FDA Adverse Event Injury Summary report: N

IMPL TAPERED SCR-V SBM 4. 7MM 4.5MM 10MM

MDR report key: 25116129 · Received May 7, 2026

Report

Report Number
0001038806-2026-02511
Event Type
Injury
Date Received
May 7, 2026
Date of Event
April 25, 2026
Report Date
May 7, 2026
Manufacturer
ZIMVIE US CORP LLC
Product Code
DZE
UDI-DI
00889024020047
PMA / PMN Number
K061410
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ZIMVIE COMPLAINT NUMBER (B)(4). G4: ADDITIONAL PMA/510(K) NUMBER K011028, K013227.

Description of Event or Problem · 0

IT WAS REPORTED THAT IMPLANT WAS REMOVED DUE TO INFECTION. PT HAS PAIN & SWOLLEN. PLACED BG & PT WILL RETURN IN 4 MONTHS FOR CT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
169022 IMPL TAPERED SCR-V SBM 4. 7MM 4.5MM 10MM DENTAL IMPLANT DZE ZIMVIE US CORP LLC 1300942 00889024020047

Patients

Seq Age Sex Outcome Treatment
1