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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER ORTHOPAEDICS-MAHWAH TRIATHLON PRIM TIB BASEPLATE - CEMENTED; PROSTHESIS, KNEE, PATELLO/FEMOROTIBIAL, SEMI-CONSTRAINED, UNCEMENTED, POROUS, CO

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STRYKER ORTHOPAEDICS-MAHWAH TRIATHLON PRIM TIB BASEPLATE - CEMENTED; PROSTHESIS, KNEE, PATELLO/FEMOROTIBIAL, SEMI-CONSTRAINED, UNCEMENTED, POROUS, CO Back to Search Results
Catalog Number 5520-B-400
Device Problems Inadequacy of Device Shape and/or Size (1583); Loosening of Implant Not Related to Bone-Ingrowth (4002); Migration (4003)
Patient Problem Injury (2348)
Event Date 10/10/2012
Event Type  Injury  
Manufacturer Narrative
The information in this report was provided by stryker orthopaedics legal affairs department.No additional information is available at this time due to the ongoing litigation.Should additional information become available, the evaluation summary will be submitted in a supplemental report.Not returned.
 
Event Description
It was reported through the communication of an attorney that allegedly the patient was revised due to "failed right total knee arthroplasty (aseptic loosening of tibial component)".
 
Event Description
It was reported through the communication of an attorney that allegedly the patient was revised due to "failed right total knee arthroplasty (aseptic loosening of tibial component).".
 
Manufacturer Narrative
Reported event an event regarding revision due to loosening and subsidence involving a triathlon baseplate was reported.The event was confirmed through review of the provided medical records and x-rays by a clinical consultant.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: a review of the provided medical records and x-rays by a clinical consultant indicated: review of pre-revision x-rays demonstrate a cemented right tka.On the lateral view the tibial component is seen to be subsided in to the anterior aspect of the plateau and there is lucency between the posterior aspect of the tibial component and the cement.The component is in an anteriorly sloped position.Post revision xrays show a long stem cemented tibial component in anatomic position and appearing well fixed.Conclusion of assessment review of these records confirm the cause of this tkas failure is aseptic loosening of the tibia.Pre revision xrays show the tibial component is undersized.The lack of contact with supporting cortical bone is known to be a contributing factor for aseptic loosening of the tibia.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: a review of the provided medical records and x-rays by a clinical consultant concluded: review of these records confirm the cause of this tkas failure is aseptic loosening of the tibia.Pre revision x-rays show the tibial component is undersized.The lack of contact with supporting cortical bone is known to be a contributing factor for aseptic loosening of the tibia.No further investigation for this event is possible at this time.If devices and / or additional information become available to indicate further evaluation is warranted, this record will be reopened.
 
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Brand Name
TRIATHLON PRIM TIB BASEPLATE - CEMENTED
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 Key8634291
MDR Text Key145902242
Report Number0002249697-2019-02065
Device Sequence Number1
Product Code MBH
UDI-Device Identifier07613327050325
UDI-Public07613327050325
Combination Product (y/n)N
PMA/PMN Number
K141056
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type consumer,other
Type of Report Initial,Followup
Report Date 08/21/2019
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received05/22/2019
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Device Expiration Date10/31/2015
Device Catalogue Number5520-B-400
Device Lot NumberBHDP
Was Device Available for Evaluation? No
Date Manufacturer Received07/24/2019
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Patient Outcome(s) Hospitalization; Required Intervention;
Patient Age54 YR
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