FDA Adverse Event
Malfunction
Summary report: N
DENTAL IMPLANT
MDR report key: 25085324
·
Received May 4, 2026
Report
- Report Number
- MW5187656
- Event Type
- Malfunction
- Date Received
- May 4, 2026
- Report Date
- April 23, 2026
- Manufacturer
- UNK
- Product Code
- DZB
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- MA, US
- Reporter Occupation
- UNKNOWN
- Health Professional
- *
Narratives
Description of Event or Problem · 0
ASSESSMENT OF HYGIENE AROUND IMPLANT: GOOD. PERI-IMPLANTITIS. PREVIOUS BONE AUGMENTATION. INFECTION, MOBILITY, ASYMPTOMATIC. "THIS REPORT REFLECTS INFORMATION RECEIVED BY FDA IN THE FORM OF A NOTIFICATION PER 803.22 (B)(2)".
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 564094 | DENTAL IMPLANT | HEADGEAR, EXTRAORAL, ORTHODONTIC | DZB | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Male |