BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NOBELREPLACE CC PMC RP 4.3X10MM

    MDR report key: 12002380 · Received June 15, 2021

    Report

    Report Number
    2027971-2021-81094
    Event Type
    Injury
    Date Received
    June 15, 2021
    Date of Event
    May 26, 2021
    Manufacturer
    NOBEL BIOCARE USA INC
    Product Code
    DZE
    UDI-DI
    7332747073584
    PMA / PMN Number
    K073142
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CH
    Reporter Occupation
    DENTIST

    Narratives

    Description of Event or Problem · 1

    PMN K073142, LST D109680, PROD CODE 76DZE, DEV 2027971.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    895144 NOBELREPLACE CC PMC RP 4.3X10MM ENDOSSEOUS DENTAL IMPLANT DZE NOBEL BIOCARE USA INC 13107137 7332747073584

    Patients

    Seq Age Sex Outcome Treatment
    1 62 YR Required Intervention