FDA Adverse Event Injury Summary report: N

UNK MIS

MDR report key: 24358550 · Received February 16, 2026

Report

Report Number
3004203816-2026-05202
Event Type
Injury
Date Received
February 16, 2026
Date of Event
January 20, 2026
Report Date
February 16, 2026
Manufacturer
MIS IMPLANTS TECHNOLOGIES LTD.
Product Code
DZE
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
DENTIST
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

SINCE THIS EVENT RESULTED IN A SERIOUS INJURY, IT IS REPORTABLE PER 21 CFR PART 803. THE DEVICE WAS NOT EVALUATED BECAUSE THE ISSUE IS A KNOWN INHERENT RISK OF THE DEVICE. WE WILL CONTINUE TO TRACK AND MONITOR THE TREND.

Description of Event or Problem · 0

MIS WARRANTY. COSTUMER REPORTED IMPLANT FAILURE. SF (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
417933 UNK MIS IMPLANT, ENDOSSEOUS, ROOT-FORM DZE MIS IMPLANTS TECHNOLOGIES LTD. UNK

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention NOT PROVIDED