FDA Adverse Event Injury Summary report: N

LOCATOR OVERDENTURE IMPLANT SYSTEM (LODI)

MDR report key: 8702060 · Received June 14, 2019

Report

Report Number
2023950-2019-00317
Event Type
Injury
Date Received
June 14, 2019
Date of Event
May 20, 2019
Report Date
June 14, 2019
Manufacturer
ZEST ANCHORS, LLC
Product Code
DZE
UDI-DI
00840481101526
PMA / PMN Number
K120198
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
DENTIST

Narratives

Description of Event or Problem · 1

NON-INTEGRATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
493703 LOCATOR OVERDENTURE IMPLANT SYSTEM (LODI) ENDOSSEOUS DENTAL IMPLANT DZE ZEST ANCHORS, LLC 07456 I1XME 00840481101526

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention