MAUDE Adverse Event Report: STRYKER ORTHOPAEDICS-MAHWAH TRIDENT 0 DEG X3 INSERT 36D; PROSTHESIS, HIP, SEMI-CONSTRAINED, METAL/POLYMER, CEMENTED

Catalog Number	723-00-36D
Medical Device Problem Code	Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Code	Unspecified Infection (1930)
Date of Event	04/17/2026
Type of Reportable Event	Serious Injury
Additional Manufacturer Narrative
The following devices were also listed in this report: exeter v40 stem 44mm no 2; cat#: 0580-1-442; lot#: g875775.Restoration anatomic shell size 58 left; cat#: 504-02-58d-l; lot#: r33aj.X-chg femoral anatomical mesh; cat#: 0942-8-070; lot#: g7959746a.Osteolock bone screw 16mm; cat#: 5260-5-016; lot#: 82511801.Osteolock bone screw 26mm; cat#: 5260-5-026; lot#: 94809702.Osteolock bone screw 40mm; cat#: 5260-5-040; lot#: 92107702.Osteolock bone screw 50mm; cat#: 5260-5-050; lot#: 97548302.Ti sleeve for alumina head; cat#: 17-0000e; lot#: pa3469.Delta c-taper head 36mm +2.5; cat#: 18-3625; lot#: 23659552.D-m 2.0mm beaded cable set vit; cat#: 6704-0-520; lot#: 29855651; qty: 2.D-m 2.0mm beaded cable set vit; cat#: 6704-0-520; lot#: 29167551.D-m 2.0mm beaded cable set vit; cat#: 6704-0-520; lot#: 29651751.It cannot be determined which, if any of these devices may have caused or contributed to the patient's experience.Review of the device history records indicate that devices were manufactured and accepted into final stock with no reported discrepancies.There has been similar event(s) for the lot referenced.If additional information is received, it will be provided in a supplemental report upon completion of the investigation.
Event or Problem Description
The following information was provided: revised a left hip due to infection.Removed all hardware and replaced with a serf novae stick cup and competitor stem.

• Brand Name: TRIDENT 0 DEG X3 INSERT 36D
• Common Device Name: PROSTHESIS, HIP, SEMI-CONSTRAINED, METAL/POLYMER, CEMENTED
• 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: 25147107
• Report Number: 0002249697-2026-00396
• Device Sequence Number: 15790514
• Product Code: JDI
• UDI-Device Identifier: 07613327296990
• UDI-Public: 07613327296990
• Combination Product (Y/N): N
• Initial Reporter State: RI
• Initial Reporter Country: US
• PMA/510(K) Number: K250989
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Health Professional
• Initial Reporter Occupation: Physician
• Type of Report: Initial
• Report Date (Section B): 05/12/2026

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 Number: 723-00-36D
• Device Lot Number: YM80HW
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Initial
• Initial Date Received by Manufacturer: 04/17/2026
• Initial Report FDA Received Date: 05/12/2026
• Was Device Evaluated by Manufacturer? (Y/N): No
• Date Device Manufactured: 04/01/2025
• 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 Number: 1
• Outcome Attributed to Adverse Event: Required Intervention; Hospitalization
• Patient Age: 87 YR
• Patient Sex: Female