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 |