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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BIOMET MICROFIXATION UNKNOWN TMJ RIGHT MANDIBLE; JOINT, TEMPOROMANDIBULAR, IMPLANT

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BIOMET MICROFIXATION UNKNOWN TMJ RIGHT MANDIBLE; JOINT, TEMPOROMANDIBULAR, IMPLANT Back to Search Results
Device Problem Migration (4003)
Patient Problems Hearing Impairment (1881); Pain (1994); Swelling/ Edema (4577)
Event Type  Injury  
Event Description
It was reported that a patient is experiencing clicking, pain, and swelling due to implants protruding into their ear canal.A ct scan is scheduled.Attempts have been made and additional information on the reported event is unavailable at this time.
 
Manufacturer Narrative
(b)(4).D10: unknown tmj right fossa cat#ni lot#ni.The device will not be returned for analysis; however, an investigation of the reported event is in progress.Once the investigation is completed, a supplemental medwatch 3500a will be submitted.Multiple mdr reports were filed for this event, please see associated reports: 0001032347 - 2023 - 00294.
 
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.Part and lot identification are necessary for review of device history records, neither were provided.A definitive root cause cannot be determined.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
No further event information is available at the time of this report.
 
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Brand Name
UNKNOWN TMJ RIGHT MANDIBLE
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 Key17405185
MDR Text Key319855105
Report Number0001032347-2023-00293
Device Sequence Number1
Product Code LZD
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
NI
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Health Professional,Company Representative
Reporter Occupation Physician
Type of Report Initial,Followup
Report Date 08/24/2023
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
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 07/05/2023
Initial Date FDA Received07/27/2023
Supplement Dates Manufacturer Received08/23/2023
Supplement Dates FDA Received08/24/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Treatment
SEE H10
Patient Outcome(s) Other;
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