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