FDA Adverse Event Injury Summary report: N

NOBELPARALLEL CC NP 3.75X13MM

MDR report key: 11439853 · Received March 8, 2021

Report

Report Number
2027971-2021-48489
Event Type
Injury
Date Received
March 8, 2021
Date of Event
December 2, 2020
Report Date
March 8, 2021
Manufacturer
NOBEL BIOCARE AB
Product Code
DZE
UDI-DI
7332747091465
Adverse Event
Yes
Report Source
Distributor 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
329183 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