COLLECT.NO.QAS KNEE IMPLANTS VEGA AE-QAS-K521-56

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-01-05 for COLLECT.NO.QAS KNEE IMPLANTS VEGA AE-QAS-K521-56 manufactured by Aesculap Implant Systems.

Event Text Entries

[96719768] (b)(4). Manufacturing site evaluation: evaluation on-going. Device not returned.
Patient Sequence No: 1, Text Type: N, H10


[96719769] Country of complaint: usa. About a year ago, a surgeon implanted a vega total knee at (b)(6). Upon follow up, the vega tibial component has loosened. They became aware that this occasionally happens; however, the surgeon now has confirmed that this in not an isolated incident. He now has two patients that have confirmed loose tibia baseplates (and they are in need of revision). Additionally, he is "keeping a close eye on" two more patients that he suspects have loose tibias. This is a total of 4 patients. All patients reported are less than a year post op. The surgeon suspects that this issue may have come from surgical technique. Initially, he implanted the tibial, femoral, and meniscal components into the patient and locked the poly screw into place before the cement had a chance to harden. Apparently, the surgeon was informed that this a improper technique - he should wait until the cement has hardened before the poly screw is implanted. He has since changed his surgical technique. If this is the reason why there are loose tibia baseplates in his patients, then the problem is solved (hopefully we don't see any more loosening). No injury to patient. No delay in surgery. No additional intervention required. All med watch submissions related to this report are: 9610612-2018-00005, 9610612-2018-00006.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9610612-2018-00005
MDR Report Key7169986
Date Received2018-01-05
Date of Report2018-02-26
Date Facility Aware2018-01-02
Date Mfgr Received2017-12-15
Date Added to Maude2018-01-05
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional0
Initial Report to FDA0
Report to FDA3
Event Location3
Manufacturer ContactMS. NICOLE BROYLES
Manufacturer Street615 LAMBERT POINTE DRIVE
Manufacturer CityHAZELWOOD MO 63042
Manufacturer CountryUS
Manufacturer Postal63042
Manufacturer Phone3145515988
Manufacturer G1AESCULAP AG
Manufacturer StreetPO BOX 40
Manufacturer CityTUTTLINGEN, 78501
Manufacturer CountryGM
Manufacturer Postal Code78501
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameCOLLECT.NO.QAS KNEE IMPLANTS VEGA
Generic NameKNEE ENDOPROSTHETICS
Product CodeHSH
Date Received2018-01-05
Model NumberAE-QAS-K521-56
Catalog NumberAE-QAS-K521-56
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerAESCULAP IMPLANT SYSTEMS
Manufacturer AddressPO BOX 40 TUTTLINGEN, 78501 GM 78501


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2018-01-05

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