FDA Adverse Event Malfunction Summary report: N

DENTAL SCREW

MDR report key: 24870137 · Received April 14, 2026

Report

Report Number
0001038806-2026-02022
Event Type
Malfunction
Date Received
April 14, 2026
Date of Event
January 6, 2026
Report Date
April 14, 2026
Manufacturer
ZIMVIE US CORP LLC
Product Code
DZE
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
DENTIST
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ZIMVIE COMPLAINT NUMBER (B)(4). D1: BRAND NAME UNKNOWN / NOT PROVIDED. D4: ADDITIONAL DEVICE INFORMATION UNKNOWN / NOT PROVIDED. D10. CONCOMITANT MEDICAL PRODUCTS. TSV4B10, IMP, TSV,4.1MM, SBM,10 LOT 1233733. G4: PREMARKET IDENTIFICATION UNKNOWN / NOT PROVIDED. H4: DEVICE MANUFACTURER DATE UNKNOWN / NOT PROVIDED.

Description of Event or Problem · 0

IT WAS REPORTED THAT AN IMPLANT AT TOOTH SITE # 45 WAS REMOVED DUE TO A BONE LOSS, THE IMPLANT FRACTURE AT THE BODY AND A SCREW FRACTURE INSIDE THE IMPLANT. IT WAS IMPOSSIBLE TO REMOVE THE IMPLANT WITH ZIMMER INSTRUMENT AVAILABLE. THE PROCEDURE REQUIRED EXPLANTATION USING A TREPHINE BUR, FOLLOWED BY A BONE GRAFT WITH BIOMATERIALS. PATIENT SUFFERED FROM PAIN. THIS CASE REFERS TO THE SCREW FRACTURED INSIDE THE IMPLANT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
541749 DENTAL SCREW DZE ZIMVIE US CORP LLC

Patients

Seq Age Sex Outcome Treatment
1