FDA Adverse Event
Injury
Summary report: N
TMJ JOINTS
MDR report key: 2853886
·
Received December 3, 2012
Report
- Report Number
- 0001032347-2012-00165
- Event Type
- Injury
- Date Received
- December 3, 2012
- Report Date
- November 7, 2012
- Manufacturer
- BIOMET MICROFIXATION
- Product Code
- LZD
- PMA / PMN Number
- PP020016
- Removal / Correction Number
- N/A
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GM
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE WARNINGS IN THE PACKAGE INSERT STATE THIS TYPE OF EVENT CAN OCCUR. WITHOUT A PRODUCT RETURN, NO PRODUCT EVALUATION IS ABLE TO BE CONDUCTED. THE LOT HISTORY OF THE IMPLANTED UNIT IS UNKNOWN, THEREFORE, THE DEVICE HISTORY RECORDS ARE UNABLE TO BE REVIEWED. CURRENT INFORMATION IS INSUFFICIENT TO PERMIT A VALID CONCLUSION ABOUT THE CAUSE OF THIS EVENT. IF ADDITIONAL INFORMATION IS OBTAINED THAT ADDS VALUE TO THE RELEVANT CONTENT OF THIS REPORT AND/OR A CONCLUSION CAN BE DRAWN, A FOLLOW-UP REPORT WILL BE SENT.
Description of Event or Problem · 1
THROUGH A RETROSPECTIVE LITERATURE REVIEW, THE ARTICLE IDENTIFIES 6 PRIOR REVISION SURGERIES THAT MAY NOT HAVE BEEN PREVIOUSLY REPORTED TO BIOMET MICROFIXATION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | TMJ JOINTS | TMJ | LZD | BIOMET MICROFIXATION | N/A | UNKNOWN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Hospitalization |