FDA Adverse Event Injury Summary report: Y

NOBELREPLACE CC RP 5.0X10MM

MDR report key: 8846660 · Received July 31, 2019

Report

Report Number
2027971-2019-00025
Event Type
Injury
Date Received
July 31, 2019
Report Date
July 31, 2019
Manufacturer
NOBEL BIOCARE USA, LLC
Product Code
DZE
UDI-DI
07332747035667
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

EXEMPTION NUMBER: 1997036; INTERNAL REFERENCE NUMBER: (B)(4). THE INVESTIGATION OF THE ADVERSE EVENTS SUMMARIZED IN THIS REPORT (N=10,146) DID NOT CONCLUDE ANY UNACCEPTABLE PRODUCT PROBLEM WITH THE AFFECTED DEVICES. THE EVENTS SUMMARIZED ARE KNOWN INHERENT RISKS OF THE DEVICE, WHICH ARE IDENTIFIED IN THE RISK ASSESSMENT AND ARE INCLUDED IN THE INSTRUCTIONS FOR USE. TRENDING ANALYSIS PERFORMED FOR EACH OF THE EVENT CONFIRMED THAT THE FAILURE RATES ARE IN ACCORDANCE WITH ACCEPTANCE CRITERIA BASED ON SCIENTIFIC LITERATURE. NO REMEDIAL ACTION WAS THEREFORE NECESSARY.

Description of Event or Problem · 1

THIS REPORT SUMMARIZES <NOE> 10,146 <NOE> REPORTED EVENTS. IT INCLUDES KNOWN EVENTS SUCH AS FAILURE TO OSSEOINTEGRATE, LOSS OF OSSEOINTEGRATION AND LATE FRACTURES OF AN ENDOSSEOUS DENTAL IMPLANT. THE AGE RANGE OF THE INCIDENT EVENTS IS: 17 TO 97 YEARS. (AVERAGE: 59 YEARS). THE GENDER BREAKDOWN IS 5062 MALE, 4602 FEMALE AND 482 UNKNOWN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
641795 NOBELREPLACE CC RP 5.0X10MM ENDOSSEOUS DENTAL IMPLANT. DZE NOBEL BIOCARE USA, LLC 36711 13062967 07332747035667

Patients

Seq Age Sex Outcome Treatment
1