BEUDAMED
    FDA Adverse Event Death Summary report: N

    BRANEMARK SYSTEM FIXTURE

    MDR report key: 12480 · Received March 4, 1994

    Report

    Report Number
    35133-1994-00228
    Event Type
    Death
    Date Received
    March 4, 1994
    Date of Event
    January 11, 1994
    Report Date
    February 18, 1994
    Manufacturer
    NOBELPHARMA AB
    Product Code
    DZE
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    TX, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    FAILURE TO OSSEOINTEGRATE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BRANEMARK SYSTEM FIXTURE Implant DENTAL IMPLANT DZE NOBELPHARMA AB SDCA 064 508927

    Patients

    Seq Age Sex Outcome Treatment
    1 58 YR Death