FDA Adverse Event Injury Summary report: N

OSSIX PLUS 15*25

MDR report key: 14844845 · Received June 28, 2022

Report

Report Number
1222802-2022-00006
Event Type
Injury
Date Received
June 28, 2022
Report Date
June 28, 2022
Manufacturer
DATUM DENTAL LTD.
Product Code
NPL
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
ID, US
Reporter Occupation
DENTIST
Health Professional
Yes

Narratives

Description of Event or Problem · 0

IT WAS REPORTED THAT OSSIX BONE GRAFTING MATERIAL FAILED TO OSSEOINTEGRATE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2043365 OSSIX PLUS 15*25 BARRIER, ANIMAL SOURCE, INTRAORAL NPL DATUM DENTAL LTD. OP150047

Patients

Seq Age Sex Outcome Treatment
1 Unknown Required Intervention