FDA Adverse Event Injury Summary report: N

TRIATHLON PKR FEMUR NO 5 RM/LL

MDR report key: 21323340 · Received February 6, 2025

Report

Report Number
0002249697-2025-00170
Event Type
Injury
Date Received
February 6, 2025
Date of Event
January 13, 2025
Report Date
July 3, 2025
Manufacturer
STRYKER ORTHOPAEDICS-MAHWAH
Product Code
HRY
UDI-DI
07613327027815
PMA / PMN Number
K082567
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

IT WAS NOTED THAT THE DEVICE IS NOT AVAILABLE FOR EVALUATION. IF ADDITIONAL INFORMATION IS RECEIVED, IT WILL BE PROVIDED IN A SUPPLEMENTAL REPORT UPON COMPLETION OF THE INVESTIGATION.

Additional Manufacturer Narrative · 0

AN EVENT REGARDING CRACK/FRACTURE INVOLVING A TRIATHLON FEMORAL COMPONENT WAS REPORTED. THE EVENT WAS CONFIRMED VIA MAR. METHOD & RESULTS: PRODUCT EVALUATION AND RESULTS: VISUAL INSPECTION: VISUAL INSPECTION WAS PERFORMED AS PART OF THE MATERIAL ANALYSIS REPORT (MAR). THIS INSPECTION INDICATED 'THE IMAGES DEPICTED SHOWS THE (A) DISTAL AND (B) PROXIMAL SIDE OF THE TRIATHLON PKR BASEPLATE, TRIATHLON X3 INSERT, AND TRIATHLON PKR FEMORAL WITH PATTERNS OF WEAR HIGHLIGHTED ON THE BASEPLATE AND INSERT AND THE FRACTURE OF THE FEMORAL COMPONENT IS ALSO HIGHLIGHTED.' DIMENSIONAL INSPECTION: NOT PERFORMED BECAUSE THE DEVICE WAS RETURNED DAMAGED. FUNCTIONAL INSPECTION: NOT PERFORMED BECAUSE THE DEVICE WAS RETURNED DAMAGED. MATERIAL ANALYSIS: A MATERIAL ANALYSIS HAS BEEN PERFORMED. THE REPORT CONCLUDED: 'REVIEW OF THE TRIATHLON PKR BASEPLATE, CATALOGUE # 5620-B-502, LOT CODE ASHKA, TRIATHLON PKR INSERT X3, CATALOGUE # 5630-G-528, LOT CODE MJM3TT, AND TRIATHLON PKR FEMORAL, CATALOGUE # 5610-F 502 CONFIRMED WEAR ON THE X3 INSERT AND BASEPLATE, AS WELL AS FRACTURE OF THE PKR FEMORAL. CHARACTERISATION USING VISUAL, STEREO MICROSCOPE, AND SECONDARY ELECTRON IMAGING CONFIRMED FRACTURE OF THE PKR FEMORAL IN FATIGUE WITH FINAL FRACTURE IN OVERLOAD. NO MANUFACTURING OR MATERIAL RELATED DEFECTS WERE OBSERVED ON THE EXAMINED AREAS OF THE COMPONENTS.' CLINICIAN REVIEW: NO MEDICAL RECORDS WERE RECEIVED FOR REVIEW WITH A CLINICAL CONSULTANT PRODUCT HISTORY REVIEW: A REVIEW OF THE DEVICE HISTORY RECORDS COULD NOT BE PERFORMED AS LOT CODE INFORMATION WAS UNKNOWN. COMPLAINT HISTORY REVIEW: COULD NOT BE PERFORMED AS LOT CODE INFORMATION WAS NOT PROVIDED. CONCLUSIONS: IT WAS REPORTED BY THE CUSTOMER THAT "REVISION FROM A UNI KNEE TO A TOTAL KNEE DUE TO WEAR ON THE UNI POLYETHYLENE AND PROGRESSION OF DISEASE - UPON SURGICAL APPROACH NOTICED THAT THE FEMORAL COMPONENT WAS BROKEN". THE EVENT WAS CONFIRMED VIA MAR. VISUAL INSPECTION WAS PERFORMED AS PART OF THE MATERIAL ANALYSIS REPORT (MAR). THIS INSPECTION INDICATED 'THE IMAGES SHOWS THE (A) DISTAL AND (B) PROXIMAL SIDE OF THE TRIATHLON PKR BASEPLATE, TRIATHLON X3 INSERT, AND TRIATHLON PKR FEMORAL WITH PATTERNS OF WEAR HIGHLIGHTED ON THE BASEPLATE AND INSERT AND THE FRACTURE OF THE FEMORAL COMPONENT IS ALSO HIGHLIGHTED. ' A MATERIAL ANALYSIS HAS BEEN PERFORMED. THE REPORT CONCLUDED: 'REVIEW OF THE TRIATHLON PKR BASEPLATE, CATALOGUE # 5620-B-502, LOT CODE ASHKA, TRIATHLON PKR INSERT X3, CATALOGUE # 5630-G-528, LOT CODE MJM3TT, AND TRIATHLON PKR FEMORAL, CATALOGUE # 5610-F 502 CONFIRMED WEAR ON THE X3 INSERT AND BASEPLATE, AS WELL AS FRACTURE OF THE PKR FEMORAL. CHARACTERISATION USING VISUAL, STEREO MICROSCOPE, AND SECONDARY ELECTRON IMAGING CONFIRMED FRACTURE OF THE PKR FEMORAL IN FATIGUE WITH FINAL FRACTURE IN OVERLOAD. NO MANUFACTURING OR MATERIAL RELATED DEFECTS WERE OBSERVED ON THE EXAMINED AREAS OF THE COMPONENTS.' NO FURTHER INVESTIGATION FOR THIS EVENT IS POSSIBLE AT THIS TIME. IF ADDITIONAL INFORMATION BECOME AVAILABLE TO INDICATE FURTHER EVALUATION IS WARRANTED, THIS RECORD WILL BE REOPENED.

Description of Event or Problem · 0

IT WAS REPORTED BY THE CUSTOMER THAT "REVISION FROM A UNI KNEE TO A TOTAL KNEE DUE TO WEAR ON THE UNI POLYETHYLENE AND PROGRESSION OF DISEASE - UPON SURGICAL APPROACH NOTICED THAT THE FEMORAL COMPONENT WAS BROKEN".

Description of Event or Problem · 0

NO NEW INFORMATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
631273 TRIATHLON PKR FEMUR NO 5 RM/LL PROSTHESIS, KNEE, FEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, METAL/POLYMER HRY STRYKER ORTHOPAEDICS-MAHWAH UNKNOWN 07613327027815

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Hospitalization| R