BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BRANEMARK SYSTEM FIXTURE

    MDR report key: 15798 · Received February 25, 1994

    Report

    Report Number
    35133-1994-00178
    Event Type
    Injury
    Date Received
    February 25, 1994
    Date of Event
    November 1, 1993
    Report Date
    February 7, 1994
    Manufacturer
    NOBELPHARMA AB
    Product Code
    DZE
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    UT, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    LOSS OF OSSEOINTEGRATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BRANEMARK SYSTEM FIXTURE Implant DENTAL IMPLANT DZE NOBELPHARMA AB SDCA 063 507401

    Patients

    Seq Age Sex Outcome Treatment
    1 44 YR Required Intervention