FDA Adverse Event
Injury
Summary report: N
TUFF TT IMPLANT
MDR report key: 19688593
·
Received July 8, 2024
Report
- Report Number
- 3011390931-2024-00451
- Event Type
- Injury
- Date Received
- July 8, 2024
- Date of Event
- January 30, 2024
- Report Date
- July 8, 2024
- Manufacturer
- NORIS MEDICAL LTD
- Product Code
- DZE
- UDI-DI
- 07290108812275
- PMA / PMN Number
- K140440
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- DENTIST
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
OUR MANUFACTURING SYSTEM ASSURES, THAT PRODUCTION AND PROCESS CONTROLS ARE IN PLACE TO ENSURE THAT BATCHES CONFORM TO THE APPLICABLE SPECIFICATIONS BEFORE THEY ARE DISTRIBUTED. SHOULD ADDITIONAL INFORMATION BE RECEIVED WHICH INDICATES THAT THE DEVICE MAY HAVE CAUSED OR CONTRIBUTED TO THE EVENT, AN ADDITIONAL REPORT WILL BE SUBMITTED.
Additional Manufacturer Narrative · 0
UDI RELATED DATA QUALITY UPDATES ONLY.
Description of Event or Problem · 0
A HEALTHCARE PROFESSIONAL REPORTED INFECTION AT NM-F4313 LOT#9000762 IMPLANT . THE IMPLANT WAS REMOVED DURING IMPLANT PLACEMENT WITH NO REPORT OF OBSERVABLE CLINICAL SYMPTOMS. THE DEVICE WAS FORWARDED TO THE MANUFACTURER. NO OTHER MEDICAL ISSUES WERE REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 869501 | TUFF TT IMPLANT | TUFF TT DENTAL IMPLANT | DZE | NORIS MEDICAL LTD | NM-F4313 | 9000762 | 07290108812275 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |