BEUDAMED
    FDA Adverse Event Injury Summary report: N

    LOCATOR OVERDENTURE IMPLANT SYSTEM (LODI)

    MDR report key: 13790606 · Received March 16, 2022

    Report

    Report Number
    2023950-2022-00151
    Event Type
    Injury
    Date Received
    March 16, 2022
    Report Date
    April 6, 2022
    Manufacturer
    ZEST ANCHORS, LLC
    Product Code
    DZE
    UDI-DI
    00840481101540
    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. LOSS OF INTEGRATION, TOOTH 25.

    Description of Event or Problem · 0

    LOOS OF INTEGRATION. LOSS OF INTEGRATION, TOOTH 25.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    779643 LOCATOR OVERDENTURE IMPLANT SYSTEM (LODI) ENDOSSEOUS DENTAL IMPLANT DZE ZEST ANCHORS, LLC 07460 I1Y3V 00840481101540

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown Required Intervention| H