FDA Adverse Event Injury Summary report: N

NOBELREPLACE CC PMC RP 4.3X10MM

MDR report key: 20174445 · Received September 9, 2024

Report

Report Number
2027971-2024-120335
Event Type
Injury
Date Received
September 9, 2024
Date of Event
December 23, 2023
Report Date
September 9, 2024
Manufacturer
NOBEL BIOCARE AB
Product Code
DZE
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
CH
Reporter Occupation
DENTIST
Health Professional
Yes

Narratives

Description of Event or Problem · 0

IMPLANT FAILED DUE TO A LOSS OF OSSEOINTEGRATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1588558 NOBELREPLACE CC PMC RP 4.3X10MM ENDOSSEOUS DENTAL IMPLANT DZE NOBEL BIOCARE AB

Patients

Seq Age Sex Outcome Treatment
1 51 YR Female Required Intervention