FDA Adverse Event
Malfunction
Summary report: N
TUFF IMPLANT
MDR report key: 19737495
·
Received July 14, 2024
Report
- Report Number
- 3011390931-2024-00507
- Event Type
- Malfunction
- Date Received
- July 14, 2024
- Report Date
- July 14, 2024
- Manufacturer
- NORIS MEDICAL LTD
- Product Code
- DZE
- UDI-DI
- 07290108812114
- PMA / PMN Number
- K140440
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- DENTIST
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
THE DHR WAS REVIEWED FOR LOT#9000843 AND THERE WAS NO EVIDENCE DISCOVERED TO INDICATE THAT A PRODUCT DEFECT OR NON-CONFORMITY CONTRIBUTED TO THE ISSUE. TO DATE, ITEMS OF THE SAME LOT HAVE BEEN SOLD WITHOUT ANY SIMILAR REPORTED EVENT DURING THE PERIOD OF REVIEW.
Additional Manufacturer Narrative · 0
UDI RELATED DATA QUALITY UPDATES ONLY.
Description of Event or Problem · 0
A HEALTHCARE PROFESSIONAL REPORTED ABOUT FAULTY PACKAGING OF THE IMPLANT NM-F3713 LOT#9000843. THE IMPLANTS WASN'T USED. THE DEVICE WAS FORWARDED TO THE MANUFACTURER. NO OTHER MEDICAL ISSUES WERE REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1391154 | TUFF IMPLANT | TUFF DENTAL IMPLANT | DZE | NORIS MEDICAL LTD | NM-F3713 | 9000843 | 07290108812114 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |