FDA Adverse Event Malfunction Summary report: N

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

MDR report key: 25327977 · Received May 29, 2026

Report

Report Number
0001038806-2026-02964
Event Type
Malfunction
Date Received
May 29, 2026
Date of Event
May 12, 2026
Report Date
May 29, 2026
Manufacturer
ZIMVIE US CORP LLC
Product Code
DZE
UDI-DI
00889024019508
PMA / PMN Number
K061410
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). G4: PREMARKET IDENTIFICATION PMA/510(K) #: K011028/K013227.

Description of Event or Problem · 0

IT WAS REPORTED THAT NO IMPLANT WAS FOUND IN THE INNER PACKAGE. PROCEDURE WAS COMPLETED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
201897 IMPL TAPERED SCR-V SBM 3.7MM 3.5MM 10MM DENTAL IMPLANT DZE ZIMVIE US CORP LLC 1301511 00889024019508

Patients

Seq Age Sex Outcome Treatment
1