TRIATHLON P/A PS BEADED #6L 5516-F-601 5516F601

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional,other report with the FDA on 2020-03-31 for TRIATHLON P/A PS BEADED #6L 5516-F-601 5516F601 manufactured by Stryker Orthopaedics-mahwah.

Event Text Entries

[188811539] 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. It was noted that the device is not available for evaluation. Should additional information become available, it will be provided in a supplemental report upon completion of the investigation. Not available.
Patient Sequence No: 1, Text Type: N, H10


[188811540] A size 6 ps triathlon beaded femur was press-fit into a patient but the cuts made to the femur by the mako were for a size 5. This was not realized until the surgeon viewed his post op films and saw the obvious clear space between the anterior flange of the femoral implant with the anterior context of the patient? S femur. At the time this was being typed the plan is to revise the femur and poly insert on march 4th at 6:30am to the correct size 5 femoral component.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number0002249697-2020-00640
MDR Report Key9903784
Report SourceHEALTH PROFESSIONAL,OTHER
Date Received2020-03-31
Date of Report2020-03-31
Date of Event2020-03-03
Date Mfgr Received2020-03-03
Date Added to Maude2020-03-31
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR. MARISOL SANTIAGO
Manufacturer Street325 CORPORATE DRIVE
Manufacturer CityMAHWAH NJ 07430
Manufacturer CountryUS
Manufacturer Postal07430
Manufacturer Phone2018315000
Manufacturer G1STRYKER ORTHOPAEDICS-LIMERICK
Manufacturer StreetRAHEEN BUSINESS PARK
Manufacturer CityLIMERICK NA
Manufacturer CountryIE
Manufacturer Postal CodeNA
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameTRIATHLON P/A PS BEADED #6L
Generic NamePROSTHESIS, KNEE, PATELLO/FEMOROTIBIAL, SEMI-CONSTRAINED, UNCEMENTED, POROUS, CO
Product CodeMBH
Date Received2020-03-31
Model Number5516-F-601
Catalog Number5516F601
Lot NumberJDE9D
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerSTRYKER ORTHOPAEDICS-MAHWAH
Manufacturer Address325 CORPORATE DRIVE MAHWAH NJ 07430 US 07430


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization; 2. Required No Informationntervention 2020-03-31

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