BEUDAMED
    FDA Adverse Event Injury Summary report: N

    9611993-2022-042092

    MDR report key: 13572124 · Received February 21, 2022

    Report

    Report Number
    9611993-2022-042092
    Event Type
    Injury
    Date Received
    February 21, 2022
    Date of Event
    June 13, 2021
    Manufacturer
    NOBEL BIOCARE (PRODUCTION) AB
    Product Code
    DZE
    PMA / PMN Number
    K073142
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CH
    Reporter Occupation
    DENTIST
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    IMPLANT FAILED DUE TO A FAILURE TO OSSEOINTEGRATE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1079757 DZE NOBEL BIOCARE (PRODUCTION) AB

    Patients

    Seq Age Sex Outcome Treatment
    1 57 YR Female Required Intervention