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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ZIMMER DENTAL ABUT CONTOUR 3.5X4.5 2MM CUFF; DENTAL ABUTMENT

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ZIMMER DENTAL ABUT CONTOUR 3.5X4.5 2MM CUFF; DENTAL ABUTMENT Back to Search Results
Catalog Number ZOA342S
Medical Device Problem Code Unintended Movement (3026)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 10/17/2023
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Zimvie complaint number (b)(4).A2: age at time of the event unknown / not provided.A4: patient weight unknown / not provided.D9: device availability unknown / not provided.
 
Event or Problem Description
It was reported a mobile prosthesis due to loosenings that finally led to the retention screw breakage on tooth site #36.Procedure was completed with another tibase with no impact on the patient reported.This event represents the 1st loosening.
 
Additional Manufacturer Narrative
Zimvie complaint number (b)(4).The following fields have been updated: b4: date of this report b5: describe event or problem g3: date received by manufacturer g6: type of report h1: type of reportable event h2: follow up type h3: device evaluated by manufacturer h6: adverse event problem h10: additional narrative.Zimvie did not receive one (1) zoa342s, (abut contour 3.5x4.5 2mm cuff) for evaluation.Visual inspection could not be performed.The investigation has been performed based on the available information using the item number, device history record (dhr) review, and risk management file (rmf).Dhr review was completed for the subject lot number 2023030549.No deviations or non-conformances, which could have caused or contributed to the reported event, were noted as part of the dhr.Complaint history review was performed for the reported lot number 2023030549 for similar events and 1 other relevant complaint(s) was identified.Review completed utilizing keywords: dental : functional : loosening based on the investigation and risk management file review, the most likely root cause determined from the investigation was customer error - abutment screw is not torqued to specification.Therefore, based on the available information, a device malfunction was not established.Without device receipt, the reported event is non-verifiable.No further investigation or immediate capa / hhe/d escalation is required, as the complaint investigation did not confirm the products were nonconforming at the time of distribution, and no new failure mode, harm, or hazardous situation was identified through the investigation performed.At this time, the complaint investigation has been completed and the record will be closed.If additional information is received, the record will be re-opened for further evaluation.
 
Event or Problem Description
No further event information is available at the time of this report.
 
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Brand Name
ABUT CONTOUR 3.5X4.5 2MM CUFF
Common Device Name
DENTAL ABUTMENT
Manufacturer (Section D)
ZIMMER DENTAL
4555 riverside drive
palm beach gardens FL 33410
Manufacturer (Section G)
ZIMMER DENTAL
4555 riverside drive
palm beach gardens FL 33410
Manufacturer Contact
carlos gordian-arroyo
4555 riverside drive
palm beach gardens, FL 33410
5619713230
MDR Report Key22201203
Report Number0002023141-2025-01542
Device Sequence Number6887198
Product Code NHA
UDI-Device Identifier00889024020740
UDI-Public(01)00889024020740(17)280313(10)2023030549
Combination Product (Y/N)N
Initial Reporter CountryFR
PMA/510(K) Number
K052600
Exemption Number5645646
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Health Professional
Initial Reporter Occupation Dentist
Type of Report Initial,Followup
Report Date (Section B) 08/25/2025
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 Other
Device Catalogue NumberZOA342S
Device Lot Number2023030549
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Initial
Initial Date Received by Manufacturer Not provided
Supplement Date Received by ManufacturerNot provided
Initial Report FDA Received Date06/13/2025
Supplement Report FDA Received Date08/25/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured03/13/2023
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Unknown
Patient Sequence Number1
Patient SexUnknown
Patient EthnicityNon Hispanic
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