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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER ORTHOPAEDICS-MAHWAH TRIATHLON CR FEM COMP #6 R-CEM; PROSTHESIS, KNEE, PATELLO/FEMOROTIBIAL, SEMI-CONSTRAINED, UNCEMENTED, POROUS, CO

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STRYKER ORTHOPAEDICS-MAHWAH TRIATHLON CR FEM COMP #6 R-CEM; PROSTHESIS, KNEE, PATELLO/FEMOROTIBIAL, SEMI-CONSTRAINED, UNCEMENTED, POROUS, CO Back to Search Results
Catalog Number 5510F602
Medical Device Problem Code Packaging Problem (3007)
Health Effect - Clinical Code No Consequences Or Impact To Patient (2199)
Date of Event 02/21/2019
Type of Reportable Event Malfunction
Additional 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 similar events for the lot referenced.An evaluation of the device cannot be performed as the device was not returned to the manufacturer.Should additional information become available, it will be reported in a supplemental report upon completion of the investigation.Device not returned to the manufacturer.
 
Event or Problem Description
Nurse opened box of femur which was in perfect condition.Then went to open outer plastic to give to scrub nurse but there was a crack in plastic.We tried to get her to peel femur out of inner casing but it was too hard and became unsterile.Update: femur was not implanted, 1 minute to retrieve new femur.
 
Additional Manufacturer Narrative
An event regarding pack damage involving a triathlon femoral component was reported.The event was confirmed based on the images provided.Method & results product evaluation and results: material analysis, visual, functional and dimensional inspections could not be performed as the device was not returned.Medical records received and evaluation: the reported device was not returned however a photograph was provided for review.The photograph shows an outer blister with an unremarkable femoral component placed inside.One side flange is broken away from the outer blister and remains attached to the tyvek.No images were provided of the inner blister or outer carton.Product history review: a review of the device manufacturing records indicate that all devices accepted into final stock were free from discrepancies.Complaint history review: there have been no other similar events for the lot referenced.Conclusions: the reported device was not returned however a photograph was provided for review.The photograph shows an outer blister with an unremarkable femoral component placed inside.One side flange is broken away from the outer blister and remains attached to the tyvek.No images were provided of the inner blister or outer carton.While we could confirm the issue based on the images provided, we cannot determine the state of the packaging when it arrived to the hospital and hence, the exact cause of the event could not be determined because insufficient information was provided.Additional information including return of the device and all packaging components are needed to fully investigate the event.If further information becomes available or the product is returned, this investigation will be re-opened.
 
Event or Problem Description
Nurse opened box of femur which was in perfect condition.Then went to open outer plastic to give to scrub nurse but there was a crack in plastic.We tried to get her to peel femur out of inner casing but it was too hard and became unsterile.Update: femur was not implanted, 1 minute to retrieve new femur.
 
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Brand Name
TRIATHLON CR FEM COMP #6 R-CEM
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 Key8444687
Report Number0002249697-2019-01422
Device Sequence Number354498
Product Code MBH
UDI-Device Identifier07613327040326
UDI-Public07613327040326
Combination Product (Y/N)N
Initial Reporter CountryAU
PMA/510(K) Number
K141056
Number of Events Summarized1
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) 05/15/2019
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 Date01/31/2023
Device Catalogue Number5510F602
Device Lot NumberDB74S
Was Device Available for Evaluation? No
Initial Date Received by Manufacturer 02/21/2019
Supplement Date Received by Manufacturer04/17/2019
Initial Report FDA Received Date03/22/2019
Supplement Report FDA Received Date05/15/2019
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;
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