FDA Adverse Event Injury Summary report: N

NOBELREPLACE CC PMC NP 3.5X11.5MM

MDR report key: 18916868 · Received March 15, 2024

Report

Report Number
9611993-2024-053149
Event Type
Injury
Date Received
March 15, 2024
Date of Event
February 13, 2024
Manufacturer
NOBEL BIOCARE AB
Product Code
DZE
PMA / PMN Number
K062566
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AU
Reporter Occupation
DENTIST
Health Professional
Yes

Narratives

Description of Event or Problem · 0

IMPLANT FAILED DUE TO A FAILURE TO OSSEOINTEGRATE 15.03.2024 13:33:16 CET (5001035) IMPLANT FAILED DUE TO ABCESS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
966588 NOBELREPLACE CC PMC NP 3.5X11.5MM ENDOSSEOUS DENTAL IMPLANT DZE NOBEL BIOCARE AB

Patients

Seq Age Sex Outcome Treatment
1 45 YR Female Required Intervention