FDA Adverse Event Injury Summary report: N

CI Ø4.1MM RD, ZLA 10MM, ZRO2

MDR report key: 8646150 · Received May 28, 2019

Report

Report Number
1222315-2019-00406
Event Type
Injury
Date Received
May 28, 2019
Date of Event
February 26, 2019
Report Date
May 28, 2019
Manufacturer
INSTITUT STRAUMANN AG
Product Code
DZE
UDI-DI
07630031714282
PMA / PMN Number
K180477
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SZ
Reporter Occupation
DENTIST

Narratives

Additional Manufacturer Narrative · 1

THE BATCH NUMBER COULD BE VERIFIED. OUR MANUFACTURING Q-SYSTEM ASSURES THAT PRODUCTION AND PROCESS CONTROLS ARE IN PLACE TO ENSURE THAT BATCHES CONFORM TO THE APPLICABLE SPECIFICATIONS BEFORE THEY ARE DISTRIBUTED. THE NON-INTEGRATION OF AN ENDOSSEOUS DENTAL IMPLANT DURING THE HEALING PHASE IS A KNOWN INHERENT RISK OF THE TREATMENT WITH DENTAL IMPLANTS. MOST IMPLANT FAILURES OCCUR BEFORE OCCLUSAL LOADING (ANALAINEN ET AL. 2013, KOLDSLAND ET AL. 2009). BASED ON CLINICAL STUDIES ABOUT 1-3% OF THE IMPLANTS FAIL WITHIN THE FIRST YEAR AFTER IMPLANTATION (GANELES ET AL. 2008). IMPLANTS MAY HAVE TO BE REMOVED IN CASE ONE OR MORE OF THE IMPLANT SUCCESS CRITERIA ARE NOT MET. IMPLANT SUCCESS CRITERIA ACCORDING TO BUSER ET AL. (1991) ARE: ABSENCE OF PERSISTENT SUBJECTIVE COMPLAINTS SUCH AS PAIN, FOREIGN BODY SENSATION AND /OR DISESTHESIA; ABSENCE OF A RECURRENT PERI-IMPLANT INFECTION WITH SUPPURATION; ABSENCE OF IMPLANT MOBILITY; ABSENCE OF A CONTINUOUS RADIOLUCENCY AROUND THE IMPLANT. THE MANUFACTURER'S TREND ANALYSIS CONFIRMS THAT THE REPORTED EARLY FAILURE RATE ASSOCIATED WITH ITS DENTAL IMPLANTS IS BELOW THE EXPECTED FAILURE RATE FOR THIS TREATMENT AS PUBLISHED IN THE SCIENTIFIC LITERATURE.

Description of Event or Problem · 1

THE CLINICIAN REPORTED THAT FOUR WEEKS AFTER THE DENTAL IMPLANT WAS PLACED, IN FDI SITE #16 OF THE PATIENT'S MOUTH, FAILURE OF IMPLANT WAS VERIFIED. SINUS BONE AUGMENTATION WAS PERFORMED AT THE TIME OF IMPLANT PLACEMENT. INADEQUATE BONE QUALITY/QUANTITY WAS INVOLVED IN THIS EVENT. THE PRODUCT WAS RETURNED FOR INVESTIGATION. THE PATIENT EXPERIENCED MOBILITY OF IMPLANT AT TIME OF EVENT, NO FURTHER COMPLICATIONS WERE OBSERVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
440642 CI Ø4.1MM RD, ZLA 10MM, ZRO2 ENDOSSEOUS DENTAL IMPLANT DZE INSTITUT STRAUMANN AG NA PW325 07630031714282

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention