• Decrease font size
  • Return font size to normal
  • Increase font size
U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BIOMET 3I CERTAIN LOCATOR ABUTMENT 3.4MM(D) X 6MM(H); DENTAL IMPLANT

  • Print
  • Share
  • E-mail
-
Super Search Devices@FDA
510(k) | DeNovo | Registration & Listing | Adverse Events | Recalls | PMA | HDE | Classification | Standards
CFR Title 21 | Radiation-Emitting Products | X-Ray Assembler | Medsun Reports | CLIA | TPLC
 

BIOMET 3I CERTAIN LOCATOR ABUTMENT 3.4MM(D) X 6MM(H); DENTAL IMPLANT Back to Search Results
Model Number IMLOA006
Medical Device Problem Code Fracture (1260)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 04/29/2021
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Zimmer biomet complaint number (b)(4).
 
Event or Problem Description
It was reported the locator abutment screw fractured and was removed.Implant has not been damaged.
 
Event or Problem Description
No further event information is available at the time of this report.
 
Additional Manufacturer Narrative
Zimmerbiomet complaint number (b)(4).The following sections have been updated: h3: device evaluated by manufacturer: change ¿no' to 'yes.' complaint was received, reviewed, and evaluated by the manufacturer.Applicable manufacturer's internal lot history records were reviewed to evaluate whether any internal deviations, non-conformances, and/or problems occurred during the manufacture of the lot, which could cause or contribute to the reported product experience condition.A review of other maufacturer's complaint files and related trending data for similar incidents was performed to evaluate whether other similar complaints have been received and if data suggests any adverse trends may have contributed to the product experience root cause.Condition of the returned product was evaluated to confirm the reported product experience.As part of each complaint investigation, the manufacturer performs an analysis to determine the root-cause of the reported problem.Depending upon the information provided, a true root-cause may or may not be determined.In these cases, the most-likely cause of the reported issue would be determined.Other known issues that are inherent to the business operations, typically ones that are related to shipping, handling, customer service, or other, are internally tracked and continually trended for unusual increases.As a result of the above investigation, the manufacturer has concluded the following as the root-cause or most likely root-cause of the reported product experience condition: no manufacturing event was confirmed, event is tracked and trended with no further actions taken at this time.The most likely hazard experience: thread fracture during function most likely root cause of the failure mode / hazard: thread fracture during function typically results from insufficient tightening torque at placement, overloading of the abutment in function, or not retightening the abutment at prescribed intervals.
 
Search Alerts/Recalls

  New Search  |  Submit an Adverse Event Report

Brand Name
CERTAIN LOCATOR ABUTMENT 3.4MM(D) X 6MM(H)
Common Device Name
DENTAL IMPLANT
Manufacturer (Section D)
BIOMET 3I
4555 riverside drive
palm beach gardens FL 33410
MDR Report Key12311756
Report Number0001038806-2021-01496
Device Sequence Number4137238
Product Code DZE
UDI-Device Identifier00844868006367
UDI-Public(01)00844868006367(17)251006(10)1240334
Combination Product (Y/N)N
Initial Reporter CountryFR
PMA/510(K) Number
K012911
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2019
Device Explanted Year2021
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source foreign,health professional
Initial Reporter Occupation Dentist
Type of Report Initial,Followup
Report Date (Section B) 08/25/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Lay User/Patient
Device Expiration Date10/06/2025
Device Model NumberIMLOA006
Device Catalogue NumberIMLOA006
Device Lot Number1240334
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer07/20/2021
Was the Report Sent to FDA? No
Initial Date Received by Manufacturer 07/20/2021
Supplement Date Received by Manufacturer07/20/2021
Initial Report FDA Received Date08/12/2021
Supplement Report FDA Received Date08/25/2021
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Patient Sequence Number1
Patient Age71 YR
-
-