BEUDAMED
    FDA Adverse Event Death Summary report: N

    REPLACE SELECT TAPERED PMC RP 4.3X10MM

    MDR report key: 10630724 · Received October 5, 2020

    Report

    Report Number
    2027971-2020-40105
    Event Type
    Death
    Date Received
    October 5, 2020
    Date of Event
    August 24, 2020
    Report Date
    October 5, 2020
    Manufacturer
    NOBEL BIOCARE AB
    Product Code
    DZE
    UDI-DI
    7332747073430
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    UK
    Reporter Occupation
    DENTIST

    Narratives

    Description of Event or Problem · 1

    IMPLANT FAILED DUE TO FAILURE OF OSSEOINTEGRATION.

    Description of Event or Problem · 1

    IMPLANT FAILED DUE TO FAILURE OF OSSEOINTEGRATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1091701 REPLACE SELECT TAPERED PMC RP 4.3X10MM ENDOSSEOUS DENTAL IMPLANT DZE NOBEL BIOCARE AB 12112843 7332747073430

    Patients

    Seq Age Sex Outcome Treatment
    1 30 YR Death| R