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