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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER ORTHOPAEDICS-MAHWAH TRIATHLON CR X3 TIBIAL INSERT; PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER

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STRYKER ORTHOPAEDICS-MAHWAH TRIATHLON CR X3 TIBIAL INSERT; PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER Back to Search Results
Catalog Number 5530-G-509
Medical Device Problem Code Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Code Insufficient Information (4580)
Date of Event 09/04/2025
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
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.An evaluation of the device cannot be performed as the device was not returned to the manufacturer.Should additional information become available it will be reported in a supplemental report upon completion of the investigation.
 
Event or Problem Description
The following information was provided: revision total knee replacement, explanted poly slightly yellow in colour.
 
Event or Problem Description
No new information.
 
Additional Manufacturer Narrative
Reported event:  an event regarding revision surgery involving a triathlon insert was reported. the event was not confirmed. method & results: device evaluation and results: visual inspection of the returned device indicated the device is damaged from instrumentation used for explantation.The yellow discoloration observed on the tibial insert is consistent with the absorption of synovial fluid by the device.-clinician review: no medical records were received for review with a clinical consultant.   -device history review: review of the product history records indicate the reported device was manufactured with no reported relevant discrepancies.-complaint history review: there have been no other similar events for the reported lot.Conclusion:  it was reported that 'revision total knee replacement, explanted poly slightly yellow in colour.' the reason for the revision was unknown.Visual inspection of the returned device indicated the device is damaged from instrumentation used for explantation.The yellow discoloration observed on the tibial insert is consistent with the absorption of synovial fluid by the device.The exact cause of the event could not be determined because insufficient information was provided.  additional information including device details, device return, operative reports, progress notes and x-rays are needed to fully investigate the event.If further information becomes available, this investigation will be re-opened.
 
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Brand Name
TRIATHLON CR X3 TIBIAL INSERT
Common Device Name
PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER
Manufacturer (Section D)
STRYKER ORTHOPAEDICS-MAHWAH
325 corporate drive
mahwah NJ 07430
Manufacturer (Section G)
STRYKER ORTHOPAEDICS-LIMERICK
raheen business park
limerick NA
EI   NA
Manufacturer Contact
anna ryan
raheen business park
limerick NA
EI   NA
61498200
MDR Report Key23180057
Report Number0002249697-2025-01040
Device Sequence Number9062840
Product Code JWH
UDI-Device Identifier07613327050530
UDI-Public07613327050530
Combination Product (Y/N)N
Initial Reporter CountryAS
PMA/510(K) Number
K242831
Number of Events Summarized1
Summary Report (Y/N)N
Device Explanted Year2025
Reporter Type Manufacturer
Report Source Company Representative
Initial Reporter Occupation Other
Type of Report Initial,Followup
Report Date (Section B) 02/17/2026
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
Operator of Device Health Professional
Device Expiration Date04/30/2023
Device Catalogue Number5530-G-509
Device Lot NumberPW0YHK
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? No
Type of Report(Section G)Follow-Up
Initial Date Received by Manufacturer 09/04/2025
Supplement Date Received by Manufacturer01/23/2026
Initial Report FDA Received Date09/30/2025
Supplement Report FDA Received Date02/17/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured05/01/2018
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Outcome Attributed to Adverse Event Required Intervention; Hospitalization;
Patient SexUnknown
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