BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PEPGEN P-15

    MDR report key: 728605 · Received June 23, 2006

    Report

    Report Number
    1721411-2006-00290
    Event Type
    Injury
    Date Received
    June 23, 2006
    Date of Event
    January 17, 2006
    Report Date
    May 26, 2006
    Manufacturer
    DENTSPLY FRIADENT CERAMED
    Product Code
    NPZ
    PMA / PMN Number
    P990033
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    KS, US
    Reporter Occupation
    DENTIST

    Narratives

    Additional Manufacturer Narrative · 1

    FAILURE TO OSSEOINTEGRATE, WHILE UNCOMMON, IS AN INHERENT RISK OF THE PROCEDURE KNOWN TO DR AND PT BEFORE THE PROCEDURE IS INITIATED AND IS DEPENDANT ON MANY FACTORS INCLUDING THE PT'S AGE, SEX, HEALTH, ANSOCIAL HISTORY, THE TYPE AND SIZE OF THE DEFECT BEING GRAFT, OCCURRENCE OF SITE PREPARATIN TRAUMA (HEAT OR PRESSURE), PRIMARY STABILITY OF THE IMPLANT,A ND GRAFT PLACOMENT TECHNIQUE. THOUGH PEPGEN WILL REMODEL TO BONE AT A SIMILAR RATE AS NATURAL BONE IN A PT, IT IS IMPOSSIBLE TO DETERMINE THE SPECIFIC RESORPTION RATE OF ANY BONE GRAFTING MATERIAL; MATERIAL PALCED IN AN AREA OF LOW VASCULARITY AND LITTLE OSTEOGENIC POTENTIAL WILL TAKE MUCH LONGER TO REMODEL TO BONE THAN IF PLACED IN A MORE ACTIVE SITE. CONSIDERING THIS AND THE AVAILABLE INFO, THIS EVNET DOES NOT APPEAR TO BE A RESULT OF A MALFUNCTION OF THE DEVICE. THE IMPLANT LENS WILL BE REPORTED VIA ASR. THE LOT NUMBER WAS PROVIDED FOR EVALUATION, THOUGH RESULTS ARE NOT AVAILABLE AS OF THIS REPORT. EVALUATION RESULTS WILL BE SUBMITTED AS THEY BECOME AVAILABLE. PLEASE NOTE THAT THIS EVENT AND THE EVENT DOCUMENTED UNDER REPORT NUMBER 1721411-2006-00291 INVOLVE THE SAME PT. IT APPEARS THE IMPLANT LOST IN THE AFOREMENTIONED EVNET WAS REPLACED BY THE IMPLANT ASSOCIATED WITH THIS EVENT. [PMA/510(K)#P990033].

    Description of Event or Problem · 1

    NO OSSEOINTEGRATION WAS ACHIEVED IN A SITE APPROX THREE MONTHS AFTER CONCURRENT PLACEMENT OF DBX PUTTY. PEPGEN P-15 BONE GRAFTING MATERIAL, AND AN IMPLANT - THE IMPLANT REPORTEDLY UNSCREWED WHILE ATTEMPTING TO PLACE A HEALING ABUTMENT. IT IS NOT CLEAR IF THE GRAFT INTEGRATED WITH THE SURROUNDING VITAL BONE OR IF IT ALSO FAILED WITH THE IMPLANT. AS A RESULT, IT CAN BE PRESUMED THAT ANOTHER SURGICAL PROCEDURE WOULD BE NECESSARY TO ACHIEVE THE DESIRED RESULTS AND PRECLUDE PERMANENT DAMAGE TO A BODY STRUCTURE THAT WOULD NOT BE TRIVIAL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PEPGEN P-15 NPZ NPZ DENTSPLY FRIADENT CERAMED NA 04C3211

    Patients

    Seq Age Sex Outcome Treatment
    1 66 YR Required Intervention ANKYLOS A11 IMPLANT, DBX DEMINERALIZED BONE PUTTY.