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