FDA Adverse Event Injury Summary report: N

PTERYFIT IMPLANT

MDR report key: 21847611 · Received April 16, 2025

Report

Report Number
3012141159-2025-00243
Event Type
Injury
Date Received
April 16, 2025
Date of Event
March 24, 2025
Report Date
April 16, 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 NMAF4225 LOT#9001043 IMPLANT LACKED PRIMARY STABILITY ON TOOTH #15, DUE TO LOW TORQUE. A SECONDARY IMPLANT WAS PLACED AFTER REMOVAL. THE IMPLANT WAS REMOVED DURING IMPLANT PLACEMENT WITH NO REPORT OF OBSERVABLE CLINICAL SYMPTOMS. ACCORDING TO THE INFORMATION, THE PATIENT HAS OSTEOPOROSIS. THE DEVICE WAS FORWARDED TO THE MANUFACTURER. NO OTHER MEDICAL ISSUES WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
122470 PTERYFIT IMPLANT PTERYFIT DENTAL IMPLANT DZE NORIS MEDICAL LTD NMAF4225 9001043

Patients

Seq Age Sex Outcome Treatment
1 78 YR Female