BEUDAMED
    FDA Adverse Event Injury Summary report: N

    TMJ IMPLANT FOSSA

    MDR report key: 1212049 · Received October 24, 2008

    Report

    Report Number
    MW5008780
    Event Type
    Injury
    Date Received
    October 24, 2008
    Date of Event
    October 24, 2008
    Report Date
    October 24, 2008
    Manufacturer
    TMJ IMPLANTS, INC.
    Product Code
    LZD
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    WI, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    TMJ IMPLANT FOSSA DEVICES IMPLANTED BILATERALLY IN 1991. NOW EXPERIENCING A LOT OF PAIN AND INFLAMMATION IN THE FACE, EAR, AND HEAD. SYMPTOMS HAVE BEEN PRESENT OVER THE PAST TWO MONTHS. IN THE PAST, MEDICATIONS HAVE HELPED DECREASE THESE TYPE OF SYMPTOMS, BUT NOTHING IS WORKING THIS TIME.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TMJ IMPLANT FOSSA CHRISTENSEN FOSSA LZD TMJ IMPLANTS, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 42 YR Other| R