BEUDAMED
    FDA Adverse Event Injury Summary report: N

    TRABECULAR METAL IMPLANT

    MDR report key: 2543742 · Received April 20, 2012

    Report

    Report Number
    2023141-2012-00001
    Event Type
    Injury
    Date Received
    April 20, 2012
    Date of Event
    February 28, 2012
    Report Date
    March 20, 2012
    Manufacturer
    ZIMMER DENTAL INC
    Product Code
    DZE
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TN, US
    Reporter Occupation
    DENTIST

    Narratives

    Description of Event or Problem · 1

    DURING INSERTION OF IMPLANT INTO RESORBED MANDIBLE WITH EXTREMELY DENSE INFERIOR ORDER, APICAL END OF IMPLANT BECAME JAMMED IN THE BONE AND UPON CONTINUED APPLICATION OF TORQUE SEPARATED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TRABECULAR METAL IMPLANT DZE ZIMMER DENTAL INC TMM4B13 61973167

    Patients

    Seq Age Sex Outcome Treatment
    1 48 YR Required Intervention