BEUDAMED
    FDA Adverse Event Death Summary report: N

    NOBELREPLACE CC PMC NP 3.5X10MM

    MDR report key: 10912084 · Received November 26, 2020

    Report

    Report Number
    2027971-2020-54294
    Event Type
    Death
    Date Received
    November 26, 2020
    Date of Event
    August 27, 2020
    Report Date
    November 26, 2020
    Manufacturer
    NOBEL BIOCARE AB
    Product Code
    DZE
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    HU
    Reporter Occupation
    DENTIST

    Narratives

    Description of Event or Problem · 1

    IMPLANT FAILED DUE TO A FAILURE TO OSSEOINTEGRATE.

    Description of Event or Problem · 1

    IMPLANT FAILED DUE TO A FAILURE TO OSSEOINTEGRATE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1373122 NOBELREPLACE CC PMC NP 3.5X10MM ENDOSSEOUS DENTAL IMPLANT DZE NOBEL BIOCARE AB

    Patients

    Seq Age Sex Outcome Treatment
    1 69 YR Death| R