FDA Adverse Event Injury Summary report: N

LOCATOR OVERDENTURE IMPLANT SYSTEM (LODI)

MDR report key: 3824472 · Received May 7, 2014

Report

Report Number
2023950-2014-00008
Event Type
Injury
Date Received
May 7, 2014
Date of Event
April 1, 2014
Report Date
May 7, 2014
Manufacturer
ZEST ANCHORS, LLC
Product Code
DZE
PMA / PMN Number
K120198
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

USER DOCUMENTATION (TECHNIQUE MANUAL, P/N L8019-TM) SPECIFIES THAT IMMEDIATE LOADING IS SUITABLE ONLY IF SUFFICIENT PRIMARY STABILITY OF THE IMPLANT IS ACHIEVED AT THE TIME OF PLACEMENT. ALSO, THE RECOMMENDED IMPLANT INSERTION TORQUE AND IMPLANT ATTACHMENT TORQUE IN 30N-CM. IF THE IMPLANT PLACEMENT TORQUE IS LESS THAN 30 N-CM, THEN THE ATTACHMENTS SHOULD ONLY BE HAND TIGHTENED. THE IMPLANT INSERTION TORQUE SHOULD NOT EXCEED 70 N-CM; IF 70 N-CM IS REACHED PRIOR TO FULL SEATING, THE IMPLANT SHOULD BE REMOVED AND THE OSTEOTOMY SHOULD BE ENLARGED. THE FOLLOWING INFORMATION WAS PROVIDED BY THE CLINICIAN: IMPLANT WAS IMMEDIATELY LOADED; IMPLANT WAS NOT RESTORED. THE CLINICIAN DID NOT SPECIFY THE AMOUNT OF TORQUE USED TO PLACE THE IMPLANT AND THE TORQUE THE ABUTMENT. THEY DID NOT INDICATE THE PATIENT'S BONE DENSITY. FAILURE TO OSSEOINTEGRATE IS A WELL-DOCUMENTED INHERENT RISK OF DENTAL IMPLANT. IN THE MAJORITY OF CASES WHERE AT IMPLANT FAILS TO INTEGRATE WITH THE BONE AND IS REJECTED BY THE BODY, THE CAUSE IS UNKNOWN. THE IMPLANT'S LOT HISTORY RECORDS WERE REVIEWED AND NO DISCREPANCIES OR ISSUES OF NON-CONFORMANCE WERE NOTED. IMPLANT MANUFACTURED TO SPECIFICATIONS. NO FURTHER ACTION IS REQUIRED.

Description of Event or Problem · 1

IMPLANT FAILED TO OSSEOINTEGRATE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
274874 LOCATOR OVERDENTURE IMPLANT SYSTEM (LODI) ENDOSSEOUS DENTAL IMPLANT DZE ZEST ANCHORS, LLC I0L07

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention