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