BEUDAMED
    FDA Adverse Event Death Summary report: N

    NOBELREPLACE CC PMC RP 4.3X13MM

    MDR report key: 10787549 · Received November 4, 2020

    Report

    Report Number
    2027971-2020-47902
    Event Type
    Death
    Date Received
    November 4, 2020
    Date of Event
    October 28, 2020
    Report Date
    November 4, 2020
    Manufacturer
    NOBEL BIOCARE AB
    Product Code
    DZE
    UDI-DI
    7332747073560
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    IT
    Reporter Occupation
    DENTIST

    Narratives

    Description of Event or Problem · 1

    IMPLANT FAILED DUE TO A LOSS OF OSSEOINTEGRATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1252186 NOBELREPLACE CC PMC RP 4.3X13MM ENDOSSEOUS DENTAL IMPLANT DZE NOBEL BIOCARE AB 13037017 7332747073560

    Patients

    Seq Age Sex Outcome Treatment
    1 60 YR Death| R