FDA Adverse Event Injury Summary report: N

NOBELREPLACE CC PMC RP 4.3X10MM

MDR report key: 19725072 · Received July 11, 2024

Report

Report Number
9611993-2024-089778
Event Type
Injury
Date Received
July 11, 2024
Date of Event
April 23, 2024
Manufacturer
NOBEL BIOCARE AB
Product Code
DZE
PMA / PMN Number
K073142
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
DENTIST
Health Professional
Yes

Narratives

Description of Event or Problem · 0

IMPLANT FAILED DUE TO A FAILURE TO OSSEOINTEGRATE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
289460 NOBELREPLACE CC PMC RP 4.3X10MM ENDOSSEOUS DENTAL IMPLANT DZE NOBEL BIOCARE AB

Patients

Seq Age Sex Outcome Treatment
1 60 YR Male Required Intervention