MAUDE Adverse Event Report: Nobel Biocare AB NobelReplace CC RP 5.0x8mm; Endosseous Dental Implant

Catalog Number	36710
Medical Device Problem Code	Osseointegration Problem (3003)
Health Effect - Clinical Code	Sinus Perforation (2277)
Type of Reportable Event	Serious Injury

• Brand Name: NobelReplace CC RP 5.0x8mm
• Common Device Name: Endosseous Dental Implant
• Manufacturer (Section D): Nobel Biocare AB; dimbovägen 2; karlskoga 69151 ; SW 69151
• MDR Report Key: 50954471
• Report Number: 2027971-2026-134276
• Device Sequence Number: 9551936
• Product Code: DZE
• UDI-Device Identifier: 07332747160550
• UDI-Public: (01)07332747160550(10)12284027(17)310101
• Combination Product (Y/N): N
• Initial Reporter Country: TW
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Device Implanted Year: 2026
• Serviced by Third Party (Y/N): N
• Reporter Type: Importer
• Initial Reporter Occupation: Dentist
• Type of Report: Initial
• Report Date (Section B): 09/30/2026
• Report Date (Section F): 09/30/2026

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 Catalogue Number: 36710
• Device Lot Number: 12284027
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Was the Report Sent to FDA?: No
• Distributor Facility Aware Date: 09/29/2026
• Event Location: Outpatient Treatment Facility
• Initial Date Received by Manufacturer: Not provided
• Initial Report FDA Received Date: 09/30/2026
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Patient Sequence Number: 1
• Outcome Attributed to Adverse Event: Required Intervention
• Patient Age: 54 YR
• Patient Sex: Female