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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 116 116

Device Problems MDRs with this Device Problem Events in those MDRs
Adverse Event Without Identified Device or Use Problem 686 686
Device Dislodged or Dislocated 86 86
Malposition of Device 71 73
Nonstandard Device 67 67
Fracture 53 53
Device Appears to Trigger Rejection 52 52
Insufficient Device Problem Information 48 48
Patient Device Interaction Problem 46 46
Inadequacy of Device Shape and/or Size 39 39
Loosening of Implant Not Related to Bone-Ingrowth 29 29
Noise, Audible 22 22
Patient-Device Incompatibility 21 21
Loss of Osseointegration 19 19
Migration 17 18
Fitting Problem 10 10
No Apparent Adverse Event 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
Osseointegration Problem 3 3
Difficult to Insert 3 3
Use of Device Problem 2 2
Component Incompatible 2 2
Product Quality Problem 2 2
Naturally Worn 2 2
Device-Device Incompatibility 2 2
Connection Problem 1 1
Biocompatibility 1 1
Expiration Date Error 1 1
Use of Incorrect Control/Treatment Settings 1 1
Component Missing 1 1
Material Perforation 1 1
Unstable 1 1
Device Handling Problem 1 1
Contamination 1 1
Flaked 1 1
Improper or Incorrect Procedure or Method 1 1
Installation-Related Problem 1 1
Loose or Intermittent Connection 1 1
Inaccurate Information 1 1

Patient Problems MDRs with this Patient Problem Events in those MDRs
Pain 359 361
Insufficient Information 247 247
No Clinical Signs, Symptoms or Conditions 209 210
Unspecified Infection 153 153
Loss of Range of Motion 132 132
Joint Dislocation 122 122
Swelling/ Edema 111 111
Ankylosis 66 66
Failure of Implant 57 57
Implant Pain 56 56
Bacterial Infection 52 52
Extraskeletal ossification 45 45
Hypersensitivity/Allergic reaction 28 28
Difficulty Chewing 22 22
Numbness 20 22
Inadequate Osseointegration 19 19
Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available 19 19
Obstruction/Occlusion 16 16
Discomfort 15 15
Deformity/ Disfigurement 12 12
Adhesion(s) 12 12
Unspecified Musculoskeletal problem 11 11
Scar Tissue 11 11
Fluid Discharge 10 10
Osteolysis 10 10
Hearing Impairment 9 9
Fistula 9 9
Aseptic loosening 9 9
Headache 9 9
Bone Fracture(s) 8 8
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
Rheumatoid Arthritis 4 4
Hematoma 4 4
Hyperresponsive to stimuli 4 4
Wound Dehiscence 4 4
Paresthesia 4 4
Limited Mobility Of The Implanted Joint 4 4
Peripheral Nervous Injury 4 4
Perforation 4 4
Speech Disorder 4 4
Abscess 4 4
Foreign Body In Patient 3 3

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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