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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER ORTHOPAEDICS-MAHWAH TIBIAL ALIGNMENT HANDLE; PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL

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STRYKER ORTHOPAEDICS-MAHWAH TIBIAL ALIGNMENT HANDLE; PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL Back to Search Results
Catalog Number 6541-2-807
Device Problems Degraded (1153); Peeled/Delaminated (1454); Material Integrity Problem (2978)
Patient Problems No Patient Involvement (2645); No Known Impact Or Consequence To Patient (2692)
Event Date 07/27/2016
Event Type  malfunction  
Manufacturer Narrative
Additional information has been requested.Should additional information become available it will be reported in a supplemental report upon completion of the investigation.
 
Event Description
Our customer reported that it was not possible to use the instruments for the following reason: some of the rubber coated parts have merged with the presence of oily substance inside the container of green color corresponding to the color of the spindles handles.To be noted that the instruments have been subjected to various sterilization using always the same program as indicated by stryker.Another instrumentation kit has been used.
 
Manufacturer Narrative
An event regarding santoprene damage involving a triathlon guide was reported.A review of the device history records indicates that the reported devices were manufactured and accepted into final stock with no reported discrepancies.The complaint history review indicated that there were no similar events for the reported lot.Visual inspection showed the device handle was oily & discolored.The damaged device was discovered during inspection.There was no surgical procedure associated with the reported event.This event meets the definition of preventive maintenance.No further investigation is required at this time.If additional information becomes available to indicate further evaluation is warranted, this record will be reopened.
 
Event Description
Our customer reported that it was not possible to use the instruments for the following reason: some of the rubber coated parts have merged with the presence of oily substance inside the container of green color corresponding to the color of the spindles handles.To be noted that the instruments have been subjected to various sterilization using always the same program as indicated by stryker.Another instrumentation kit has been used.
 
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Brand Name
TIBIAL ALIGNMENT HANDLE
Type of Device
PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL
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
keyla colon
325 corporate drive
mahwah, NJ 07430
2018315000
MDR Report Key5901410
MDR Text Key53817339
Report Number0002249697-2016-02749
Device Sequence Number1
Product Code JWH
Combination Product (y/n)N
Reporter Country CodeIT
PMA/PMN Number
K143393
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type consumer,other
Reporter Occupation Other
Type of Report Initial,Followup
Report Date 07/27/2016
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received08/24/2016
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number6541-2-807
Device Lot NumberN3W31
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer09/02/2016
Is the Reporter a Health Professional? No
Date Manufacturer Received09/27/2016
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured06/08/2009
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
Patient Outcome(s) Other;
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