BEUDAMED
    FDA Adverse Event Death Summary report: N

    CAMLOG SCREW-LINE IMPLANT PROMOTE

    MDR report key: 11874532 · Received May 25, 2021

    Report

    Report Number
    9613866-2020-40140
    Event Type
    Death
    Date Received
    May 25, 2021
    Date of Event
    June 29, 2020
    Report Date
    August 5, 2020
    Manufacturer
    ALTATEC GMBH
    Product Code
    DZE
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GM
    Reporter Occupation
    DENTIST

    Narratives

    Description of Event or Problem · 1

    NO OSSEOINTEGRATION (DENTAL IMPLANT).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    776442 CAMLOG SCREW-LINE IMPLANT PROMOTE CAMLOG SCREW-LINE IMPLANT PROMOTE DZE ALTATEC GMBH K1044.5011 0010098225

    Patients

    Seq Age Sex Outcome Treatment
    1 66 YR Required Intervention