FDA Adverse Event
Injury
Summary report: N
NOBELPARALLEL CC TIULTRA NP 3.75X18MM
MDR report key: 17437403
·
Received August 1, 2023
Report
- Report Number
- 9611993-2023-092078
- Event Type
- Injury
- Date Received
- August 1, 2023
- Date of Event
- July 6, 2023
- Manufacturer
- NOBEL BIOCARE AB
- Product Code
- DZE
- PMA / PMN Number
- K202344
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- UK
- Reporter Occupation
- DENTIST
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
IMPLANT FAILED DUE TO A FAILURE TO OSSEOINTEGRATE. (B)(6) 2023 16:45:57 CET (5021118). USER:5021118 RECEIVED DATE OF THE RETURN PRODUCT: (B)(6) 2023.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1842972 | NOBELPARALLEL CC TIULTRA NP 3.75X18MM | ENDOSSEOUS DENTAL IMPLANT | DZE | NOBEL BIOCARE AB |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 62 YR | Female | Required Intervention |