FDA Adverse Event Injury Summary report: N

PRIMETAPER EV Ø4.2 X 11MM OS

MDR report key: 24382642 · Received February 18, 2026

Report

Report Number
9612468-2026-00858
Event Type
Injury
Date Received
February 18, 2026
Date of Event
February 10, 2026
Report Date
February 18, 2026
Manufacturer
DENTSPLY IMPLANTS (A DIVISION OF DENTSPLY IH AB)
Product Code
DZE
UDI-DI
07392532276729
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
DENTIST
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THEREFORE, BECAUSE A SERIOUS INJURY RESULTED, THIS EVENT 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

CUSTOMER REPORTED IMPLANT LOSS. SF - (B)(6).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
438387 PRIMETAPER EV Ø4.2 X 11MM OS IMPLANT, ENDOSSEOUS, ROOT-FORM DZE DENTSPLY IMPLANTS (A DIVISION OF DENTSPLY IH AB) 532879 07392532276729

Patients

Seq Age Sex Outcome Treatment
1 74 YR Male Required Intervention NOT PROVIDED