FDA Adverse Event
Malfunction
Summary report: N
CERTAIN® BELLATEK® ENCODE® EMERGENCE HEALING ABUTMENT 6MM(D) 7.5MM(P) 5MM(H)
MDR report key: 25135365
·
Received May 11, 2026
Report
- Report Number
- 0001038806-2026-02590
- Event Type
- Malfunction
- Date Received
- May 11, 2026
- Date of Event
- February 20, 2026
- Report Date
- May 11, 2026
- Manufacturer
- ZIMVIE US CORP LLC
- Product Code
- NHA
- UDI-DI
- 00844868045717
- PMA / PMN Number
- K212730
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- HI, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
ZIMVIE COMPLAINT NUMBER (B)(4). A4: WEIGHT UNKNOWN / NOT PROVIDED CUSTOMER HAS INDICATED THAT THE PRODUCT IS IN PROCESS OF BEING RETURNED TO ZIMVIE FOR INVESTIGATION. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MDR WILL BE SUBMITTED.
Description of Event or Problem · 0
IT WAS REPORTED THAT THE HEALING ABUTMENT IS NOT ENGAGING INTO THE IMPLANT AT TOOTH SITE #18. DID NOT SEAT EVEN WITH THE PROFILER. ANOTHER HEALING ABUTMENT WAS OPENED AND SEATED WITH NO PROBLEM.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 279844 | CERTAIN® BELLATEK® ENCODE® EMERGENCE HEALING ABUTMENT 6MM(D) 7.5MM(P) 5MM(H) | DENTAL ABUTMENT | NHA | ZIMVIE US CORP LLC | 4110000265 | 00844868045717 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 57 YR | Female | UNKNOWN IMPLANT |