FDA Adverse Event Injury Summary report: N

LOCATOR OVERDENTURE IMPLANT SYSTEM (LODI)

MDR report key: 13690953 · Received March 8, 2022

Report

Report Number
2023950-2022-00141
Event Type
Injury
Date Received
March 8, 2022
Report Date
April 6, 2022
Manufacturer
ZEST ANCHORS, LLC
Product Code
DZE
UDI-DI
00840481101571
PMA / PMN Number
K120198
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
DENTIST
Health Professional
Yes

Narratives

Description of Event or Problem · 0

LOOS OF INTEGRATION.

Description of Event or Problem · 0

LOOS OF INTEGRATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1931810 LOCATOR OVERDENTURE IMPLANT SYSTEM (LODI) ENDOSSEOUS DENTAL IMPLANT DZE ZEST ANCHORS, LLC 07465 I1X3X 00840481101571

Patients

Seq Age Sex Outcome Treatment
1 Unknown Required Intervention| H