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