BEUDAMED
    FDA Adverse Event Injury Summary report: N

    2027971-2024-132679

    MDR report key: 20422469 · Received October 10, 2024

    Report

    Report Number
    2027971-2024-132679
    Event Type
    Injury
    Date Received
    October 10, 2024
    Date of Event
    October 12, 2023
    Report Date
    October 10, 2024
    Manufacturer
    NOBEL BIOCARE USA, LLC
    Product Code
    DZE
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    US
    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
    324915 DZE NOBEL BIOCARE USA, LLC

    Patients

    Seq Age Sex Outcome Treatment
    1 45 YR Male Required Intervention