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 |