrative

(b)(4).This report is being submitted to relay additional information.Reported event has been confirmed by review of actual devices received.Review of the device history records for item # 51-103100 and lot # 6241545 identified following deviations or anomalies: ncr 1803160847 was created for porous coat issue (no coating); all parts of the lot were reworked.Ncr 1804082219 was created for porous coat issue (failed gauge); all parts of the lot were reworked.Ncr 1804220844 was created for incorrect finish; 2 parts were scrapped.These ncrs are not related to the reported event.The likely condition of the products when leaving zimmer biomet were non-conforming.The reported event occurred during the manufacturing process.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.

• Brand Name: TAPERLOC POROUS COATED STEM REDUCED DISTAL
• Type of Device: HIP PROSTHESIS
• Manufacturer (Section D): ZIMMER BIOMET, INC.; 56 e. bell drive; warsaw IN 46582
• MDR Report Key: 7598730
• MDR Text Key: 111015989
• Report Number: 0001825034-2018-03986
• Device Sequence Number: 1
• Product Code: KWA
• Combination Product (y/n): N
• PMA/PMN Number: PK101086
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: distributor,foreign,health pr
• Type of Report: Initial,Followup
• Report Date: 01/02/2019

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 06/13/2018
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Physician
• Device Model Number: N/A
• Device Catalogue Number: 51-103150
• Device Lot Number: 6268444
• Other Device ID Number: (01) 00880304491861
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Date Returned to Manufacturer: 07/11/2018
• Was the Report Sent to FDA?: No
• Date Manufacturer Received: 12/20/2018
• Is This a Reprocessed and Reused Single-Use Device?: No
• Removal/Correction Number: N/A
• Patient Sequence Number: 1