FDA Adverse Event
Injury
Summary report: N
TS III SA
MDR report key: 24613877
·
Received March 16, 2026
Report
- Report Number
- 3003394081-2026-00004
- Event Type
- Injury
- Date Received
- March 16, 2026
- Date of Event
- March 9, 2026
- Report Date
- March 17, 2026
- Manufacturer
- OSSTEM IMPLANT CO., LTD
- Product Code
- DZE
- PMA / PMN Number
- K222778
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- DENTIST
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
DENTAL IMPLANT FRACTURE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 674905 | TS III SA | DENTAL IMPLANT | DZE | OSSTEM IMPLANT CO., LTD | BTS3S4010S | FTP23J761 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Required Intervention |