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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER ORTHOPAEDICS-MAHWAH X3 TRIATHLON CS INSERT NO 6 9MM; PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER

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STRYKER ORTHOPAEDICS-MAHWAH X3 TRIATHLON CS INSERT NO 6 9MM; PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER Back to Search Results
Catalog Number 5531-G-609-E
Medical Device Problem Codes Degraded (1153); Unstable (1667)
Health Effect - Clinical Code Joint Laxity (4526)
Date of Event 10/23/2025
Type of Reportable Event Serious Injury
Event or Problem Description
The following information was provided: as reported: "i am writing to document a knee revision of the poly insert due to slight instability and left knee pain.No noticeable damage or wear." rep confirmed no further information will be released by the hospital or surgeon.
 
Additional Manufacturer Narrative
Review of the device history records indicate that devices were manufactured and accepted into final stock with no reported discrepancies.There have been no other events for the lot referenced.If additional information is received, it will be provided in a supplemental report upon completion of the investigation.
 
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Brand Name
X3 TRIATHLON CS INSERT NO 6 9MM
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-MAHWAH
325 corporate drive
mahwah NJ 07430
Manufacturer Contact
alessandra chavez
3365 enterprise ave
weston, FL 33331
9546280700
MDR Report Key23542939
Report Number0002249697-2025-01330
Device Sequence Number21275978
Product Code JWH
UDI-Device Identifier07613327337402
UDI-Public07613327337402
Combination Product (Y/N)N
Initial Reporter StateFL
Initial Reporter CountryUS
PMA/510(K) Number
K242831
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 11/13/2025
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 Catalogue Number5531-G-609-E
Device Lot NumberDR5W14
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 10/23/2025
Initial Report FDA Received Date11/13/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured02/24/2023
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 Hospitalization; Required Intervention;
Patient SexUnknown
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