BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SYBRONPRO STRAIGHT ABUTMENT

    MDR report key: 1960303 · Received January 13, 2011

    Report

    Report Number
    2016150-2011-00010
    Event Type
    Injury
    Date Received
    January 13, 2011
    Report Date
    December 17, 2010
    Manufacturer
    EBI INC.
    Product Code
    NHA
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    GM
    Reporter Occupation
    DENTIST

    Narratives

    Description of Event or Problem · 1

    ON (B)(6) 2010 A DOCTOR REPORTED THAT A SYBRONPRO STRAIGHT ABUTMENT FRACTURED. NO FURTHER DETAILS WERE PROVIDED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SYBRONPRO STRAIGHT ABUTMENT DENTAL ABUTMENT NHA EBI INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 Other| R