BEUDAMED
    FDA Adverse Event Other Summary report: N

    CONNECTION TO CONTRA ANGLE HANDPC

    MDR report key: 301523 · Received October 19, 2000

    Report

    Report Number
    2027763-2000-11826
    Event Type
    Other
    Date Received
    October 19, 2000
    Date of Event
    August 12, 1999
    Report Date
    September 24, 2000
    Manufacturer
    NOBEL BIOCARE AB
    Product Code
    DZE
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SW
    Reporter Occupation
    DENTIST

    Narratives

    Description of Event or Problem · 1

    THE SPRING FRACTURED DURING USE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CONNECTION TO CONTRA ANGLE HANDPC DENTAL IMPLANT INSTRUMENT DZE NOBEL BIOCARE AB * 11505

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other