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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER ORTHOPAEDICS-MAHWAH TRITANIUM PATELLA-ASYMMETRIC; PROSTHESIS, KNEE, PATELLO/FEMOROTIBIAL, SEMI-CONSTRAINED, UNCEMENTED, POROUS, CO

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STRYKER ORTHOPAEDICS-MAHWAH TRITANIUM PATELLA-ASYMMETRIC; PROSTHESIS, KNEE, PATELLO/FEMOROTIBIAL, SEMI-CONSTRAINED, UNCEMENTED, POROUS, CO Back to Search Results
Model Number 5552-L-299
Device Problem Loss of Osseointegration (2408)
Patient Problems Pain (1994); Inadequate Osseointegration (2646); Swelling/ Edema (4577)
Event Date 02/21/2018
Event Type  Injury  
Event Description
Patient reported she had a left tka on (b)(6) 2018.Patient stated that since her surgery she has experienced swelling and pain.Patient had x-rays done and was told by her surgeon that her knee was loose and she requires revision surgery.
 
Manufacturer Narrative
Reported event: an event regarding loosening involving a triathlon patella was reported.The event was not confirmed.Method & results:  device evaluation and results: not performed as product remained implanted.Clinician review: a review of the provided medical records by a clinical consultant indicated: conclusion of assessment: this inquiry reports a complaint of a patient who is over 3 years following total knee arthroplasty.She complains of pain and swelling and she states she has been told the implant is loose and requires revision surgery.I cannot confirm that this event (loosening) took place since i was not able to view any documentation for this except a radiology report of demineralization more prominent at 4 weeks postoperative.There is no clinical evidence provided to substantiate the report.Regarding the possible root cause of this event, there is no evidence that loosening occurred so i cannot opine on a root cause.As far as my knowledge of the implant, there has been no recall of any of the components.Stryker would have to confirm this.Device history review: could not be performed as lot code information was not provided.  complaint history review: could not be performed as lot code information was not provided.  conclusion: the event could not be confirmed as insufficient information was provided.Further information primary operative report as well as patient history and follow-up notes are needed to complete the investigation for determining root cause.No further investigation for this event is possible at this time.If additional information become available to indicate further evaluation is warranted, this record will be reopened.
 
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Brand Name
TRITANIUM PATELLA-ASYMMETRIC
Type of Device
PROSTHESIS, KNEE, PATELLO/FEMOROTIBIAL, SEMI-CONSTRAINED, UNCEMENTED, POROUS, CO
Manufacturer (Section D)
STRYKER ORTHOPAEDICS-MAHWAH
325 corporate drive
mahwah NJ 07430
Manufacturer (Section G)
STRYKER ORTHOPAEDICS-CORK
ida industrial estate
carrigtwohill NA
EI   NA
Manufacturer Contact
arokiya raj
325 corporate drive
mahwah, NJ 07430
2018315000
MDR Report Key13382022
MDR Text Key285625714
Report Number0002249697-2022-00133
Device Sequence Number1
Product Code MBH
UDI-Device Identifier07613327013535
UDI-Public07613327013535
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K132624
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Consumer
Reporter Occupation Other
Type of Report Initial
Report Date 01/28/2022
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
Device Operator Health Professional
Device Model Number5552-L-299
Device Catalogue Number5552-L-299
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? No
Initial Date Manufacturer Received 01/04/2022
Initial Date FDA Received01/28/2022
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Hospitalization; Required Intervention;
Patient Age60 YR
Patient SexFemale
Patient Weight99 KG
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