BEUDAMED
    FDA Adverse Event Injury Summary report: N

    TMJ IMPLANT

    MDR report key: 26295 · Received September 29, 1995

    Report

    Report Number
    MW1007151
    Event Type
    Injury
    Date Received
    September 29, 1995
    Date of Event
    February 1, 1994
    Manufacturer
    OSTEOMED CORP.
    Product Code
    LZD
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    TMJ IMPLANT BROKE AFTER LESS THAN 1 YRS USE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TMJ IMPLANT Implant TMJ IMPLANT LZD OSTEOMED CORP. MAXI M-3

    Patients

    Seq Age Sex Outcome Treatment
    1 40 YR Hospitalization| R| S