FDA Adverse Event Injury Summary report: N

MRHK TIB INS 13MM M/L M2/L2

MDR report key: 24203380 · Received January 28, 2026

Report

Report Number
0002249697-2026-00060
Event Type
Injury
Date Received
January 28, 2026
Date of Event
January 5, 2026
Report Date
January 28, 2026
Manufacturer
STRYKER ORTHOPAEDICS-MAHWAH
Product Code
KRO
UDI-DI
07613327043846
PMA / PMN Number
K223069
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

"THE FOLLOWING DEVICES WERE ALSO LISTED IN THIS REPORT: MRHK BUMPER INSERT - NEUTRAL; CAT # 64812130; LOT # LKR798, MRHK FEMORAL BUSHING; CAT # 64812110; LOT # LKH501, MRHK FEMORAL BUSHING; CAT # 64812110; LOT # LKL452, MRH AXLE; CAT # 64812120; LOT # CTD50587, MRH TIB ROT COMP XS-XL; CAT # 64812100; LOT # 177810A, MRHK TIBIAL SLEEVE; CAT # 64812140; LOT # LKM483, TI DUR REG FLUTED STEM13X155MM; CAT # 64786695; LOT # 0052412, MRH KNEE FEM L RGT; CAT # 64811131; LOT # HHC6R, TI DUR REG FLUTED STEM12X155MM; CAT #64786690; LOT # 0107420, DURACON L-2 10MM FULL WEDGE; CAT #6630-6-535; LOT # DHS3UA, MRH TIBIAL B/PLT KEEL LRG 2; CAT # 64813113; LOT # LS29P, 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 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.

Description of Event or Problem · 0

THE FOLLOWING INFORMATION WAS PROVIDED: IT WAS REPORTED THAT THE PATIENT'S RIGHT KNEE WAS REVISED DUE TO SUSPECTED INFECTION. ALL COMPONENTS EXCEPT THE BASEPLATE, FEMORAL COMPONENT, WEDGE AND STEMS WERE REVISED. REP CONFIRMED THAT NO FURTHER INFORMATION WILL BE RELEASED BY THE HOSPITAL OR SURGEON.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
265627 MRHK TIB INS 13MM M/L M2/L2 PROSTHESIS, KNEE, FEMOROTIBIAL, CONSTRAINED, CEMENTED, METAL/POLYMER KRO STRYKER ORTHOPAEDICS-MAHWAH LHN654 07613327043846

Patients

Seq Age Sex Outcome Treatment
1 70 YR Male Hospitalization| R