BEUDAMED
    FDA Adverse Event Injury Summary report: N

    FLANGE FIXTURE AND ABUTMENT

    MDR report key: 4242107 · Received November 10, 2014

    Report

    Report Number
    6000034-2014-01638
    Event Type
    Injury
    Date Received
    November 10, 2014
    Date of Event
    October 16, 2014
    Report Date
    October 17, 2014
    Manufacturer
    COCHLEAR BONE ANCHORED SOLUTIONS AB
    Product Code
    LXB
    PMA / PMN Number
    K100360
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IT
    Reporter Occupation
    HEALTH PROFESSIONAL

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4). FIXTURE REMAINS INSITU.

    Description of Event or Problem · 1

    PER THE CLINIC, THE PATIENT EXPERIENCED RECURRING SKIN OVERGROWTH ON THE ABUTMENT. THE PATIENT UNDERWENT A REVISION SURGERY ON (B)(6) 2014, AND WAS EQUIPPED WITH ANOTHER ABUTMENT ON (B)(6) 2014. THE ISSUE IS RESOLVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    721946 FLANGE FIXTURE AND ABUTMENT LXB LXB COCHLEAR BONE ANCHORED SOLUTIONS AB

    Patients

    Seq Age Sex Outcome Treatment
    1 59 YR Required Intervention