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