FDA Adverse Event Injury Summary report: N

UNKNOWN ¿ IMPLANT

MDR report key: 18520653 · Received January 16, 2024

Report

Report Number
2027971-2024-033468
Event Type
Injury
Date Received
January 16, 2024
Date of Event
December 21, 2023
Manufacturer
NOBEL BIOCARE AB
Product Code
DZE
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
BE
Reporter Occupation
DENTIST
Health Professional
Yes

Narratives

Description of Event or Problem · 0

FAILURE OSSEOINTEGRATE. 16.01.2024 16:03:16 CET (5001035) IMPLANT FAILED DUE TO FAILURE OF OSSEOINTEGRATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1677490 UNKNOWN ¿ IMPLANT ENDOSSEOUS DENTAL IMPLANT DZE NOBEL BIOCARE AB

Patients

Seq Age Sex Outcome Treatment
1 52 YR Male Required Intervention