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 |