BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PROPLAST TEFLON TMJ IMPLANT

    MDR report key: 32989 · Received May 13, 1996

    Report

    Report Number
    MW1009087
    Event Type
    Injury
    Date Received
    May 13, 1996
    Date of Event
    January 19, 1987
    Report Date
    May 3, 1996
    Manufacturer
    VITEK, INC.
    Product Code
    LZD
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    SC, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    1/19/87 HAD TEFLON TMJ IMPLANT PUT INTO RIGHT TMJ. HAD PAIN, CLICKING, BITE PROBLEMS, HEARING PROBLEMS. EARACHE EVER SINCE ALONG WITH OTHER PROBLEMS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PROPLAST TEFLON TMJ IMPLANT Implant TMJ IMPLANT LZD VITEK, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 31 YR Hospitalization| R