| Brand Name | 50MM LFT NARROW TI MAND |
| Common Device Name | 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
|
|
+1(574)526-0384
|
|
| MDR Report Key | 50565923 |
| Report Number | 0001032347-2026-00265 |
| Device Sequence Number | 10533139 |
| Product Code |
LZD
|
| UDI-Device Identifier | 00841036081805 |
| UDI-Public | (01)00841036081805(17)261105(10)068160D |
| Combination Product (Y/N) | N |
| Initial Reporter State | PA |
| Initial Reporter Country | US |
| PMA/510(K) Number | P020016 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Device Implanted Year | 2023 |
| Device Explanted Year | 2026 |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional,Company Representative |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial |
| Report Date (Section B) |
09/02/2026 |
| 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? |
No
|
| Operator of Device |
Lay User/Patient
|
| Device Catalogue Number | 01-6551TI |
| Device Lot Number | 068160D |
| Is the Reporter a Health Professional? |
Yes
|
| Was the Report Sent to FDA? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 08/12/2026 |
| Initial Report FDA Received Date | 09/02/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 11/05/2021 |
| Is the Device Labeled for Single Use? (Y/N) |
Yes
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Initial
|
| Patient Sequence Number | 1 |
Concomitant Medical Products and Therapy/Usage Dates | see h11 |
| Outcome Attributed to Adverse Event |
Required Intervention;
Hospitalization;
|
| Patient Sex | Unknown |