FDA Adverse Event Malfunction Summary report: N

IMPLANT DRIVER EV (S) SHORT

MDR report key: 24933240 · Received April 20, 2026

Report

Report Number
9612468-2026-02020
Event Type
Malfunction
Date Received
April 20, 2026
Date of Event
April 6, 2026
Report Date
April 20, 2026
Manufacturer
DENTSPLY IMPLANTS (A DIVISION OF DENTSPLY IH AB)
Product Code
NDP
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THERE HAS BEEN A PREVIOUS REPORT RECEIVED WHERE THIS MALFUNCTION RESULTED IN A SERIOUS INJURY. THEREFORE, IT MUST BE PRESUMED THAT RECURRENCE OF THIS MALFUNCTION COULD POSSIBLY CAUSE OR CONTRIBUTE TO A SERIOUS INJURY OR REQUIRE MEDICAL OR SURGICAL INTERVENTION TO PRECLUDE SUCH. AS SUCH, THIS EVENT IS REPORTABLE PER 21CFR PART 803. THE PRODUCT IS NOT AVAILABLE FOR INVESTIGATION. TREND IS TRACKED AND MONITORED.

Description of Event or Problem · 0

IT WAS REPORTED AN IMPLANT DRIVER PEEK BROKE; NO INJURY RESULTED. AS PER ATTACHED EMAIL: THE METAL DRIVER IS 25379*1 , THE COMPLAINT REASON INPUT IN CF ADDITION INFORMATION/ DISCERPTION , THAT IS ABRASION & CAN NOT STUCK THE IMPLANT, OTHER TOOLS ARE BROKEN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
988209 IMPLANT DRIVER EV (S) SHORT ACCESSORIES, IMPLANT, DENTAL, ENDOSSEOUS NDP DENTSPLY IMPLANTS (A DIVISION OF DENTSPLY IH AB)

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown