BEUDAMED
    FDA Adverse Event Death Summary report: N

    NOBELPARALLEL CC RP 4.3X8.5MM

    MDR report key: 15634283 · Received October 19, 2022

    Report

    Report Number
    9611993-2022-103630
    Event Type
    Death
    Date Received
    October 19, 2022
    Date of Event
    July 7, 2022
    Manufacturer
    NOBEL BIOCARE AB
    Product Code
    DZE
    UDI-DI
    07332747161267
    PMA / PMN Number
    K173418
    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 OSSEOINTEGRATION PROBLEM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2047040 NOBELPARALLEL CC RP 4.3X8.5MM ENDOSSEOUS DENTAL IMPLANT DZE NOBEL BIOCARE AB 37971 12170703 07332747161267

    Patients

    Seq Age Sex Outcome Treatment
    1 49 YR Male Required Intervention