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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
2 1 1 1 2 1

MDR Year MDR Reports MDR Events
2020 255 255
2021 207 207
2022 193 193
2023 236 236
2024 207 207
2025 173 173

Device Problems MDRs with this Device Problem Events in those MDRs
Adverse Event Without Identified Device or Use Problem 834 834
Device Dislodged or Dislocated 94 94
Malposition of Device 79 79
Patient Device Interaction Problem 65 65
Insufficient Information 57 57
Fracture 51 51
Inadequacy of Device Shape and/or Size 37 37
Device Appears to Trigger Rejection 35 35
Loosening of Implant Not Related to Bone-Ingrowth 32 32
Patient-Device Incompatibility 30 30
Noise, Audible 29 29
Migration 26 26
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
Nonstandard Device 5 5
Loose or Intermittent Connection 5 5
Use of Device Problem 4 4
Unintended Movement 4 4
Osseointegration Problem 4 4
Product Quality Problem 2 2
Detachment of Device or Device Component 2 2
Naturally Worn 2 2
Component Incompatible 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
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
Flaked 1 1
Improper or Incorrect Procedure or Method 1 1

Patient Problems MDRs with this Patient Problem Events in those MDRs
Pain 388 388
Insufficient Information 218 218
Unspecified Infection 188 188
No Clinical Signs, Symptoms or Conditions 149 149
Loss of Range of Motion 132 132
Joint Dislocation 120 120
Swelling/ Edema 106 106
Ossification 66 66
Ankylosis 63 63
Failure of Implant 61 61
No Information 60 60
Implant Pain 59 59
Bacterial Infection 47 47
Hypersensitivity/Allergic reaction 37 37
Joint Disorder 27 27
Inadequate Pain Relief 22 22
Discomfort 21 21
Numbness 21 21
Inadequate Osseointegration 20 20
Difficulty Chewing 20 20
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 19 19
Scar Tissue 16 16
Headache 15 15
Obstruction/Occlusion 15 15
Limited Mobility Of The Implanted Joint 14 14
Swelling 14 14
Nerve Damage 14 14
Deformity/ Disfigurement 12 12
Difficulty Chewing 12 12
Fluid Discharge 10 10
Osteolysis 10 10
Fistula 9 9
Hearing Impairment 9 9
Joint Laxity 8 8
Facial Nerve Paralysis 8 8
Bone Fracture(s) 8 8
Cramp(s) /Muscle Spasm(s) 8 8
Itching Sensation 7 7
Bruxism 6 6
Reaction 6 6
Abscess 6 6
Feeding Problem 6 6
Sensitivity of Teeth 5 5
Erythema 5 5
Perforation 5 5
Rupture 4 4
Increased Sensitivity 4 4
Arthritis 4 4
Wound Dehiscence 4 4
Neurological Deficit/Dysfunction 4 4

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