FDA Adverse Event Malfunction Summary report: N

TPRLC 133 T1 PPS HO 16X152MM

MDR report key: 23657824 · Received November 26, 2025

Report

Report Number
0001825034-2025-03801
Event Type
Malfunction
Date Received
November 26, 2025
Date of Event
November 10, 2025
Report Date
April 6, 2026
Manufacturer
ZIMMER BIOMET, INC.
Product Code
KWA
UDI-DI
00880304491854
PMA / PMN Number
K101086
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. THE FOLLOWING SECTIONS WERE UPDATED: D9; G3; H2; H3; H6; H10. LOT 7220801: VISUAL EVALUATION OF THE RETURNED PRODUCT/PROVIDED PHOTOS IDENTIFIED DAMAGE TO THE STERILE PACKAGING (POUCH). STERILITY HAS BEEN COMPROMISED. REVIEW OF THE DEVICE HISTORY RECORDS IDENTIFIED NO DEVIATIONS OR ANOMALIES DURING MANUFACTURING RELATED TO THE REPORTED EVENT. THE ROOT CAUSE OF THE REPORTED EVENT CAN BE ATTRIBUTED TO TRANSIT DAMAGE AND A PACKAGING DESIGN ISSUE. 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 TRENDS.

Additional Manufacturer Narrative · 0

(B)(4). G2: FOREIGN ¿ JAPAN. CUSTOMER HAS INDICATED THAT THE PRODUCT IS IN PROCESS OF BEING RETURNED TO ZIMMER BIOMET FOR INVESTIGATION. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A SUPPLEMENTAL MDR WILL BE SUBMITTED.

Description of Event or Problem · 0

NO ADDITIONAL INFORMATION AVAILABLE FOR THE REPORTED EVENT.

Description of Event or Problem · 0

IT WAS REPORTED THAT DAMAGED STERILE PACKAGING WAS IDENTIFIED DURING INSPECTION OF CIRCULATED STOCK ITEMS. NO ADDITIONAL INFORMATION AVAILABLE FOR THE REPORTED EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2568888 TPRLC 133 T1 PPS HO 16X152MM PROSTHESIS, HIP KWA ZIMMER BIOMET, INC. 7220801 00880304491854

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown