BEUDAMED
    FDA Adverse Event Other Summary report: N

    BIOLOK

    MDR report key: 113824 · Received August 11, 1997

    Report

    Report Number
    1045056-1997-04704
    Event Type
    Other
    Date Received
    August 11, 1997
    Report Date
    August 6, 1997
    Manufacturer
    BIO LOK INTL.
    Product Code
    DZE
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    DENTIST

    Narratives

    Description of Event or Problem · 1

    FAILED IMPLANT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BIOLOK Implant SCREW IMPLANT DZE BIO LOK INTL. IHSSTP410 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other