FDA Adverse Event Death Summary report: N

NOBELPARALLEL CC RP 4.3X18MM

MDR report key: 11083347 · Received December 28, 2020

Report

Report Number
2027971-2020-62787
Event Type
Death
Date Received
December 28, 2020
Date of Event
December 25, 2020
Report Date
December 28, 2020
Manufacturer
NOBEL BIOCARE AB
Product Code
DZE
UDI-DI
7332747091557
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
RS
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
1545498 NOBELPARALLEL CC RP 4.3X18MM ENDOSSEOUS DENTAL IMPLANT DZE NOBEL BIOCARE AB 12121902 7332747091557

Patients

Seq Age Sex Outcome Treatment
1 62 YR Death| R