| Brand Name | TRIATH SOLID CR TIB INS TRL SZ 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 |
|
marisol
santiago
|
| 325 corporate drive |
| mahwah, NJ 07430
|
|
2018315000
|
|
| MDR Report Key | 24052158 |
| Report Number | 0002249697-2026-00018 |
| Device Sequence Number | 9856680 |
| Product Code |
JWH
|
| UDI-Device Identifier | 07613327402803 |
| UDI-Public | 07613327402803 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | GM |
| PMA/510(K) Number | K173849 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Company Representative |
| Initial Reporter Occupation |
Other
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
05/22/2026 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
No
|
| Is this a Product Problem Report? |
Yes
|
| Operator of Device |
Health Professional
|
| Device Catalogue Number | 5530-T-609Y |
| Device Lot Number | A1QQC |
| Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
| Is the Reporter a Health Professional? |
No
|
| Type of Report(Section G) | Initial |
| Initial Date Received by Manufacturer | 12/17/2025 |
| Supplement Date Received by Manufacturer | 04/27/2026
|
| Initial Report FDA Received Date | 01/13/2026 |
| Supplement Report FDA Received Date | 05/22/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 07/26/2019 |
| Is the Device Labeled for Single Use? (Y/N) |
No
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Reuse
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |
|
|