BEUDAMED
    FDA Adverse Event Injury Summary report: N

    STERNGOLD IMPLAMED, FIXTURE, TI,

    MDR report key: 149524 · Received February 16, 1998

    Report

    Report Number
    2921595-1997-00039
    Event Type
    Injury
    Date Received
    February 16, 1998
    Date of Event
    May 15, 1996
    Report Date
    December 17, 1997
    Manufacturer
    STERNGOLD IMPLAMED
    Product Code
    DZE
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    IMPLANT FAILED TO INTEGRATE. PLACED ON 10/2/1995, REMOVED ON 5/15/1996, AT STAGE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 STERNGOLD IMPLAMED, FIXTURE, TI, Implant DENTAL IMPLANT DZE STERNGOLD IMPLAMED 901119 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Required Intervention