BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNKNOWN IMPLANT

    MDR report key: 12556440 · Received September 30, 2021

    Report

    Report Number
    2027971-2021-115422
    Event Type
    Injury
    Date Received
    September 30, 2021
    Date of Event
    July 27, 2021
    Report Date
    September 30, 2021
    Manufacturer
    NOBEL BIOCARE AB
    Product Code
    DZE
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    SP
    Reporter Occupation
    DENTIST

    Narratives

    Description of Event or Problem · 1

    IMPLANT FAILED DUE TO A FAILURE TO OSSEOINTEGRATE. (B)(4).USER:(B)(4) RECEIVED DATE OF THE RETURN PRODUCT:30/09/2021.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1451452 UNKNOWN IMPLANT ENDOSSEOUS DENTAL IMPLANT DZE NOBEL BIOCARE AB

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention