BEUDAMED
    FDA Adverse Event Other Summary report: N

    O BUTMENT

    MDR report key: 59640 · Received December 26, 1996

    Report

    Report Number
    1627417-1996-90002
    Event Type
    Other
    Date Received
    December 26, 1996
    Date of Event
    March 17, 1995
    Report Date
    December 18, 1996
    Manufacturer
    "O" CO, INC.
    Product Code
    DZE
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    DENTIST

    Narratives

    Description of Event or Problem · 1

    DENTAL IMPLANT DID NOT OSSEOINTEGRATE AFTER 4 MONTHS OF PLACEMENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 O BUTMENT Implant DENTAL IMPLANT DZE "O" CO, INC. HA CYLINDER 1809

    Patients

    Seq Age Sex Outcome Treatment
    1 33 YR Other