FDA Adverse Event
Injury
Summary report: N
AESCULAP VEGA KNEE SYSTEM
MDR report key: 19105013
·
Received April 12, 2024
Report
- Report Number
- MW5153839
- Event Type
- Injury
- Date Received
- April 12, 2024
- Date of Event
- March 26, 2024
- Report Date
- April 10, 2024
- Manufacturer
- AESCULAP IMPLANT SYSTEMS, LLC
- Product Code
- JWH
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- TN, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
POLYETHYLENE FRACTURE POST ON A LEFT TOTAL KNEE POSTERIOR STABILIZED IMPLANT. POSITIVE POSTERIOR DRAWER WITH EVIDENCE OF POST FRACTURE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 775712 | AESCULAP VEGA KNEE SYSTEM | PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL | JWH | AESCULAP IMPLANT SYSTEMS, LLC | 51655957 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Male | Required Intervention |