BEUDAMED
    FDA Adverse Event Injury Summary report: N

    8020776-2020-01985

    MDR report key: 10910907 · Received November 26, 2020

    Report

    Report Number
    8020776-2020-01985
    Event Type
    Injury
    Date Received
    November 26, 2020
    Date of Event
    July 16, 2020
    Report Date
    November 25, 2020
    Manufacturer
    ANTHOGYR SAS
    Product Code
    DZE
    PMA / PMN Number
    K161177
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PO
    Reporter Occupation
    DENTIST

    Narratives

    Description of Event or Problem · 1

    IMPLANT FAILS TO OSTEOINTEGRATE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1373281 DZE ANTHOGYR SAS

    Patients

    Seq Age Sex Outcome Treatment
    1