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 |