FDA Adverse Event
Injury
Summary report: N
PTERYFIT IMPLANT
MDR report key: 22025902
·
Received May 15, 2025
Report
- Report Number
- 3012141159-2025-00336
- Event Type
- Injury
- Date Received
- May 15, 2025
- Date of Event
- May 1, 2025
- Report Date
- May 15, 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#9001545 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 |
|---|---|---|---|---|---|---|---|
| 1826306 | PTERYFIT IMPLANT | PTERYFIT DENTAL IMPLANT | DZE | NORIS MEDICAL LTD | NMAF4218 | 9001545 | 07290108817102 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 33 YR | Female |