FDA Adverse Event Injury Summary report: N

PTERYFIT IMPLANT

MDR report key: 21503003 · Received March 3, 2025

Report

Report Number
3012141159-2025-00080
Event Type
Injury
Date Received
March 3, 2025
Date of Event
January 27, 2025
Report Date
March 3, 2025
Manufacturer
NORIS MEDICAL LTD
Product Code
DZE
UDI-DI
07290108817102
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
US
Reporter Occupation
DENTIST
Health Professional
Yes

Narratives

Description of Event or Problem · 0

A HEALTHCARE PROFESSIONAL REPORTED THAT NMAF4218 LOT#9000920 IMPLANT LACKED PRIMARY STABILITY. THE IMPLANT WAS REMOVED DURING IMPLANT PLACEMENT WITH NO REPORT OF OBSERVABLE CLINICAL SYMPTOMS. ACCORDING TO THE INFORMATION, THE PATIENT IS HEALTHY. THE DEVICE WAS FORWARDED TO THE MANUFACTURER. NO OTHER MEDICAL ISSUES WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
586612 PTERYFIT IMPLANT PTERYFIT DENTAL IMPLANT DZE NORIS MEDICAL LTD NMAF4218 9000920 07290108817102

Patients

Seq Age Sex Outcome Treatment
1 50 YR Unknown