BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ASTRA TECH

    MDR report key: 2081804 · Received May 5, 2011

    Report

    Report Number
    MW5020502
    Event Type
    Injury
    Date Received
    May 5, 2011
    Manufacturer
    ASTRA
    Product Code
    DZE
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    DENTIST

    Narratives

    Description of Event or Problem · 1

    ASTRA TECH - FRACTURED DENTAL X3. DATES OF USE: (B)(6) 2006 - (B)(6) 2010. DIAGNOSIS OR REASON FOR USE: MISSING TOOTH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ASTRA TECH DENTAL IMPLANTS DZE ASTRA 4.5 X 11 31145
    2 ASTRA TECH DENTAL IMPLANTS DZE ASTRA 4.5 X 11 31145
    3 ASTRA TECH DENTAL IMPLANTS DZE ASTRA 4.5 X 9 29387

    Patients

    Seq Age Sex Outcome Treatment
    1 Disability