MAUDE Adverse Event Report: STRYKER ORTHOPAEDICS-MAHWAH TRIATHLON PS FEM COMPONENT, CEMENTED; PROSTHESIS, KNEE, PATELLO/FEMOROTIBIAL, SEMI-CONSTRAINED, UNCEMENTED, POROUS, C

Catalog Number	5515-F-501
Medical Device Problem Code	Packaging Problem (3007)
Health Effect - Clinical Codes	No Consequences Or Impact To Patient (2199); No Known Impact Or Consequence To Patient (2692)
Date of Event	05/25/2017
Type of Reportable Event	Malfunction
Additional Manufacturer Narrative
A supplemental report will be submitted upon completion of the investigation.
Event or Problem Description
The customer reported that they opened a triathlon femur (5515-f-501 / bep2d) and the inner plastic was broken so they could not use it.
Additional Manufacturer Narrative
An event regarding packaging damage involving a triathlon femoral component was reported.The event was confirmed through visual inspection.One unit carton without its shrink wrap was returned for evaluation.There is a compression line visible along the opening end of the unit carton.The outer blister was returned cracked and damaged with one side flange partially removed from the outer blister.For the purpose of this investigation the tyvek lid was removed from the outer blister.There is evidence of a good seal on the outer blister.The inner blister was returned inside the outer blister with its tyvek lid still intact.For the purpose of this investigation the tyvek lid was removed from the inner blister.There is evidence of a good seal on the inner blister.The returned device appears unremarkable.Not performed as the event is related to a packaging issue and no adverse consequences to the patient were reported.Indicated all devices were manufactured and accepted into final stock with no reported discrepancies.There have been no other similar events for the lot referenced.Based on the visual inspection of the returned packaging it appears that this component packaging was subjected to excessive/inappropriate handling whereby the carton may have been compressed and/or dropped from a height causing damage to the unit carton.No further investigation for this event is possible at this time.
Event or Problem Description
The customer reported that they opened a triathlon femur (5515-f-501/bep2d) and the inner plastic was broken so they could not use it.

• Brand Name: TRIATHLON PS FEM COMPONENT, CEMENTED
• Common Device Name: PROSTHESIS, KNEE, PATELLO/FEMOROTIBIAL, SEMI-CONSTRAINED, UNCEMENTED, POROUS, C
• Manufacturer (Section D): STRYKER ORTHOPAEDICS-MAHWAH; 325 corporate drive; mahwah NJ 07430
• MDR Report Key: 6661442
• Report Number: 0002249697-2017-01976
• Device Sequence Number: 16154895
• Product Code: MBH
• UDI-Device Identifier: 07613327050394
• UDI-Public: 07613327050394
• Combination Product (Y/N): N
• Initial Reporter Country: GB
• PMA/510(K) Number: K141056
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: health professional,other
• Initial Reporter Occupation: Nurse
• Type of Report: Initial,Followup
• Report Date (Section B): 09/18/2017

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 Expiration Date: 10/08/2021
• Device Catalogue Number: 5515-F-501
• Device Lot Number: BEP2D
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Date Returned to Manufacturer: 07/18/2017
• Initial Date Received by Manufacturer: 05/25/2017
• Supplement Date Received by Manufacturer: 08/23/2017
• Initial Report FDA Received Date: 06/22/2017
• Supplement Report FDA Received Date: 09/18/2017
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Patient Sequence Number: 1
• Outcome Attributed to Adverse Event: Other