FDA Adverse Event Injury Summary report: N

SCREW-VENT DENTAL IMPLANT

MDR report key: 23739 · Received July 13, 1995

Report

Report Number
2028280-1995-01118
Event Type
Injury
Date Received
July 13, 1995
Report Date
July 12, 1995
Manufacturer
CORE-VENT BIO-ENGINEERING
Product Code
DZG
Report Source
Distributor report
Reporter Location
JA
Reporter Occupation
DENTIST

Narratives

Description of Event or Problem · 1

DENTAL IMPLANT BROKE IN FUNCTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SCREW-VENT DENTAL IMPLANT ENDOSTEAL DENTAL IMPLANT DZG CORE-VENT BIO-ENGINEERING SVP16 CV312017

Patients

Seq Age Sex Outcome Treatment
1 * Required Intervention