BEUDAMED
    FDA Adverse Event Injury Summary report: N

    TMJ FOSSA-EMINENCE & TMJ CONDYLAR PROSTHESIS SYSTEM

    MDR report key: 224360 · Received May 20, 1999

    Report

    Report Number
    1721760-1999-00019
    Event Type
    Injury
    Date Received
    May 20, 1999
    Date of Event
    March 16, 1999
    Report Date
    April 23, 1999
    Manufacturer
    TMJ IMPLANTS, INC.
    Product Code
    MPL
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    SURGEON STATES LOOSE SCREWS AND PAIN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TMJ FOSSA-EMINENCE & TMJ CONDYLAR PROSTHESIS SYSTEM Implant CONDYLAR SCREWS MPL TMJ IMPLANTS, INC. NA (2990) (5555) & (6035)

    Patients

    Seq Age Sex Outcome Treatment
    1 36 YR Required Intervention