BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NOBELPARALLEL CC NP 3.75X8.5MM

    MDR report key: 10870633 · Received November 19, 2020

    Report

    Report Number
    2027971-2020-52004
    Event Type
    Injury
    Date Received
    November 19, 2020
    Date of Event
    November 9, 2020
    Report Date
    November 19, 2020
    Manufacturer
    NOBEL BIOCARE AB
    Product Code
    DZE
    UDI-DI
    7332747091434
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    SP
    Reporter Occupation
    DENTIST

    Narratives

    Description of Event or Problem · 0

    IMPLANT FAILED DUE TO LOSS OF OSSEOINTEGRATE. 24.11.2020 17:52:32 CET S. (B)(6). USER: (B)(6) RECEIVED DATE OF THE RETURN PRODUCT:17/11/2020.

    Description of Event or Problem · 1

    IMPLANT FAILED DUE TO LOSS OF OSSEOINTEGRATE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1332403 NOBELPARALLEL CC NP 3.75X8.5MM ENDOSSEOUS DENTAL IMPLANT DZE NOBEL BIOCARE AB 12043539 7332747091434

    Patients

    Seq Age Sex Outcome Treatment
    1 72 YR Life Threatening| R