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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER ORTHOPAEDICS-MAHWAH TRIATHLON PS FEM COMPONENT, CEMENTED; PROSTHESIS, KNEE, PATELLO/FEMOROTIBIAL, SEMI-CONSTRAINED, UNCEMENTED, POROUS, C

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STRYKER ORTHOPAEDICS-MAHWAH TRIATHLON PS FEM COMPONENT, CEMENTED; PROSTHESIS, KNEE, PATELLO/FEMOROTIBIAL, SEMI-CONSTRAINED, UNCEMENTED, POROUS, C Back to Search Results
Catalog Number 5515-F-501
Device Problems Break (1069); Device Damaged Prior to Use (2284); Packaging Problem (3007)
Patient Problems No Consequences Or Impact To Patient (2199); No Known Impact Or Consequence To Patient (2692)
Event Date 05/25/2017
Event Type  malfunction  
Manufacturer Narrative
A supplemental report will be submitted upon completion of the investigation.
 
Event Description
The customer reported that they opened a triathlon femur (5515-f-501 / bep2d) and the inner plastic was broken so they could not use it.
 
Manufacturer Narrative
An event regarding packaging damage involving a triathlon femoral component was reported.The event was confirmed through visual inspection.One unit carton without its shrink wrap was returned for evaluation.There is a compression line visible along the opening end of the unit carton.The outer blister was returned cracked and damaged with one side flange partially removed from the outer blister.For the purpose of this investigation the tyvek lid was removed from the outer blister.There is evidence of a good seal on the outer blister.The inner blister was returned inside the outer blister with its tyvek lid still intact.For the purpose of this investigation the tyvek lid was removed from the inner blister.There is evidence of a good seal on the inner blister.The returned device appears unremarkable.Not performed as the event is related to a packaging issue and no adverse consequences to the patient were reported.Indicated all devices were manufactured and accepted into final stock with no reported discrepancies.There have been no other similar events for the lot referenced.Based on the visual inspection of the returned packaging it appears that this component packaging was subjected to excessive/inappropriate handling whereby the carton may have been compressed and/or dropped from a height causing damage to the unit carton.No further investigation for this event is possible at this time.
 
Event Description
The customer reported that they opened a triathlon femur (5515-f-501/bep2d) and the inner plastic was broken so they could not use it.
 
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Brand Name
TRIATHLON PS FEM COMPONENT, CEMENTED
Type of Device
PROSTHESIS, KNEE, PATELLO/FEMOROTIBIAL, SEMI-CONSTRAINED, UNCEMENTED, POROUS, C
Manufacturer (Section D)
STRYKER ORTHOPAEDICS-MAHWAH
325 corporate drive
mahwah NJ 07430
Manufacturer (Section G)
STRYKER ORTHOPAEDICS-LIMERICK
raheen business park
limerick NA
Manufacturer Contact
brian lauro
325 corporate drive
mahwah, NJ 07430
2018315000
MDR Report Key6661442
MDR Text Key78278537
Report Number0002249697-2017-01976
Device Sequence Number1
Product Code MBH
UDI-Device Identifier07613327050394
UDI-Public07613327050394
Combination Product (y/n)N
Reporter Country CodeGB
PMA/PMN Number
K141056
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type health professional,other
Reporter Occupation Nurse
Type of Report Initial,Followup
Report Date 09/18/2017
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received06/22/2017
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Expiration Date10/08/2021
Device Catalogue Number5515-F-501
Device Lot NumberBEP2D
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer07/18/2017
Is the Reporter a Health Professional? Yes
Date Manufacturer Received08/23/2017
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured10/08/2016
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) Other;
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