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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BIOMET MICROFIXATION 45MM RT STANDARD MANDIBULAR; JOINT, TEMPOROMANDIBULAR, IMPLANT

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BIOMET MICROFIXATION 45MM RT STANDARD MANDIBULAR; JOINT, TEMPOROMANDIBULAR, IMPLANT Back to Search Results
Catalog Number 24-6545
Device Problem Noise, Audible (3273)
Patient Problem Pain (1994)
Event Type  Injury  
Manufacturer Narrative
(b)(4).Multiple mdr reports were filed for this event, please see associated reports: 0001032347-2023-00116.Concomitant medical products: item# 24-6562; lot# 085180a.Customer has indicated that the product will not be returned to zimmer biomet for investigation, as the product remains implanted.The investigation is in process.Once the investigation has been completed, a follow-up mdr will be submitted.If any further information is found which would change or alter any conclusions or information, a supplemental will be filed accordingly.Zimmer biomet will continue to monitor for trends.
 
Event Description
It was reported that the patient is experiencing pain in the bottom right section of the jaw approximately ten (10) months post-implantation.Additionally, patient is also experiencing a squeaking sound when chewing.Attempts have been made and no further information has been provided.
 
Manufacturer Narrative
This follow-up report is being submitted to relay additional information.No product was returned or pictures provided; visual and dimensional evaluations could not be performed.Medical records were not provided.Review of the device history records identified no deviations or anomalies during manufacturing related to the reported event.A definitive root cause cannot be determined.If any further information which would change or alter any conclusions or information, a supplemental report will be filed accordingly.Zimmer biomet will continue to monitor for trends.
 
Event Description
No further event information available at the time of this report.
 
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Brand Name
45MM RT STANDARD MANDIBULAR
Type of Device
JOINT, TEMPOROMANDIBULAR, IMPLANT
Manufacturer (Section D)
BIOMET MICROFIXATION
1520 tradeport drive
jacksonville FL 32218
Manufacturer (Section G)
BIOMET MICROFIXATION
1520 tradeport drive
jacksonville FL 32218
Manufacturer Contact
jennifer rapsavage
56 e. bell dr.
warsaw, IN 46582
5745260384
MDR Report Key16681066
MDR Text Key312680880
Report Number0001032347-2023-00117
Device Sequence Number1
Product Code LZD
UDI-Device Identifier00841036036430
UDI-Public(01)00841036036430(17)261012(10)062490B
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
P020016
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Consumer,Health Professional
Reporter Occupation Physician
Type of Report Initial,Followup
Report Date 05/25/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number24-6545
Device Lot Number062490B
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 03/13/2023
Initial Date FDA Received04/05/2023
Supplement Dates Manufacturer Received05/23/2023
Supplement Dates FDA Received05/25/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured10/12/2021
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Removal/Correction NumberNI
Patient Sequence Number1
Patient Outcome(s) Other;
Patient SexPrefer Not To Disclose
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