FDA Adverse Event Injury Summary report: N

IMPL TAPERED SCR-V SBM 3.7MM 3.5MM 10MM

MDR report key: 25169305 · Received May 14, 2026

Report

Report Number
0001038806-2026-02646
Event Type
Injury
Date Received
May 14, 2026
Date of Event
March 5, 2026
Report Date
May 14, 2026
Manufacturer
ZIMVIE US CORP LLC
Product Code
DZE
UDI-DI
00889024019508
PMA / PMN Number
K061410
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
DENTIST
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ZIMVIE COMPLAINT NUMBER (B)(4). A4: PATIENT WEIGHT: UNKNOWN / NOT PROVIDED. G4: PREMARKET IDENTIFICATION PMA/510(K) #: K011028/K013227.

Description of Event or Problem · 0

IT WAS REPORTED THAT AN IMPLANT AT TOOTH SITE # 24 WAS REMOVED DUE TO A FRACTURE AT THE IMPLANT COLLAR. NO IMPACT ON THE PATIENT REPORTED. PROCEDURE WAS COMPLETED. BONE DENSITY TYPE: IV.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
4308 IMPL TAPERED SCR-V SBM 3.7MM 3.5MM 10MM DENTAL IMPLANT DZE ZIMVIE US CORP LLC 1235572 00889024019508

Patients

Seq Age Sex Outcome Treatment
1