BEUDAMED
    FDA Adverse Event Injury Summary report: N

    TMJ FOSSA-EMINENCE & CONDYLAR PROSTHESIS SYSTEM

    MDR report key: 225967 · Received June 3, 1999

    Report

    Report Number
    1721760-1999-00017
    Event Type
    Injury
    Date Received
    June 3, 1999
    Date of Event
    April 22, 1999
    Report Date
    May 3, 1999
    Manufacturer
    TMJ IMPLANTS, INC.
    Product Code
    JAZ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    DEVICES EXPLANTED DUE TO PAIN, MUSCLE SPASMS, AND EXTENSIVE WEAR ON ACRYLIC CONDYLAR HEADS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TMJ FOSSA-EMINENCE & CONDYLAR PROSTHESIS SYSTEM Implant TEMPORMANDIBULAR JOINT PROSTHESIS SYSTEMS JAZ TMJ IMPLANTS, INC. NA L-(0022)R-(0033) R/LCP(MORE)

    Patients

    Seq Age Sex Outcome Treatment
    1 34 YR Required Intervention