FDA Adverse Event
Injury
Summary report: N
PTERYFIT IMPLANT
MDR report key: 21804690
·
Received April 9, 2025
Report
- Report Number
- 3012141159-2025-00212
- Event Type
- Injury
- Date Received
- April 9, 2025
- Date of Event
- March 25, 2025
- Report Date
- April 9, 2025
- Manufacturer
- NORIS MEDICAL LTD
- 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
A HEALTHCARE PROFESSIONAL REPORTED THAT NMAF4218 LOT #9001420 IMPLANT LACKED PRIMARY STABILITY, DUE TO LOW TORQUE. 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 |
|---|---|---|---|---|---|---|---|
| 1665175 | PTERYFIT IMPLANT | PTERYFIT DENTAL IMPLANT | DZE | NORIS MEDICAL LTD | NMAF4218 | 9001420 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 69 YR | Female |