FDA Adverse Event Injury Summary report: N

TMJ CONCEPTS

MDR report key: 3202302 · Received June 25, 2013

Report

Report Number
MW5030717
Event Type
Injury
Date Received
June 25, 2013
Date of Event
June 21, 2013
Report Date
June 25, 2013
Manufacturer
TMJ CONCEPTS
Product Code
LZD
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
WI, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

PT RECEIVED BILATERAL TMJ IMPLANTS BY TMJ CONCEPTS IN 2001. AFTER SURGERY, EYE NERVES COULDN'T MOVE AND EYE LIDS WOULDN'T CLOSE. TO THIS DAY, PT CONTINUES TO HAVE EYE PROBLEMS. RIGHT EYE LID DOESN'T CLOSE ALL THE WAY. PT IS UNABLE TO CHEW FOOD AND INSTEAD MUST CUT UP FOOD. ESSENTIALLY ON A SOFT FOOD DIET. PT FEELS JOINTS ARE SHUTTING DOWN AS OPENING HAS SIGNIFICANTLY DECREASED. PT ALSO SUFFERS FROM A CONSTANT EAR ACHE, TINNITUS, TM JOINT PAIN, EYE PAIN AND SKULL PAIN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
288573 TMJ CONCEPTS TMJ CONCEPTS TOTAL JOINT DEVICE LZD TMJ CONCEPTS

Patients

Seq Age Sex Outcome Treatment
1 56 YR Required Intervention| S