FDA Adverse Event
Injury
Summary report: N
ABUTMENT, IMPLANT DENTAL ENDOSSEOUS
MDR report key: 19831133
·
Received July 24, 2024
Report
- Report Number
- MW5157613
- Event Type
- Injury
- Date Received
- July 24, 2024
- Report Date
- March 27, 2024
- Manufacturer
- ZIMVIE / BIOMET 3I, LLC
- Product Code
- NHA
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Occupation
- UNKNOWN
- Health Professional
- *
Narratives
Description of Event or Problem · 0
INFECTION. IMPLANT AT SITE "#19 WAS HAVING PAIN. HAD PT IN, REMOVED HEALING ABUTMENT AND FOUL ODOR DETECTED. INFECTION AROUND #19. REMOVED IMPLANT. THIS REPORT REFLECTS INFORMATION RECEIVED BY FDA IN THE FORM OF A NOTIFICATION PER 803.22 (B)(2).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 534120 | ABUTMENT, IMPLANT DENTAL ENDOSSEOUS | ABUTMENT, IMPLANT, DENTAL, ENDOSSEOUS | NHA | ZIMVIE / BIOMET 3I, LLC | TSX54B10 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 42 YR | Female |