FDA Adverse Event
Injury
Summary report: N
GM HELIX IMPLANT,TI,4.3X11.5
MDR report key: 22914575
·
Received August 28, 2025
Report
- Report Number
- 0001222315-2025-002414
- Event Type
- Injury
- Date Received
- August 28, 2025
- Date of Event
- May 30, 2025
- Report Date
- August 28, 2025
- Manufacturer
- JJGC S.A.
- Product Code
- DZE
- UDI-DI
- 07899878024217
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Location
- CA, US
- Reporter Occupation
- DENTIST
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
THE CLINICIAN REPORTS THE IMPLANT WAS INSERTED 2025-07-10 IN ADA 11. ON 2025-07-10, NON-OSSEOINTEGRATION WAS VERIFIED. THE DEVICE WAS FORWARDED TO THE MANUFACTURER. AT THE EVENT THE PATIENT EXPERIENCED: PAIN AND MOBILITY. NO FURTHER PATIENT COMPLICATIONS WERE REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1697958 | GM HELIX IMPLANT,TI,4.3X11.5 | ENDOSSEOUS DENTAL IMPLANT | DZE | JJGC S.A. | TTR94 | 07899878024217 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Male | Required Intervention |