FDA Adverse Event
Injury
Summary report: N
ZYGOMATIC IMPLANT
MDR report key: 21917539
·
Received April 28, 2025
Report
- Report Number
- 3012141159-2025-00267
- Event Type
- Injury
- Date Received
- April 28, 2025
- Date of Event
- March 25, 2025
- Report Date
- April 28, 2025
- Manufacturer
- NORIS MEDICAL LTD
- Product Code
- DZE
- UDI-DI
- 07290108812336
- 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-F4440 LOT#0030626 IMPLANT LACKED PRIMARY STABILITY ON TOOTH #10. THE IMPLANT WAS REMOVED DURING IMPLANT PLACEMENT WITH NO REPORT OF OBSERVABLE CLINICAL SYMPTOMS. THE DEVICE WAS FORWARDED TO THE MANUFACTURER. NO OTHER MEDICAL ISSUES WERE REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1237389 | ZYGOMATIC IMPLANT | ZYGOMATIC DENTAL IMPLANT | DZE | NORIS MEDICAL LTD | NM-F4440 | 0030626 | 07290108812336 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 72 YR | Female |