BEUDAMED
    FDA Adverse Event Other Summary report: N

    O BUTMENT

    MDR report key: 164889 · Received April 20, 1998

    Report

    Report Number
    1627417-1998-00009
    Event Type
    Other
    Date Received
    April 20, 1998
    Date of Event
    April 9, 1998
    Report Date
    April 20, 1998
    Manufacturer
    "O" CO., INC.
    Product Code
    DZE
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    DENTIST

    Narratives

    Description of Event or Problem · 1

    IMPLANT PLACED UPPER #4 IN 1993 ALONG WITH 1 OTHER IMPLANT. PT WAITED YEARS BEFORE LOADING A DENTURE. WAS USING OLD DENTURE. PT SUFFERED BONE LOSS IN MAXILLA. PT ALSO HAS BRUXISM AND STRESS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 O BUTMENT Implant DENTAL IMPLANT DZE "O" CO., INC. HBUP2 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 39 YR Other