BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NOBELPARALLEL CC NP 3.75X13MM

    MDR report key: 11439706 · Received March 8, 2021

    Report

    Report Number
    9611993-2021-45203
    Event Type
    Injury
    Date Received
    March 8, 2021
    Date of Event
    December 2, 2020
    Manufacturer
    NOBEL BIOCARE AB
    Product Code
    DZE
    UDI-DI
    7332747091465
    PMA / PMN Number
    K073142
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    JA
    Reporter Occupation
    DENTIST

    Narratives

    Description of Event or Problem · 1

    PMN K073142, LST D109680, PROD CODE 76DZE, DEV 9611993.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    328872 NOBELPARALLEL CC NP 3.75X13MM ENDOSSEOUS DENTAL IMPLANT DZE NOBEL BIOCARE AB 12141495 7332747091465

    Patients

    Seq Age Sex Outcome Treatment
    1 61 YR Required Intervention