FDA Adverse Event Injury Summary report: Y

BIOHORIZONS DENTAL IMPLANT

MDR report key: 16775795 · Received April 20, 2023

Report

Report Number
1060818-2023-04133
Event Type
Injury
Date Received
April 20, 2023
Date of Event
March 21, 2023
Report Date
April 20, 2023
Manufacturer
BIOHORIZONS IMPLANT SYSTEMS
Product Code
DZE
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
DENTIST
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THIS CORRECTION IS BEING FILED TO REDUCE THE TOTAL FROM 12 TO 1. INDIVIDUAL REPORT NUMBERS 1060818-2023-04134,1060818-2023-04135,1060818-2023-04136,1060818-2023-04137,1060818-2023-04138,1060818-2023-04139,1060818-2023-04140,1060818-2023-04141,1060818-2023-04142, 1060818-2023-04143, 1060818-2023-04144, AND 1060818-2023-04145 ARE THE NEW INDIVIDUAL REPORTS ASSOCIATED.

Description of Event or Problem · 0

IMPLANT FAILED TO OSSEOINTEGRATE.

Description of Event or Problem · 0

IMPLANT FAILED TO OSSEOINTEGRATE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1206758 BIOHORIZONS DENTAL IMPLANT DENTAL IMPLANT DZE BIOHORIZONS IMPLANT SYSTEMS IMPLANT UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 Unknown Required Intervention