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