FDA Adverse Event
Injury
Summary report: N
ZYGOMATIC IMPLANT
MDR report key: 21839682
·
Received April 15, 2025
Report
- Report Number
- 3012141159-2025-00233
- Event Type
- Injury
- Date Received
- April 15, 2025
- Date of Event
- February 28, 2025
- Report Date
- April 15, 2025
- Manufacturer
- NORIS MEDICAL LTD
- Product Code
- DZE
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Location
- US
- Reporter Occupation
- DENTIST
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
A HEALTHCARE PROFESSIONAL REPORTED THAT NM-F4455 LOT#0023952 IMPLANT LACKED PRIMARY STABILITY. THE IMPLANT WAS REMOVED DURING IMPLANT PLACEMENT WITH NO REPORT OF OBSERVABLE CLINICAL SYMPTOMS. ACCORDING TO THE INFORMATION, THE PATIENT IS HEALTHY. THE DEVICE WAS FORWARDED TO THE MANUFACTURER. NO OTHER MEDICAL ISSUES WERE REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 123029 | ZYGOMATIC IMPLANT | ZYGOMATIC DENTAL IMPLANT | DZE | NORIS MEDICAL LTD | NM-F4455 | 0023952 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 43 YR | Unknown |