BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NOBELPARALLEL CC TIULTRA RP 4.3X13MM

    MDR report key: 18175346 · Received November 20, 2023

    Report

    Report Number
    2027971-2023-144100
    Event Type
    Injury
    Date Received
    November 20, 2023
    Date of Event
    November 3, 2023
    Report Date
    November 20, 2023
    Manufacturer
    NOBEL BIOCARE AB
    Product Code
    DZE
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    RS
    Reporter Occupation
    DENTIST
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    IMPLANT FAILED DUE TO A LOSS OF OSSEOINTEGRATION (B)(6) 2023 14:22:24 CET (5023852). USER:5023852 RECEIVED DATE OF THE RETURN PRODUCT:20/11/2023.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2164918 NOBELPARALLEL CC TIULTRA RP 4.3X13MM ENDOSSEOUS DENTAL IMPLANT DZE NOBEL BIOCARE AB

    Patients

    Seq Age Sex Outcome Treatment
    1 Female Required Intervention