FDA Adverse Event Injury Summary report: N

INTERPORE IMZ IMPLANT

MDR report key: 42384 · Received October 10, 1996

Report

Report Number
2029012-1996-00011
Event Type
Injury
Date Received
October 10, 1996
Date of Event
September 9, 1996
Report Date
October 9, 1996
Manufacturer
INTERPORE INTL
Product Code
DZE
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN, US
Reporter Occupation
DENTIST

Narratives

Description of Event or Problem · 1

IMPLANT WAS EXPLANED DUE TO INADEQUATE OSTEOINTEGRATION. BONE LOSS WAS NOTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INTERPORE IMZ IMPLANT Implant ENDOSSEOUS DENTAL IMPLANT DZE INTERPORE INTL NA UNK

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Required Intervention