FDA Adverse Event
Injury
Summary report: N
Implant, endosseous, root-form
MDR report key: 23909183
·
Received December 29, 2025
Report
- Report Number
- 0001222315-2025-003661
- Event Type
- Injury
- Date Received
- December 29, 2025
- Date of Event
- November 12, 2025
- Report Date
- December 29, 2025
- Manufacturer
- STRAUMANN MANUFACTURING, INC.
- Product Code
- DZE
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Location
- FL, US
- Reporter Occupation
- DENTIST
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
THE CLINICIAN REPORTS THAT THE DAY THE IMPLANT WAS PLACED IN ADA 14, FAILURE OCCURRED UPON INSERTION. DETAILS OF SURGERY: PRIMARY STABILITY NOT ACHIEVED. THE DEVICE WAS FORWARDED TO THE MANUFACTURER. THERE WERE NO REPORTED PATIENT INJURIES OR COMPLICATIONS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1917088 | Implant, endosseous, root-form | DZE | STRAUMANN MANUFACTURING, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 64 YR | Male | Required Intervention |