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