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