MAUDE Adverse Event Report: STRYKER ORTHOPAEDICS-MAHWAH TRI TS BASEPLATE SIZE 5; PROSTHESIS, KNEE, PATELLO/FEMOROTIBIAL, SEMI-CONSTRAINED, UNCEMENTED, POROUS, CO

Catalog Number 5521-B-500

Device Problem Device Dislodged or Dislocated (2923)

Patient Problems Pain (1994); Injury (2348); Joint Dislocation (2374)

Event Date 12/11/2017

Event Type  Injury  

Manufacturer Narrative

An event regarding revision due to dislocation of a triathlon insert was reported.Clinician review of the event determined that the triathlon ts baseplate component was mal-positioned.The event was confirmed based on the clinician review of the medical records provided.Method & results: device evaluation and results: not performed as product was not returned medical records received and evaluation: clinician review of the medical records provided indicated "no examination of any explanted components except for the insert from the (b)(6) 2018 revision surgery and no primary left total knee arthroplasty operative report or list of components are available for review.The medial position of the revision tibial component and the distal position of the joint line in the revision total knee arthroplasty likely resulted in increased stress to the ts insert stability resulting in two dislocations and a later anterior implant subluxation.There is no evidence that factors of implant design, manufacturing or materials were responsible for this clinical situation".Device history review: dhr review for the reported lot determined that the device was manufactured and packed to specification.Complaint history review: complaint history review confirmed that there have been three other similar events for the reported lot.Conclusion: clinician review of the medical records provided indicated "no examination of any explanted components except for the insert from the (b)(6) 2018 revision surgery and no primary left total knee arthroplasty operative report or list of components are available for review.The medial position of the revision tibial component and the distal position of the joint line in the revision total knee arthroplasty likely resulted in increased stress to the ts insert stability resulting in two dislocations and a later anterior implant subluxation.There is no evidence that factors of implant design, manufacturing or materials were responsible for this clinical situation".No further investigation is required at this time.If additional information becomes available to indicate further evaluation is warranted, this record will be reopened.

Event Description

Patient's left knee dislocated and was treated with closed reduction under anesthesia (b)(6) 2017.Per exam notes: "patient states that he was in his recliner this morning and when he went to get up his knee popped, immediate pain, and can not bear weight.He also twisted his ankle last week." patient was due to go to the hospital to address the twisted ankle the afternoon of the day he dislocated.Operative report indicates dislocation was without fracture and that in performing the closed reduction, a "palpable pop" was noted with fluoroscopy revealing "acceptable reduction of the knee dislocation both in ap and lateral planes".

• Brand Name: TRI TS BASEPLATE SIZE 5
• Type of Device: PROSTHESIS, KNEE, PATELLO/FEMOROTIBIAL, SEMI-CONSTRAINED, UNCEMENTED, POROUS, CO
• 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: diana avila ; 325 corporate drive; mahwah, NJ 07430 ; 2018315000
• MDR Report Key: 7717950
• MDR Text Key: 114955062
• Report Number: 0002249697-2018-02284
• Device Sequence Number: 1
• Product Code: MBH
• UDI-Device Identifier: 07613327026320
• UDI-Public: 07613327026320
• Combination Product (y/n): N
• Reporter Country Code: US
• PMA/PMN Number: K141056
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: health professional,other
• Reporter Occupation: Physician
• Type of Report: Initial
• Report Date: 07/25/2018

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 07/25/2018
• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: No
• Device Operator: Health Professional
• Device Expiration Date: 04/30/2022
• Device Catalogue Number: 5521-B-500
• Device Lot Number: AHB3TA
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Date Manufacturer Received: 06/26/2018
• Was Device Evaluated by Manufacturer?: Device Not Returned to Manufacturer
• Date Device Manufactured: 04/07/2017
• Is the Device Single Use?: Yes
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: Initial
• Patient Sequence Number: 1
• Patient Outcome(s): Hospitalization; Required Intervention
• Patient Age: 77 YR
• Patient Weight: 117