FDA Adverse Event Other Summary report: N

NONE

MDR report key: 1080856 · Received July 9, 2008

Report

Report Number
MW5007759
Event Type
Other
Date Received
July 9, 2008
Report Date
July 9, 2008
Manufacturer
NOBEL BIOCARE
Product Code
DZE
Report Source
Voluntary report
Reporter Location
FL, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

NOBEL BIOCARE USA HAS RECEIVED A REPORT OF AN OSSEOFAILURE FOR ONE IMPLANT. THE INFO PROVIDED AS TO NOBEL BIOCARE PART/LOT NUMBER WAS INACCURATE. NOBEL BIOCARE DID NOT MFR THE RETURNED IMPLANT. IT IS REQUIRED THAT THE LOSS BE REPORTED TO THE FDA. NOBEL BIOCARE WAS UNABLE TO DETERMINE THE MFR OF THIS IMPLANT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NONE DZE NOBEL BIOCARE

Patients

Seq Age Sex Outcome Treatment
1