Brand Name | SURGIGUIDE - 1 IMPLANT |
Type of Device | ACCESSORIES, IMPLANT, DENTAL, ENDOSSEOUS |
Manufacturer (Section D) |
DENTSPLY IMPLANTS N.V. |
research campus 10 |
hasselt limburg B-350 0 |
BE B-3500 |
|
Manufacturer (Section G) |
DENTSPLY IMPLANTS N.V. |
research campus 10 |
|
hasselt limburg B-350 0 |
BE
B-3500
|
|
Manufacturer Contact |
hannah
seevaratnam
|
221 west philadelphia st. |
york, PA 17401
|
7178457511
|
|
MDR Report Key | 15164227 |
MDR Text Key | 297237836 |
Report Number | 3007362683-2022-00026 |
Device Sequence Number | 1 |
Product Code |
NDP
|
Combination Product (y/n) | N |
Reporter Country Code | PL |
PMA/PMN Number | EXEMPT |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Foreign,Health Professional |
Reporter Occupation |
Dentist
|
Type of Report
| Initial,Followup |
Report Date |
09/21/2022 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 08/04/2022 |
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
Yes
|
Device Catalogue Number | UNIQUE REFERENCE PER ORDER (CU |
Was Device Available for Evaluation? |
Yes
|
Is the Reporter a Health Professional? |
Yes
|
Distributor Facility Aware Date | 07/28/2022 |
Date Manufacturer Received | 07/28/2022 |
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Type of Device Usage |
A
|
Patient Sequence Number | 1 |
Patient Outcome(s) |
Required Intervention;
|