MAUDE Adverse Event Report: STRYKER ORTHOPAEDICS-MAHWAH TRIATHLON PS X3 TIBIAL INSERT; PROSTHESIS, KNEE, PATELLO/FEMOROTIBIAL, SEMI-CONSTRAINED, UNCEMENTED, POROUS, CO

Catalog Number 5532-G-519-E

Device Problem Device Damaged Prior to Use (2284)

Patient Problem No Clinical Signs, Symptoms or Conditions (4582)

Event Date 10/16/2023

Event Type  malfunction  

Event Description

Revision procedure, left knee.It was reported that upon opening the ps insert, damage was immediately noted by the rep at the locking mechanism, posterior aspect.A 2nd implant already in the or was used to complete the surgery successfully with no delay.

Manufacturer Narrative

It was noted that the device is not available for evaluation.Should additional information become available, it will be provided in a supplemental report upon completion of the investigation.Review of the device history records indicate devices were manufactured and accepted into final stock with no relevant reported discrepancies.There have been no other similar events for the lot referenced.H3 other text : device not returned to the manufacturer.

Manufacturer Narrative

Reported event: an event regarding damage involving a triathlon insert was reported.The event was confirmed via evaluation of the returned device.Method & results: product evaluation and results: visual inspection: "the device was further reviewed by the global quality & operations (gqo) team who indicated the following: "the original packaging was not provided.Reference images -the device that was returned had the locking wire in place.The device had a gouge on the side of it consistent with an extremely sharp cutting instrument.The devices are 100% inspected during the tibial plastics automation per procedure, ojt for operating the chiron automation cell, the depth of the wire slot and the position of the locking wire were within specification.Additionally, the device was 100% inspected throughout the final packaging process in an iso certified class 8 cleanroom where the per procedure for final packaging of implants and sterile instr.As the part has a large, sharp gouge, this is easily identifiable and would have been scrapped per the procedure.Furthermore, the packaging cell does not contain any sharp instruments, therefor the creation of the gouge during processing is not possible.Based on the nature of the complaint, it has been determined that the manufacturing requirements, per procedures have been met.The global quality and operations investigation process is unable to confirm that this complaint is a manufacturing-related error.Consequently, a manufacturing non-conformance will not be opened." clinician review: no medical records were received for review with a clinical consultant.Product history review: review of the device history records indicate devices were manufactured and accepted into final stock with no relevant reported discrepancies.Complaint history review: there have been no other similar events for the lot referenced.Conclusions: it was reported that upon opening the ps insert, damage was immediately noted at the locking mechanism, posterior aspect.Visual inspection: "the original packaging was not provided.Reference images -the device that was returned had the locking wire in place.The device had a gouge on the side of it consistent with an extremely sharp cutting instrument.The devices are 100% inspected during the tibial plastics automation per procedure, ojt for operating the chiron automation cell, the depth of the wire slot and the position of the locking wire were within specification.Additionally, the device was 100% inspected throughout the final packaging process in an iso certified class 8 cleanroom where the per procedure for final packaging of implants and sterile instr.As the part has a large, sharp gouge, this is easily identifiable and would have been scrapped per the procedure.Furthermore, the packaging cell does not contain any sharp instruments, therefor the creation of the gouge during processing is not possible.Based on the nature of the complaint, it has been determined that the manufacturing requirements, per procedures have been met.The global quality and operations investigation process is unable to confirm that this complaint is a manufacturing-related error.Consequently, a manufacturing non-conformance will not be opened." no further investigation for this event is possible at this time.If additional information becomes available to indicate further evaluation is warranted, this record will be reopened.

Event Description

Revision procedure, left knee.It was reported that upon opening the ps insert, damage was immediately noted by the rep at the locking mechanism, posterior aspect.A 2nd implant already in the or was used to complete the surgery successfully with no delay.

• Brand Name: TRIATHLON PS X3 TIBIAL INSERT
• 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-MAHWAH; 325 corporate drive; mahwah NJ 07430
• Manufacturer Contact: arokiya raj ; 325 corporate drive; mahwah, NJ 07430 ; 2018315000
• MDR Report Key: 18090382
• MDR Text Key: 327598164
• Report Number: 0002249697-2023-01355
• Device Sequence Number: 1
• Product Code: MBH
• UDI-Device Identifier: 07613327337907
• UDI-Public: 07613327337907
• Combination Product (y/n): N
• Reporter Country Code: US
• PMA/PMN Number: K172634
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: Health Professional
• Reporter Occupation: Physician
• Type of Report: Initial,Followup
• Report Date: 01/29/2024

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 11/08/2023
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Health Professional
• Device Catalogue Number: 5532-G-519-E
• Device Lot Number: T680R7
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Is the Reporter a Health Professional?: Yes
• Date Manufacturer Received: 01/06/2024
• Was Device Evaluated by Manufacturer?: Yes
• Date Device Manufactured: 04/30/2021
• Is the Device Single Use?: Yes
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: Initial
• Patient Sequence Number: 1
• Patient Outcome(s): Other
• Patient Age: 68 YR
• Patient Sex: Female