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U.S. Department of Health and Human Services

TPLC - Total Product Life Cycle

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Device joint, temporomandibular, implant
Regulation Description Total temporomandibular joint prosthesis.
Definition Call for PMAs to be filed by 3/30/99 per 63 FR 71746 on 12/30/98 - Indicated for reconstruction of the temporomandibular joint.
Product CodeLZD
Regulation Number 872.3940
Device Class 3

Premarket Approvals (PMA)
2020 2021 2022 2023 2024 2025 2026
2 1 1 1 2 1 2

MDR Year MDR Reports MDR Events
2020 255 255
2021 207 207
2022 193 194
2023 236 238
2024 207 207
2025 227 227
2026 96 96

Device Problems MDRs with this Device Problem Events in those MDRs
Adverse Event Without Identified Device or Use Problem 871 871
Device Dislodged or Dislocated 106 106
Malposition of Device 84 86
Patient Device Interaction Problem 68 68
Nonstandard Device 67 67
Insufficient Information 61 61
Fracture 54 54
Device Appears to Trigger Rejection 53 53
Inadequacy of Device Shape and/or Size 41 41
Loosening of Implant Not Related to Bone-Ingrowth 35 35
Patient-Device Incompatibility 33 33
Noise, Audible 30 30
Migration 28 29
Loss of Osseointegration 19 19
Migration or Expulsion of Device 16 16
Positioning Problem 13 13
No Apparent Adverse Event 10 10
Fitting Problem 10 10
Difficult to Insert 7 7
Positioning Failure 7 7
Material Integrity Problem 6 6
Appropriate Term/Code Not Available 6 6
Installation-Related Problem 5 5
Loose or Intermittent Connection 5 5
Use of Device Problem 4 5
Unintended Movement 4 4
Osseointegration Problem 4 4
Detachment of Device or Device Component 3 3
Product Quality Problem 2 2
Naturally Worn 2 2
Component Incompatible 2 2
Improper or Incorrect Procedure or Method 2 2
Device-Device Incompatibility 2 2
Component Missing 1 1
Contamination 1 1
Material Perforation 1 1
Use of Incorrect Control/Treatment Settings 1 1
Device Handling Problem 1 1
Manufacturing, Packaging or Shipping Problem 1 1
Expiration Date Error 1 1
Activation, Positioning or Separation Problem 1 1
Unstable 1 1
Device Slipped 1 1
Unexpected Therapeutic Results 1 1
Connection Problem 1 1
Inaccurate Information 1 1
Flaked 1 1
Biocompatibility 1 1

Patient Problems MDRs with this Patient Problem Events in those MDRs
Pain 420 422
Insufficient Information 246 246
No Clinical Signs, Symptoms or Conditions 219 220
Unspecified Infection 200 200
Loss of Range of Motion 147 147
Joint Dislocation 131 131
Swelling/ Edema 111 111
Ankylosis 69 69
Ossification 66 66
Failure of Implant 61 61
No Information 60 60
Implant Pain 59 59
Bacterial Infection 53 53
Hypersensitivity/Allergic reaction 38 38
Joint Disorder 27 27
Discomfort 25 25
Difficulty Chewing 22 22
Inadequate Pain Relief 22 22
Numbness 21 23
Inadequate Osseointegration 20 20
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 19 19
Scar Tissue 17 17
Obstruction/Occlusion 16 16
Headache 15 15
Limited Mobility Of The Implanted Joint 14 14
Swelling 14 14
Nerve Damage 14 14
Deformity/ Disfigurement 12 12
Adhesion(s) 12 12
Difficulty Chewing 12 12
Fluid Discharge 10 10
Unspecified Musculoskeletal problem 10 10
Osteolysis 10 10
Fistula 10 10
Bone Fracture(s) 9 9
Hearing Impairment 9 9
Itching Sensation 9 9
Joint Laxity 8 8
Facial Nerve Paralysis 8 8
Cramp(s) /Muscle Spasm(s) 8 8
Bruxism 6 6
Feeding Problem 6 6
Reaction 6 6
Abscess 6 6
Perforation 6 6
Sensitivity of Teeth 5 5
Erythema 5 5
Vertigo 5 5
Rupture 4 4
Increased Sensitivity 4 4

Recalls
Manufacturer Recall Class Date Posted
1 Stryker Leibinger GmbH & Co. KG II Mar-08-2023
2 TMJ Solutions Inc I Nov-14-2025
3 TMJ Solutions Inc II Sep-26-2024
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