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MAUDE Adverse Event Report: ALTATEC ALTATEC; DENTAL IMPLANT
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ALTATEC ALTATEC; DENTAL IMPLANT
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Model Number
C1085.4311
Medical Device Problem Code
Use of Device Problem (1670)
Health Effect - Clinical Code
Insufficient Information (4580)
Date of Event
08/13/2025
Type of Reportable Event
Serious Injury
Event or Problem Description
Implant removed due to surgical consideration within 36 hours.
Event or Problem Description
Implant removed due to surgical consideration within 36 hours.
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Brand Name
ALTATEC
Common Device Name
DENTAL IMPLANT
Manufacturer
(Section D)
ALTATEC
maybachstrasse 5
wimsheim 71299
GM 71299
MDR Report Key
23058124
Report Number
1060818-2025-00774
Device Sequence Number
18517466
Product Code
DZE
UDI-Device Identifier
E219C108543111
UDI-Public
E219C108543111
Combination Product (Y/N)
N
Initial Reporter State
OR
Initial Reporter Country
US
Number of Events Summarized
1
Summary Report (Y/N)
N
Device Implanted Year
2025
Device Explanted Year
2025
Serviced by Third Party (Y/N)
N
Reporter Type
Importer
Initial Reporter Occupation
Dentist
Type of Report
Initial,Followup
Report Date
(Section B)
11/26/2025
1
Device was Involved in the Event
1
Patient was Involved in the Event
Is this an Adverse Event Report?
Yes
Is this a Product Problem Report?
No
Operator of Device
Health Professional
Device Model Number
C1085.4311
Device Catalogue Number
C1085.4311
Device Lot Number
0030157265
Was Device Available for Evaluation?
Yes
Is the Reporter a Health Professional?
Yes
Distributor Facility Aware Date
08/13/2025
Type of Report(Section G)
Follow-Up
Initial Date Received by Manufacturer
Not provided
Supplement Date Received by Manufacturer
Not provided
Initial Report FDA Received Date
09/15/2025
Supplement Report FDA Received Date
11/26/2025
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device
A
Patient Sequence Number
1
Outcome Attributed to Adverse Event
Required Intervention;
Patient Sex
Unknown
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