FDA Adverse Event Injury Summary report: N

AS VEGA PS TIBIAL PLATEAU CEMENTED T2+

MDR report key: 25052948 · Received April 30, 2026

Report

Report Number
9610612-2026-00082
Event Type
Injury
Date Received
April 30, 2026
Report Date
May 11, 2026
Manufacturer
AESCULAP AG
Product Code
JWH
PMA / PMN Number
K101281
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

MANUFACTURING SITE EVALUATION: INVESTIGATION ON-GOING. ADDITIONAL INFORMATION / INVESTIGATION RESULTS WILL BE PROVIDED IN A SUPPLEMENTAL REPORT.

Description of Event or Problem · 0

AN ADVERSE EVENT WAS REPORTED INVOLVING AN UNKNOWN COMPONENT OF AESCULAP AG KNEE IMPLANT SYSTEM. SPECIFICALLY, IT WAS REPORTED THAT THERE WAS POSTOPERATIVE LOOSENING. A REVISION SURGERY HAD BEEN PLANNED. ACCORDING TO MANUFACTURER'S REPORTING EVALUATION IN ACCORDANCE WITH 21 CFR PART 803, SECTION 803.3, THIS EVENT IS CONSIDERED REPORTABLE FOR THE FOLLOWING REASON - ADVERSE EVENT (NOT LATER THAN 30 DAYS). THE ASSESSMENT FOR THE REPORTABILITY OF THIS ADVERSE EVENT WAS BASED ON THE PATIENT HARM, REVISION SURGERY. ADDITIONAL INFORMATION WAS NOT PROVIDED. THE ADVERSE EVENT IS FILED UNDER AESCULAP AG REFERENCE NO. (B)(4)). ASSOCIATED MEDWATCH REPORTS: UNKNOWN COMPONENT OF AESCULAP AG KNEE IMPLANT SYSTEM (AESCULAP AG INT. NO. (B)(4): 9610612-2026-00080). UNKNOWN COMPONENT OF AESCULAP AG KNEE IMPLANT SYSTEM (AESCULAP AG INT. NO. (B)(4): 9610612-2026-00081). UNKNOWN COMPONENT OF AESCULAP AG KNEE IMPLANT SYSTEM (AESCULAP AG INT. NO. (B)(4): 9610612-2026-00082). UNKNOWN COMPONENT OF AESCULAP AG KNEE IMPLANT SYSTEM (AESCULAP AG INT. NO. (B)(4): 9610612-2026-00033).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
508317 AS VEGA PS TIBIAL PLATEAU CEMENTED T2+ KNEE ENDOPROSTHETICS JWH AESCULAP AG NX054Z 52645270

Patients

Seq Age Sex Outcome Treatment
1