BEUDAMED
    FDA Adverse Event Death Summary report: N

    CAMLOG SCREW-LINE IMPLANT PROMOTE PLUS

    MDR report key: 12709685 · Received October 28, 2021

    Report

    Report Number
    9613866-2019-26135
    Event Type
    Death
    Date Received
    October 28, 2021
    Date of Event
    July 3, 2019
    Report Date
    August 13, 2019
    Product Code
    DZE
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GM
    Reporter Occupation
    DENTIST

    Narratives

    Description of Event or Problem · 1

    NO OSSEOINTEGRATED (DENTAL IMPLANT).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1611970 CAMLOG SCREW-LINE IMPLANT PROMOTE PLUS CAMLOG SCREW-LINE IMPLANT PROMOTE PLUS DZE K1054.3311 0000089472

    Patients

    Seq Age Sex Outcome Treatment
    1 62 YR Required Intervention