BEUDAMED
    FDA Adverse Event Injury Summary report: N

    OSCOM

    MDR report key: 2033274 · Received March 24, 2011

    Report

    Report Number
    MW5019967
    Event Type
    Injury
    Date Received
    March 24, 2011
    Date of Event
    March 14, 2011
    Report Date
    March 24, 2011
    Product Code
    DZE
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    HAD AN APPOINTMENT TO HAVE A COUPLE OF TOOTH IMPLANTS INSTALLED FOR PREPARATIONS OF CROWNS LATER. FIRST IMPLANT WAS PUT IN ABOUT 1 1/2 INCHES LOWER THAN WHERE IT SHOULD HAVE BEEN AND IS NOW LODGED INTO OR ON MY FACIAL NERVE. CAUSING FACIAL NUMBNESS AND PAIN. I BELIEVE IT IS MADE IN (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 OSCOM DENTAL IMPLANT DZE

    Patients

    Seq Age Sex Outcome Treatment
    1 56 YR Required Intervention