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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER ORTHOPAEDICS-MAHWAH X3 TRIATHLON INSERT CS NUM4 10MM; PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER

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STRYKER ORTHOPAEDICS-MAHWAH X3 TRIATHLON INSERT CS NUM4 10MM; PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER Back to Search Results
Catalog Number 5531-G-410-E
Medical Device Problem Code Mechanical Problem (1384)
Health Effect - Clinical Code Loss of Range of Motion (2032)
Date of Event 01/12/2026
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
Reported event an event regarding range of motion (rom) involving a triathlon insert was reported.The event was not confirmed.Method & results -product evaluation and results: the device was not returned for inspection; however, a photograph was provided for review.The photograph shows a recently explanted insert with implantation/explantation damage.-clinician review: no medical records were received for review with a clinical consultant.-product 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 lot referenced.Conclusions: the event could not be confirmed as insufficient information was provided.Further information such as device return, pre- and post-operative x-rays, primary operative report as well as patient history and follow-up notes are needed to complete the investigation for determining root cause.No further investigation for this event is possible at this time.If additional information become available to indicate further evaluation is warranted, this record will be reopened.
 
Event or Problem Description
The following information was provided: it was reported that the patient's right knee was revised due to rom issues.A debridement was performed and a 4x10 cs insert was revised to a 4x9 cs insert.Rep confirmed that no further information will be released by the hospital or surgeon.
 
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Brand Name
X3 TRIATHLON INSERT CS NUM4 10MM
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 Key24251651
Report Number0002249697-2026-00078
Device Sequence Number15867473
Product Code JWH
UDI-Device Identifier07613327390452
UDI-Public07613327390452
Combination Product (Y/N)N
Initial Reporter StateRI
Initial Reporter CountryUS
PMA/510(K) Number
K242831
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2023
Device Explanted Year2026
Reporter Type Manufacturer
Report Source Health Professional
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 02/03/2026
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 Catalogue Number5531-G-410-E
Device Lot NumberHV8H4L
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 01/12/2026
Initial Report FDA Received Date02/03/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured12/06/2023
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 Age63 YR
Patient SexMale
Patient Weight73 KG
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