FDA Adverse Event
Injury
Summary report: N
NOBELPARALLEL CC TIULTRA RP 4.3X13MM
MDR report key: 18175563
·
Received November 20, 2023
Report
- Report Number
- 9611993-2023-120438
- Event Type
- Injury
- Date Received
- November 20, 2023
- Date of Event
- November 3, 2023
- Manufacturer
- NOBEL BIOCARE AB
- Product Code
- DZE
- PMA / PMN Number
- K202344
- Adverse Event
- Yes
- Report Source
- Manufacturer 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 . 20.11.2023 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 |
|---|---|---|---|---|---|---|---|
| 2089357 | NOBELPARALLEL CC TIULTRA RP 4.3X13MM | ENDOSSEOUS DENTAL IMPLANT | DZE | NOBEL BIOCARE AB |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Female | Required Intervention |