FDA Adverse Event Injury Summary report: N

2027971-2024-152095

MDR report key: 20848444 · Received December 4, 2024

Report

Report Number
2027971-2024-152095
Event Type
Injury
Date Received
December 4, 2024
Date of Event
October 1, 2024
Report Date
December 4, 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

LACK OF STABILITY DURING PLACEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1839747 DZE NOBEL BIOCARE USA, LLC

Patients

Seq Age Sex Outcome Treatment
1 27 YR Female Required Intervention