BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CONELOG SCREW LINE IMPLANT PROMOTE PLUS

    MDR report key: 19095460 · Received April 12, 2024

    Report

    Report Number
    9613866-2024-05618
    Event Type
    Injury
    Date Received
    April 12, 2024
    Date of Event
    February 28, 2024
    Report Date
    April 12, 2024
    Manufacturer
    ALTATEC GMBH
    Product Code
    DZE
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GM
    Reporter Occupation
    DENTIST
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    LOSS OF OSSEOINTEGRATION (DENTAL IMPLANT). NO EXACT IMPLANTATION DATE AVAILABLE, ONLY 09/2019.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1470968 CONELOG SCREW LINE IMPLANT PROMOTE PLUS CONELOG SCREW LINE IMPLANT PROMOTE PLUS DZE ALTATEC GMBH C1064.3809 UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 92 YR Female Required Intervention