FDA Adverse Event Injury Summary report: N

SILASTIC(R) SHEETING IMPLANTED IN TMJ

MDR report key: 105952 · Received July 15, 1997

Report

Report Number
1816403-1997-00698
Event Type
Injury
Date Received
July 15, 1997
Report Date
June 16, 1997
Manufacturer
DOW CORNING CORP.
Product Code
JAZ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
ATTORNEY

Narratives

Description of Event or Problem · 1

ATTORNEY ALLEGES THAT AFTER THE PLAINTIFF RECEIVED TEMPOROMANDIBULAR JOINT SURGERY HER CONDITION DID NOT IMPROVE, IT ACTUALLY WORSENED SUBSTANTIALLY. ATTORNEY ALSO ALLEGES THAT THE PLAINTIFF DEVELOPED A SEVERE TEMPOROMANDIBULAR JOINT DYSFUNCTION, SEVERE MYOFACIAL PAIN SYNDROME, FIBROMYALGIA AND CHRONIC PAIN. THE PLAINTIFF WILL REQUIRE FURTHER SURGICAL PROCEDURES WHICH MAY INCLUDE, BUT NOT NECESSARILY RESTRICTED TO, BONE GRAFTING, TEMPOROMANDIBULAR JAW JOINTS REPLACEMENT AND NERVE SEVERING. PLAINTIFF HAS SUFFERED SEVERE AND PERMANENT INJURIES, CONTINUES TO SUFFER FROM EMOTIONAL NERVOUS UPSET OCCASIONED BY HER INJURIES AND DISABILITIES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SILASTIC(R) SHEETING IMPLANTED IN TMJ Implant TEMPOROMANDIBULAR JOINT IMPLANT JAZ DOW CORNING CORP. NA UNK

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Other