BLT ?2.9MM SC, SLACTIVE? 12MM, RXD, LOXI 021.0012

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional,user faci report with the FDA on 2018-07-31 for BLT ?2.9MM SC, SLACTIVE? 12MM, RXD, LOXI 021.0012 manufactured by Institut Straumann Ag.

Event Text Entries

[115545694] The batch number could be verified. Our manufacturing q-system assures, that production and process controls are in place to ensure that batches confirm to the applicable specifications before they are distributed. The non-integration of an endosseous dental implant during the healing phase is a known inherent risk of the treatment with dental implants. Most implant failures occur before occlusal loading (analainen et al. 2013, koldsland et al. 2009). Based on clinical studies about 1-3% of the implants fail within the first year after implantation (ganeles et al. 2008). Implants may have to be removed in case one or more of the implant success criteria are not met. Implant success criteria according to buser et al. (1991) are: 1. Absence of persistent subjective complaints such as pain, foreign body sensation and/or disesthesia. 2. Absence of a recurrent peri-implant infection with suppuration. 3. Absence of implant mobility. 4. Absence of a continuous radiolucency around the implant. The manufacturer's trend analysis confirms that the reported early failure rate associated with its dental implants is below the expected failure rate for this treatment as published in the scientific literature.
Patient Sequence No: 1, Text Type: N, H10


[115545695] The clinician reported that 5 months after the dental implant was placed in fdi site #13 of the patient's mouth, the implant was removed. It was reported that type ii bone quality, good hygiene around the implant, and implant mobility at the time of the event. The product was returned to the manufacturer for investigation. There were no reported post-operative complications.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1222315-2018-00430
MDR Report Key7734907
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2018-07-31
Date of Report2018-07-27
Date of Event2018-06-25
Date Mfgr Received2018-07-13
Date Added to Maude2018-07-31
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationDENTIST
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. JENNIFER JACKSON
Manufacturer Street60 MINUTEMAN ROAD
Manufacturer CityANDOVER MA 01810
Manufacturer CountryUS
Manufacturer Postal01810
Manufacturer G1INSTITUT STRAUMANN AG
Manufacturer StreetPETER-MERIAN-WEG 12
Manufacturer CityBASEL, CH-4002
Manufacturer CountrySZ
Manufacturer Postal CodeCH-4002
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameBLT ?2.9MM SC, SLACTIVE? 12MM, RXD, LOXI
Generic NameENDESSEOUS DENTAL IMPLANGT
Product CodeODU
Date Received2018-07-31
Returned To Mfg2018-07-13
Model NumberNA
Catalog Number021.0012
Lot NumberNJ296
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerINSTITUT STRAUMANN AG
Manufacturer AddressPETER-MERIAN-WEG 12 BASEL, CH-4002 SZ CH-4002


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2018-07-31

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