FDA Adverse Event
Injury
Summary report: N
2027971-2024-101291
MDR report key: 19734801
·
Received July 12, 2024
Report
- Report Number
- 2027971-2024-101291
- Event Type
- Injury
- Date Received
- July 12, 2024
- Date of Event
- June 3, 2024
- Report Date
- July 12, 2024
- Manufacturer
- NOBEL BIOCARE USA, LLC
- Product Code
- DZE
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Location
- DA
- Reporter Occupation
- DENTIST
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
IMPLANT FAILED DUE TO A LOSS OF OSSEOINTEGRATION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 894458 | DZE | NOBEL BIOCARE USA, LLC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 62 YR | Female | Required Intervention |