FDA Adverse Event Injury Summary report: N

PROPLAST TEFLON IMPLANT

MDR report key: 11023 · Received January 21, 1994

Report

Report Number
MW1000459
Event Type
Injury
Date Received
January 21, 1994
Report Date
January 17, 1994
Manufacturer
VITEK, INC.
Product Code
LZD
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
GA, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

FOREIGN BODY GIANT CELL REACTION, ANKLYOSIS, OSTEOARTHRITIS, AND BONE SPURS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PROPLAST TEFLON IMPLANT Implant TEFLON TMJ IMPLANT LZD VITEK, INC.

Patients

Seq Age Sex Outcome Treatment
1 46 YR Not Applicable| H| O