FDA Adverse Event Injury Summary report: N

NOBELPARALLEL CC NP 3.75X11.5MM

MDR report key: 17915478 · Received October 11, 2023

Report

Report Number
9611993-2023-109603
Event Type
Injury
Date Received
October 11, 2023
Date of Event
January 26, 2023
Manufacturer
NOBEL BIOCARE AB
Product Code
DZE
UDI-DI
07332747161212
PMA / PMN Number
K173418
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SP
Reporter Occupation
DENTIST
Health Professional
Yes

Narratives

Description of Event or Problem · 0

IMPLANT COMPLAINT RELATED TO ESTHETIC ISSUE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2084259 NOBELPARALLEL CC NP 3.75X11.5MM ENDOSSEOUS DENTAL IMPLANT DZE NOBEL BIOCARE AB 12198319 07332747161212

Patients

Seq Age Sex Outcome Treatment
1 76 YR Female Required Intervention