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 |