BEUDAMED
    FDA Adverse Event Death Summary report: N

    NOBELACTIVE INTERNAL RP 4.3X8.5MM

    MDR report key: 14937784 · Received July 6, 2022

    Report

    Report Number
    2027971-2022-087560
    Event Type
    Death
    Date Received
    July 6, 2022
    Date of Event
    June 1, 2022
    Report Date
    July 6, 2022
    Manufacturer
    NOBEL BIOCARE AB
    Product Code
    DZE
    UDI-DI
    07332747160277
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    SP
    Reporter Occupation
    DENTIST
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    IMPLANT FAILED DUE TO AN OSSEOINTEGRATION PROBLEM.

    Description of Event or Problem · 0

    IMPLANT FAILED DUE TO AN OSSEOINTEGRATION PROBLEM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2765496 NOBELACTIVE INTERNAL RP 4.3X8.5MM ENDOSSEOUS DENTAL IMPLANT DZE NOBEL BIOCARE AB 35223 12164739 07332747160277

    Patients

    Seq Age Sex Outcome Treatment
    1 65 YR Male Death| R