BEUDAMED
    FDA Adverse Event Injury Summary report: N

    INTERPORE IMZ IMPLANT

    MDR report key: 83356 · Received April 9, 1997

    Report

    Report Number
    2029012-1997-00081
    Event Type
    Injury
    Date Received
    April 9, 1997
    Date of Event
    February 25, 1997
    Report Date
    April 9, 1997
    Manufacturer
    INTERPORE INTL.
    Product Code
    DZE
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MO, US
    Reporter Occupation
    DENTIST

    Narratives

    Description of Event or Problem · 1

    DENTAL IMPLANT WAS EXPLANTED DUE TO INADEQUATE OSTEOINTEGRATIONL. THE PT DEVELOPED EXUDATE 2-3 MONTHS POST-IMPLANTATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 INTERPORE IMZ IMPLANT Implant ENDOSSEOUS DENTAL IMPLANT DZE INTERPORE INTL. NA 608001

    Patients

    Seq Age Sex Outcome Treatment
    1 57 YR Required Intervention