MRHK TIB INS 10MM XS/S S1/S2
Report
- Report Number
- 0002249697-2026-00019
- Event Type
- Injury
- Date Received
- January 13, 2026
- Date of Event
- December 17, 2025
- Report Date
- January 13, 2026
- Manufacturer
- STRYKER ORTHOPAEDICS-MAHWAH
- Product Code
- KRO
- UDI-DI
- 07613327043785
- PMA / PMN Number
- K223069
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AS
- Reporter Occupation
- OTHER
Narratives
THE FOLLOWING DEVICES WERE ALSO LISTED IN THIS REPORT: CAT#; DEVICE NAME; LOT# 64811100; MRH KNEE FEM XS LFT, JNJ4L; 64768260; KMAX STEM EXTNR(S,M,L,XL),80MM;LCP0090; 64812130;MRHK BUMPER INSERT - NEUTRAL;LMN037; 64812110;MRHK FEMORAL BUSHING;LLA543; 64812110;MRHK FEMORAL BUSHING;LLC980; 64812120;MRH AXLE;CTD97282; 64811200;MRHK FEM DISTAL BLK 10MM XS;LP77S; 6215-5-011;MED HOWMEDICA BONE PLUG 1PK;CPPABG10BC; 64812140;MRHK TIBIAL SLEEVE;LLF406; 64768260;KMAX STEM EXTNR(S,M,L,XL),80MM;LCP0094; 64812100;MRH TIB ROT COMP XS-XL;2115549A; 6215-5-001;SMALL HOWMEDICA BONE PLUG 1PK;CPPABG05BD; 64813110;MRH TIBIAL B/PLT KEEL SML 1;YJ43J. IT CANNOT BE DETERMINED WHICH, IF ANY OF THESE DEVICES MAY HAVE CAUSED OR CONTRIBUTED TO THE PATIENT'S EXPERIENCE. REVIEW OF THE DEVICE HISTORY RECORDS INDICATE THAT DEVICES WERE MANUFACTURED AND ACCEPTED INTO FINAL STOCK WITH NO REPORTED DISCREPANCIES. THERE HAVE BEEN NO OTHER EVENTS FOR THE LOT REFERENCED. IF ADDITIONAL INFORMATION IS RECEIVED, IT WILL BE PROVIDED IN A SUPPLEMENTAL REPORT UPON COMPLETION OF THE INVESTIGATION.
THE FOLLOWING INFORMATION WAS PROVIDED: REVISION OF LEFT MRH, 2 STAGE, DUE TO LIKELY INFECTION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 118284 | MRHK TIB INS 10MM XS/S S1/S2 | PROSTHESIS, KNEE, FEMOROTIBIAL, CONSTRAINED, CEMENTED, METAL/POLYMER | KRO | STRYKER ORTHOPAEDICS-MAHWAH | LMR266 | 07613327043785 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 64 YR | Female | Hospitalization| R |