FDA Adverse Event Injury Summary report: N

REPLACE SELECT TAPERED PMC RP 4.3X11.5MM

MDR report key: 22958370 · Received September 3, 2025

Report

Report Number
9611993-2025-122765
Event Type
Injury
Date Received
September 3, 2025
Date of Event
June 30, 2025
Manufacturer
NOBEL BIOCARE AB GÖTEBORG
Product Code
DZE
UDI-DI
07332747160871
PMA / PMN Number
K023113
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
DENTIST
Health Professional
Yes

Narratives

Description of Event or Problem · 0

LOSS OFO SSEOINTEGRATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1293377 REPLACE SELECT TAPERED PMC RP 4.3X11.5MM ENDOSSEOUS DENTAL IMPLANT DZE NOBEL BIOCARE AB GÖTEBORG 13185660 07332747160871

Patients

Seq Age Sex Outcome Treatment
1 61 YR Male Required Intervention