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