BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ABUTMENT: SHOULDERED, 5MM, INTEGRAL, 3.25

    MDR report key: 180362 · Received August 4, 1998

    Report

    Report Number
    2023141-1998-00638
    Event Type
    Injury
    Date Received
    August 4, 1998
    Report Date
    July 7, 1998
    Manufacturer
    SULZER CALCITEK
    Product Code
    DZE
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    DENTIST

    Narratives

    Description of Event or Problem · 1

    DR. REPORTED THAT AN ABUTMENT BROKE IN FUNCTION. PT IS REPORTEDLY FINE. PT IS SAME PT AS MEDWATCH REPORTS #2023141-1998-00635, 2023141-1998-00636, AND 2023141-1998-00637.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ABUTMENT: SHOULDERED, 5MM, INTEGRAL, 3.25 Implant SCREW RETAINED DENTAL ABUTMENT DZE SULZER CALCITEK NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 66 YR Required Intervention