FDA Adverse Event Injury Summary report: N

TUFF TT IMPLANT

MDR report key: 19988706 · Received August 15, 2024

Report

Report Number
3011390931-2024-00604
Event Type
Injury
Date Received
August 15, 2024
Date of Event
June 27, 2024
Report Date
August 14, 2024
Manufacturer
NORIS MEDICAL LTD
Product Code
DZE
UDI-DI
07290108812596
PMA / PMN Number
K140440
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
DENTIST
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

UDI RELATED DATA QUALITY UPDATES ONLY.

Additional Manufacturer Narrative · 0

THE DHR WAS REVIEWED FOR LOT#9000310 AND THERE WAS NO EVIDENCE DISCOVERED TO INDICATE THAT A PRODUCT DEFECT OR NON-CONFORMITY CONTRIBUTED TO THE ISSUE. THE INVESTIGATION FOR THIS EVENT HAS NOT IDENTIFIED ANY SIGNALS INDICATING POTENTIAL NON-CONFORMANCES AFFECTING THE MANUFACTURING AND STERILIZATION PROCESSES. OUR MANUFACTURING SYSTEM ASSURES, THAT PRODUCTION AND PROCESS CONTROLS ARE IN PLACE TO ENSURE THAT BATCHES CONFORM TO THE APPLICABLE SPECIFICATIONS BEFORE THEY ARE DISTRIBUTED. SHOULD ADDITIONAL INFORMATION BE RECEIVED WHICH INDICATES THAT THE DEVICE MAY HAVE CAUSED OR CONTRIBUTED TO THE EVENT, AN ADDITIONAL REPORT WILL BE SUBMITTED.

Description of Event or Problem · 0

A HEALTHCARE PROFESSIONAL REPORTED THAT NM-F6108 LOT#9000310 IMPLANT LACKED PRIMARY STABILITY ON TOOTH #14. THE IMPLANT WAS REMOVED DURING IMPLANT PLACEMENT WITH NO REPORT OF OBSERVABLE CLINICAL SYMPTOMS. ACCORDING TO THE INFORMATION, THE PATIENT HAS HYPERTENSION. THE DEVICE WAS FORWARDED TO THE MANUFACTURER. NO OTHER MEDICAL ISSUES WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1163255 TUFF TT IMPLANT TUFF TT DENTAL IMPLANT DZE NORIS MEDICAL LTD NM-F6108 9000310 07290108812596

Patients

Seq Age Sex Outcome Treatment
1 NA Female