FDA Adverse Event Injury Summary report: N

LOCATOR OVERDENTURE IMPLANT SYS (LODI)

MDR report key: 4369852 · Received December 23, 2014

Report

Report Number
2023950-2014-00036
Event Type
Injury
Date Received
December 23, 2014
Report Date
December 23, 2014
Manufacturer
ZEST ANCHORS, INC.
Product Code
DZE
PMA / PMN Number
K120198
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SP
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 IS 30N-CM. IF THE IMPLANT PLACEMENT TORQUE IS LESS THAN 30N-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. CLINICAL STATED THAT A LODI IMPLANT FAILED TO OSSEOINTEGRATE. THE CLINICIAN DID NOT PROVIDE THE FOLLOWING INFO: AMOUNT OF TORQUE USED ON ABUTMENT AND IMPLANT, PT BONE DENSITY, WHETHER PRIMARY STABILITY WAS ACHIEVED, AND WHETHER IMPLANT WAS IMMEDIATELY LOADED. FAILURE TO OSSEOINTEGRATE IS A WELL-DOCUMENTED INHERENT RISK OF ENTAL IMPLANTS. IN THE MAJORITY OF CASES WHERE AN IMPLANT FAILS TO INTEGRATE WITH THE BONE AND IS REJECTED BY THE BODY, THE CAUSE MAY BE UNK. THE IMPLANT'S LOT HISTORY RECORD WAS REVIEWED; ANY DISCREPANCIES OR ISSUES OF NON-CONFORMANCE WERE SUCCESSFULLY RESOLVED PRIOR TO THE RELEASE OF THE PART. IMPLANTS WERE MANUFACTURED TO SPECIFICATIONS. NO FURTHER ACTION IS REQUIRED.

Description of Event or Problem · 1

LODI IMPLANT FAILED TO OSSEOINTEGRATE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
847209 LOCATOR OVERDENTURE IMPLANT SYS (LODI) ENDOSSEOUS DENTAL IMPLANT DZE ZEST ANCHORS, INC. I0N2L

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention