MAUDE Adverse Event Report: BIOMET MICROFIXATION TMJ SYSTEM RIGHT FOSSA COMPONENT, SMALL; JOINT, TEMPOROMANDIBULAR, IMPLANT

Model Number N/A

Device Problem Patient-Device Incompatibility (2682)

Patient Problems Erythema (1840); Unspecified Infection (1930); Itching Sensation (1943); Urticaria (2278); Reaction (2414)

Event Date 07/22/2020

Event Type  Injury  

Manufacturer Narrative

Zimmer biomet (b)(4).The investigation is in process.Once the investigation has been completed, a follow-up mdr will be submitted.Multiple mdr reports were filed for this event, please see associated reports: 0001032347-2020-00491, 0001032347-2020-00492, 0001032347-2020-00493, 0001032347-2020-00494, 0001032347-2020-00495.Medical products: tmj system right fossa component, small, part# 24-6562, lot# 688990b; tmj system right standard titanium mandibular component 45mm / 7 hole, part# 24-6545ti, lot# 828150c; 2.4mm system high torque (ht) cross-drive screw 2.7 x 10mm, part# 91-2710, lot# ni; 2.4mm system high torque (ht) cross-drive screw 2.7mm x 12mm, part# 91-2712, lot# ni; tmj system cross drive fossa screw 2.0mm x 7mm, part# 99-6577, lot# ni; tmj system cross drive fossa screw 2.0mm x 11mm, part# 99-6581, lot# ni.Occupation ¿ patient.

Event Description

It was reported the patient underwent a revision to remove temporomandibular joint implants on the right side due to allergic reaction.The patient did not receive replacement implants.No additional patient consequences have been reported.

Manufacturer Narrative

This follow-up report is being submitted to relay additional information.

Event Description

It was reported the patient underwent a revision to remove temporomandibular joint implants on the right side due to allergic reaction eight (8) months following implantation.The patient reports there was an allergy test prior to implantation that confirmed a nickel allergy but there was no indication of a titanium allergy at that time.One (1) month following implantation, the patient experienced redness, itching and hives on the jaw, ear, throat and neck.A titanium allergy was confirmed approximately two (2) months following implantation.The patient was prescribed nine (9) medications to treat a reported facial infection.The patient is currently on iv medication for eight (8) weeks following an eye reaction that occurred following the removal of the implant.The patient is discussing implant replacement options with their surgeon.No additional patient consequences have been reported.

Event Description

No further event information available at the time of this report.

Manufacturer Narrative

This follow-up report is being submitted to relay additional information.According to the patient, a titanium allergy was confirmed by the surgeon at the beginning of 2020.The fossa component captured in this report is not made of titanium and therefore is not related to the event.As the device did not cause or contribute to the event, this device is determined to be not reportable.This report is being submitted to update additional information in section h2 and h10.

• Brand Name: TMJ SYSTEM RIGHT FOSSA COMPONENT, SMALL
• Type of Device: JOINT, TEMPOROMANDIBULAR, IMPLANT
• Manufacturer (Section D): BIOMET MICROFIXATION; 1520 tradeport drive; jacksonville FL 32218
• MDR Report Key: 10637249
• MDR Text Key: 210197404
• Report Number: 0001032347-2020-00490
• Device Sequence Number: 1
• Product Code: LZD
• UDI-Device Identifier: 00841036036560
• UDI-Public: 00841036036560
• Combination Product (y/n): N
• PMA/PMN Number: P020016
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: consumer
• Type of Report: Initial,Followup,Followup
• Report Date: 03/04/2021

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 10/06/2020
• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: No
• Device Operator: Health Professional
• Device Expiration Date: 07/01/2021
• Device Model Number: N/A
• Device Catalogue Number: 24-6562
• Device Lot Number: 688990B
• Was Device Available for Evaluation?: No
• Was the Report Sent to FDA?: No
• Date Manufacturer Received: 02/26/2021
• Is This a Reprocessed and Reused Single-Use Device?: No
• Removal/Correction Number: N/A
• Patient Sequence Number: 1
• Patient Outcome(s): Hospitalization; Required Intervention