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U.S. Department of Health and Human Services

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

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STRYKER ORTHOPAEDICS-MAHWAH TRIATHLON PS FEM COMPONENT, CEMENTED; PROSTHESIS, KNEE, PATELLO/FEMOROTIBIAL, SEMI-CONSTRAINED, UNCEMENTED, POROUS, CO Back to Search Results
Catalog Number 5515-F-401
Medical Device Problem Code Difficult to Open or Remove Packaging Material (2922)
Health Effect - Clinical Code No Known Impact Or Consequence To Patient (2692)
Date of Event 01/19/2018
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
A supplemental report will be submitted upon completion of the investigation.
 
Event or Problem Description
As reported: "this has happened in the past.I've suggested packaging be changed so the femur does not 'stick' to the plastic material making it very difficult for staff to pass it off sterile and not dropping it by having to pull it very hard out of package.".
 
Additional Manufacturer Narrative
An event regarding packaging issue involving a triathlon femoral component was reported.The event was not confirmed.Conclusion: the reported event could not be confirmed as no product and / or insufficient information was provided.No further investigation for this event is possible at this time as no devices and / or insufficient information was received by stryker orthopaedics.If devices and / or additional information become available to indicate further evaluation is warranted, this record will be reopened.
 
Event or Problem Description
As reported: "this has happened in the past.I've suggested packaging be changed so the femur does not 'stick' to the plastic material making it very difficult for staff to pass it off sterile and not dropping it by having to pull it very hard out of package.".
 
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Brand Name
TRIATHLON PS FEM COMPONENT, CEMENTED
Common Device Name
PROSTHESIS, KNEE, PATELLO/FEMOROTIBIAL, SEMI-CONSTRAINED, UNCEMENTED, POROUS, CO
Manufacturer (Section D)
STRYKER ORTHOPAEDICS-MAHWAH
325 corporate drive
mahwah NJ 07430
MDR Report Key7276912
Report Number0002249697-2018-00448
Device Sequence Number19267959
Product Code MBH
UDI-Device Identifier07613327050387
UDI-Public07613327050387
Combination Product (Y/N)N
Initial Reporter StateOR
Initial Reporter CountryUS
PMA/510(K) Number
K141056
Number of Events Summarized1
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) 05/18/2018
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 Date12/31/2022
Device Catalogue Number5515-F-401
Device Lot NumberA9I4RA
Was Device Available for Evaluation? No
Initial Date Received by Manufacturer 01/19/2018
Supplement Date Received by Manufacturer04/24/2018
Initial Report FDA Received Date02/16/2018
Supplement Report FDA Received Date05/18/2018
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Patient Sequence Number1
Outcome Attributed to Adverse Event Other;
Patient Age69 YR
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