FDA Adverse Event
Injury
Summary report: N
NOBELPARALLEL CC NP 3.75X10MM
MDR report key: 19802078
·
Received July 22, 2024
Report
- Report Number
- 2027971-2024-104579
- Event Type
- Injury
- Date Received
- July 22, 2024
- Date of Event
- May 28, 2024
- Manufacturer
- NOBEL BIOCARE USA INC
- Product Code
- DZE
- UDI-DI
- 07332747161205
- PMA / PMN Number
- K073142
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- DENTIST
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
IMPLANT FAILED DUE TO A FAILURE TO OSSEOINTEGRATE 22.07.2024 10:35:14 CET (5001035) OSTEOMYELITIS WAS SELECTED AS A CONDITION INVOLVED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2441030 | NOBELPARALLEL CC NP 3.75X10MM | ENDOSSEOUS DENTAL IMPLANT | DZE | NOBEL BIOCARE USA INC | 13162661 | 07332747161205 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 66 YR | Female | Required Intervention |