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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)
2021 2022 2023 2024 2025 2026
1 1 1 2 1 2

MDR Year MDR Reports MDR Events
2021 207 207
2022 193 194
2023 236 238
2024 207 207
2025 227 227
2026 156 156

Device Problems MDRs with this Device Problem Events in those MDRs
Adverse Event Without Identified Device or Use Problem 696 696
Device Dislodged or Dislocated 86 86
Malposition of Device 75 77
Nonstandard Device 67 67
Insufficient Device Problem Information 59 59
Device Appears to Trigger Rejection 57 57
Fracture 53 53
Patient Device Interaction Problem 46 46
Inadequacy of Device Shape and/or Size 43 43
Loosening of Implant Not Related to Bone-Ingrowth 30 30
Migration 26 27
Noise, Audible 22 22
Patient-Device Incompatibility 21 21
Loss of Osseointegration 19 19
No Apparent Adverse Event 10 10
Fitting Problem 10 10
Migration or Expulsion of Device 8 8
Positioning Problem 6 6
Positioning Failure 4 4
Detachment of Device or Device Component 4 4
Unintended Movement 4 4
Difficult to Insert 3 3
Osseointegration Problem 3 3
Use of Device Problem 2 2
Product Quality Problem 2 2
Naturally Worn 2 2
Component Incompatible 2 2
Device-Device Incompatibility 2 2
Component Missing 1 1
Material Perforation 1 1
Use of Incorrect Control/Treatment Settings 1 1
Device Handling Problem 1 1
Labelling, Instructions for Use or Training Problem 1 1
Installation-Related Problem 1 1
Contamination 1 1
Expiration Date Error 1 1
Unstable 1 1
Connection Problem 1 1
Inaccurate Information 1 1
Flaked 1 1
Loose or Intermittent Connection 1 1
Improper or Incorrect Procedure or Method 1 1
Biocompatibility 1 1

Patient Problems MDRs with this Patient Problem Events in those MDRs
Pain 366 368
Insufficient Information 269 269
No Clinical Signs, Symptoms or Conditions 211 212
Unspecified Infection 155 155
Loss of Range of Motion 134 134
Joint Dislocation 122 122
Swelling/ Edema 113 113
Ankylosis 67 67
Failure of Implant 57 57
Implant Pain 56 56
Bacterial Infection 53 53
Extraskeletal ossification 46 46
Hypersensitivity/Allergic reaction 28 28
Difficulty Chewing 23 23
Numbness 20 22
Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available 19 19
Inadequate Osseointegration 19 19
Discomfort 17 17
Obstruction/Occlusion 16 16
Deformity/ Disfigurement 12 12
Adhesion(s) 12 12
Unspecified Musculoskeletal problem 12 12
Scar Tissue 11 11
Hearing Impairment 11 11
Fluid Discharge 10 10
Osteolysis 10 10
Headache 9 9
Bone Fracture(s) 9 9
Aseptic loosening 9 9
Fistula 9 9
Joint Laxity 8 8
Cramp(s) /Muscle Spasm(s) 8 8
Itching Sensation 7 7
Ear Pain 7 7
Bruxism 6 6
No Information 5 5
Sensitivity of Teeth 5 5
Vertigo 5 5
Metal Related Pathology 4 4
Limited Mobility Of The Implanted Joint 4 4
Tinnitus 4 4
Hematoma 4 4
Abscess 4 4
Perforation 4 4
Speech Disorder 4 4
Partial Hearing Loss 4 4
Peripheral Nervous Injury 4 4
Rheumatoid Arthritis 4 4
Wound Dehiscence 4 4
Hyperresponsive to stimuli 4 4

Recalls
Manufacturer Recall Class Date Posted
1 Stryker Leibinger GmbH & Co. KG II Mar-08-2023
2 TMJ Solutions Inc II Jun-22-2026
3 TMJ Solutions Inc I Nov-14-2025
4 TMJ Solutions Inc II Sep-26-2024
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