FDA Adverse Event Malfunction Summary report: N

IMPL TAPERED SCR-V MTX 3.7MM 3.5MM 11.5MM

MDR report key: 24615163 · Received March 17, 2026

Report

Report Number
0001038806-2026-01430
Event Type
Malfunction
Date Received
March 17, 2026
Date of Event
February 4, 2026
Report Date
May 14, 2026
Manufacturer
ZIMVIE US CORP LLC
Product Code
DZE
UDI-DI
00889024019515
PMA / PMN Number
K061410
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NL
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ZIMVIE COMPLAINT NUMBER (B)(4) A4: PATIENT WEIGHT UNKNOWN / NOT PROVIDED. G4: PREMARKET IDENTIFICATION K013227.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE MOUNT COULDN'T BE REMOVED FROM THE IMPLANT AT TOOTH SITE #25. DOCTOR HAD TO PROCEED WITH ANOTHER IMPLANT. NO IMPACT ON THE PATIENT REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
516600 IMPL TAPERED SCR-V MTX 3.7MM 3.5MM 11.5MM DENTAL IMPLANT DZE ZIMVIE US CORP LLC 1298475 00889024019515

Patients

Seq Age Sex Outcome Treatment
1