FDA Adverse Event Death Summary report: N

NOBELPARALLEL CC RP 4.3X10MM

MDR report key: 11006597 · Received December 15, 2020

Report

Report Number
2027971-2020-58749
Event Type
Death
Date Received
December 15, 2020
Date of Event
December 3, 2020
Report Date
December 14, 2020
Manufacturer
NOBEL BIOCARE AB
Product Code
DZE
UDI-DI
7332747091519
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
1471357 NOBELPARALLEL CC RP 4.3X10MM ENDOSSEOUS DENTAL IMPLANT DZE NOBEL BIOCARE AB 12144336 7332747091519

Patients

Seq Age Sex Outcome Treatment
1 56 YR Death| R