Brand Name | BIOHORIZONS INTERNAL 3.5 MM CUSTOM CAST ABUTMENT, HEXED |
Type of Device | INTERNAL 3.5MM CUSTOM CAST ABUTMENT |
Manufacturer (Section D) |
BIOHORIZONS, INC. |
2300 riverchase center |
birmingham AL 35244 |
|
Manufacturer (Section G) |
BIOHORIZONS, INC. |
2300 riverchase center |
|
birmingham AL 35244 |
|
Manufacturer Contact |
anissa
smith
|
2300 riverchase center |
birmingham, AL 35244
|
2059867888
|
|
MDR Report Key | 7390563 |
MDR Text Key | 104271347 |
Report Number | 1060818-2018-00015 |
Device Sequence Number | 1 |
Product Code |
NDP
|
Combination Product (y/n) | N |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
company representative |
Type of Report
| Initial |
Report Date |
04/02/2018 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 04/02/2018 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
No Information
|
Device Model Number | PYCAH |
Device Catalogue Number | PYCAH |
Device Lot Number | 1504008 |
Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
Date Returned to Manufacturer | 02/13/2018 |
Was the Report Sent to FDA? |
No
|
Date Manufacturer Received | 02/13/2018 |
Was Device Evaluated by Manufacturer? |
Yes
|
Date Device Manufactured | 07/13/2015 |
Is the Device Single Use? |
Yes
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Initial
|
Patient Sequence Number | 1 |