FDA Adverse Event Injury Summary report: N

NOBELREPLACE CC PMC RP 4.3X10MM

MDR report key: 19810254 · Received July 23, 2024

Report

Report Number
9611993-2024-093183
Event Type
Injury
Date Received
July 23, 2024
Date of Event
July 22, 2024
Manufacturer
NOBEL BIOCARE AB
Product Code
DZE
PMA / PMN Number
K062566
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IT
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
2480944 NOBELREPLACE CC PMC RP 4.3X10MM ENDOSSEOUS DENTAL IMPLANT DZE NOBEL BIOCARE AB

Patients

Seq Age Sex Outcome Treatment
1 45 YR Female Required Intervention