BEUDAMED
    FDA Adverse Event Death Summary report: N

    NOBELREPLACE STRAIGHT GROOVY RP 4X10MM

    MDR report key: 10914759 · Received November 27, 2020

    Report

    Report Number
    2027971-2020-54683
    Event Type
    Death
    Date Received
    November 27, 2020
    Date of Event
    October 19, 2020
    Report Date
    November 27, 2020
    Manufacturer
    NOBEL BIOCARE AB
    Product Code
    DZE
    UDI-DI
    7332747019094
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    US
    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
    1378224 NOBELREPLACE STRAIGHT GROOVY RP 4X10MM ENDOSSEOUS DENTAL IMPLANT DZE NOBEL BIOCARE AB 772617 7332747019094

    Patients

    Seq Age Sex Outcome Treatment
    1 50 YR Death| R