FDA Adverse Event
Injury
Summary report: N
INTERPORE THREADED IMPLANT
MDR report key: 85655
·
Received April 18, 1997
Report
- Report Number
- 2029012-1997-00088
- Event Type
- Injury
- Date Received
- April 18, 1997
- Report Date
- April 17, 1997
- Manufacturer
- INTERPORE INTL.
- Product Code
- DZE
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- DENTIST
Narratives
Description of Event or Problem · 1
DENTAL IMPLANT WAS EXPLANTED DUE TO A LOSS OF OSTEOINTEGRATION. BONE LOSS WAS REPORTED TO BE THE REASON FOR IMPLANT LOSS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | INTERPORE THREADED IMPLANT Implant | ENDOSSEOUS DENTAL IMPLANT | DZE | INTERPORE INTL. | NA | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN | Required Intervention |