inforMED
MalfunctionHTG

COLLECT.NO.QAS KNEE IMPLANTS VEGA

Received Mar 23, 2018 · Event occurred Apr 24, 2018

Report 9610612-2018-00130 · MDR key 7365463

Device

Generic name

Gliding Surfaces/patellas Vega Syst

Model number

AE-QAS-K521-56

Catalog number

AE-QAS-K521-56

Product problems

  • Loose or Intermittent Connection
  • Loose or Intermittent Connection

Patient

Not reported

  • No Known Impact Or Consequence To Patient
  • No Known Impact Or Consequence To Patient

Narrative

Additional Manufacturer Narrative

EXEMPTION NUMBER: E2014018. EVALUATION ON-GOING. DEVICE NOT RETURNED.

Description of Event or Problem

COUNTRY OF COMPLAINT: USA. IT WAS REPORTED THAT THE ORIGINAL SURGERY WAS PERFORMED ON (B)(6) 2016, BUT THE SURGEON NOTICED THAT THE TIBIA HAD LOOSENED. REVISION SURGERY DATE IS UNKNOWN AT THIS TIME.

Additional Manufacturer Narrative

ADDITIONAL INFORMATION: INITIAL INFORMATION RECEIVED RELATED TO THIS EVENT WAS INCORRECT. THE PATIENT ASSOCIATED WITH THIS REPORT DID NOT EXPERIENCE A LOOSENING OF ANY COMPONENT OF THE KNEE IMPLANT. ORIGINAL MEDWATCH REPORT SUBMITTED WITH INACCURATE INFORMATION. NO MEDWATCH REPORT REQUIRED. NO ADDITIONAL INFORMATION WILL BE PROVIDED RELATED TO THIS REPORT.