FDA Adverse Event Injury Summary report: N

TOTAL TEMPOROMANDIBULAR JOINT REPLACEMENT SYSTEM

MDR report key: 4915463 · Received July 15, 2015

Report

Report Number
0001032347-2015-00307
Event Type
Injury
Date Received
July 15, 2015
Report Date
June 15, 2015
Manufacturer
BIOMET MICROFIXATION
Product Code
LZD
PMA / PMN Number
PP020016
Removal / Correction Number
N/A
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
PATIENT

Narratives

Additional Manufacturer Narrative · 1

THE WARNINGS IN THE PACKAGE INSERT STATE THESE TYPES OF EVENTS CAN OCCUR. THE JOINT REMAINS IMPLANTED, THEREFORE NO PRODUCT EVALUATION IS ABLE TO BE CONDUCTED. 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. REPORT ONE OF TWO FOR THE SAME EVENT, SEE ALSO 1032347-2015-00308.

Description of Event or Problem · 1

A UNILATERAL JOINT REPLACEMENT PATIENT REPORTED THROUGH THE TMJ CLINICAL STUDY PAIN, SWELLING, INTERFERENCE WITH EATING, FACIAL NERVE AND TRIGEMINAL NERVE DAMAGE. SHE ALSO INDICATED INFECTION, UPON FOLLOW UP SHE STATED THE (B)(6) INFECTION WAS NOT AT THE IMPLANT SITE AND DID NOT AFFECT THE IMPLANTS AND SHE HAS SINCE BEEN NEGATIVE FOR MRSA. SHE REPORTS TREATMENTS INCLUDING PHYSICAL THERAPY, STEROIDS AND PAIN MEDICATIONS WITH NO RESOLUTION. SHE ALLEGES THAT SHE HAS FREY'S SYNDROME ON THE LEFT SIDE DUE TO HER PAROTID GLAND BEING AFFECTED DURING SURGERY. SHE STATES HER OCCLUSION IS POOR, THEREFORE SHE HAS DIFFICULTLY EATING. THE PATIENT ALSO STATES SHE SUFFERS FROM MASSETER SPASMS ON THE LEFT SIDE WHEN SHE EATS. THE SURGEON'S OFFICE HAS NOT BEEN REACHED FOR CONFIRMATION OF THE REPORTED EVENTS AT THIS TIME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
459123 TOTAL TEMPOROMANDIBULAR JOINT REPLACEMENT SYSTEM TMJ LEFT FOSSA LZD BIOMET MICROFIXATION N/A 122800A

Patients

Seq Age Sex Outcome Treatment
1 44 YR Other| S