• Decrease font size
  • Return font size to normal
  • Increase font size
U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER ORTHOPAEDICS-MAHWAH X3 TRIATHLON CS INSERT #7 11MM; PROSTHESIS, KNEE, PATELLO/FEMOROTIBIAL, SEMI-CONSTRAINED, UNCEMENTED, POROUS, CO

  • Print
  • Share
  • E-mail
-
Super Search Devices@FDA
510(k) | DeNovo | Registration & Listing | Adverse Events | Recalls | PMA | HDE | Classification | Standards
CFR Title 21 | Radiation-Emitting Products | X-Ray Assembler | Medsun Reports | CLIA | TPLC
 

STRYKER ORTHOPAEDICS-MAHWAH X3 TRIATHLON CS INSERT #7 11MM; PROSTHESIS, KNEE, PATELLO/FEMOROTIBIAL, SEMI-CONSTRAINED, UNCEMENTED, POROUS, CO Back to Search Results
Catalog Number 5531G711
Device Problems Scratched Material (3020); Insufficient Information (3190)
Patient Problems Unspecified Infection (1930); Pain (1994); Swelling (2091); Injury (2348)
Event Date 01/30/2018
Event Type  Injury  
Manufacturer Narrative
Review of the device history records indicate devices were manufactured and accepted into final stock with no relevant reported discrepancies.There have been no other events for the lot referenced.There have been no other events for the sterile lot referenced.A supplemental report will be submitted upon completion of the investigation.The following devices were also listed in this report: triathlon cr fem comp #6 l-cem; 5510f601; b933s; triathlon prim cem fxd bplt #7; 5520b700; b3d7y; triathlon asymmetric x3 patella; 5551-g-401; np3w.It cannot be determined which, if any of these devices may have caused or contributed to the patient's experience.
 
Event Description
Patient had a primary total knee on (b)(6) 2017 and it became infected and surgeon removed the primary insert, washed out the joint, and put in a new insert.
 
Manufacturer Narrative
An event regarding infection involving a triathlon insert was reported.The event was not confirmed.One insert was returned for evaluation.Burnishing, scratching and third body indentations were observed on the insert.Damage consistent with the explantation process were also observed on the insert.Medical records received and evaluation: not performed as no medical records were provided for review.Indicate all devices were manufactured and accepted into final stock on with no reported discrepancies.There have been no other events for the lot or sterile lot referenced.The exact cause of the event could not be determined because insufficient information was provided.Further information such as pre- and post-operative x-rays, operative reports, pathology reports including the strain of infection identified, as well as patient history and follow-up notes are needed to complete the investigation for determining a root cause.No further investigation is required at this time.If additional information becomes available to indicate further evaluation is warranted, this investigation will be reopened.
 
Event Description
Patient had a primary total knee on (b)(6) 2017 and it became infected and surgeon removed the primary insert, washed out the joint, and put in a new insert.
 
Search Alerts/Recalls

  New Search  |  Submit an Adverse Event Report

Brand Name
X3 TRIATHLON CS INSERT #7 11MM
Type of Device
PROSTHESIS, KNEE, PATELLO/FEMOROTIBIAL, SEMI-CONSTRAINED, UNCEMENTED, POROUS, CO
Manufacturer (Section D)
STRYKER ORTHOPAEDICS-MAHWAH
325 corporate drive
mahwah NJ 07430
MDR Report Key7299585
MDR Text Key101056485
Report Number0002249697-2018-00559
Device Sequence Number1
Product Code MBH
UDI-Device Identifier07613327046038
UDI-Public07613327046038
Combination Product (y/n)N
PMA/PMN Number
K141056
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type health professional,other
Type of Report Initial,Followup
Report Date 04/09/2018
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received02/27/2018
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Device Expiration Date06/30/2022
Device Catalogue Number5531G711
Device Lot NumberLFY721
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer02/15/2018
Date Manufacturer Received03/13/2018
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Patient Outcome(s) Hospitalization; Required Intervention;
Patient Age62 YR
-
-