FDA Adverse Event Injury Summary report: N

JDEVOLUTION PLUS

MDR report key: 22307207 · Received June 23, 2025

Report

Report Number
3013264549-2025-00003
Event Type
Injury
Date Received
June 23, 2025
Date of Event
October 17, 2024
Report Date
February 18, 2025
Manufacturer
J DENTAL CARE SRL
Product Code
DZE
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

THE DHR FOR LOT 01-27-22-13223 WAS REVIEWED, AND NO EVIDENCE OF DEFECTS OR NON-CONFORMITIES WAS IDENTIFIED FOR THE PRODUCT UNDER COMPLAINT. THE RESULTS OF THE INVESTIGATION CONFIRM THAT BOTH THE MANUFACTURING AND STERILIZATION PROCESSES ARE IN COMPLIANCE. QUALITY CONTROL PROCEDURES ENSURE THAT BATCHES MEET THE NECESSARY SPECIFICATIONS BEFORE DISTRIBUTION.

Description of Event or Problem · 0

DURING SURGERY, THE IMPLANT DID NOT INTEGRATE INTO POSITION 22. FOUND LACK OF PRIMARY STABILITY DURING THE HEALING PERIOD.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
927916 JDEVOLUTION PLUS JDEVOLUTION PLUS Ø 3.7 L 10 DZE J DENTAL CARE SRL 01-27-22-13223

Patients

Seq Age Sex Outcome Treatment
1 78 YR Male