MAUDE Adverse Event Report: ZIMVIE US CORP LLC T3® PRO NON-PLATFORM SWITCHED TAPERED IMPLANT 5MM (D) X 13MM (L); DENTAL IMPLANT

Catalog Number	T3ST513
Medical Device Problem Code	Mechanical Problem (1384)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	09/23/2025
Type of Reportable Event	Malfunction
Additional Manufacturer Narrative
Zimvie complaint number (b)(4).A4: patient weight unknown / not provided.E1: first name unknown / not provided.
Event or Problem Description
It was reported implant placed, strong primary stability.Could not seat encode (platform clear).Implant removed.Still couldn't seat encode.Place another t3st513 in site and encode seated perfectly.Possible manufacturer defect.Tooth 30.
Event or Problem Description
No further event information available at the time of this report.
Additional Manufacturer Narrative
Zimvie received one (1) t3st513, (t3® pro non-platform switched tapered implant 5mm (d) x 13mm (l)) for evaluation.Visual evaluation / functional test was performed, implant worn.Functionally tested with in-house abutment and engages, retains and disengages as intended.No malfunction identified with returned implant.This complaint refers to the specific device being investigated for this complaint record.Dhr review was completed for the subject lot number: 2120025736.No deviations or non-conformance's, 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: 2120025736 for similar events and no other complaint was identified.The customer did not submit images for the reported event.Based on the investigation and risk management file review as per rm-00053-haz, the most likely root cause determined from the investigation was clinician damages implant seating surface (e.G.Raised areas on seating surface of implant, scratches).Therefore, based on the available information, a device malfunction did not occur with implant.Without abutment 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.The following sections have been updated: b4: date of this report.G3: date received by manufacturer.G6: checked "follow-up".H2: checked follow-up type.H3: changed "no" to "yes".H6: entered evaluation codes.H10: added manufacturer narrative.

• Brand Name: T3® PRO NON-PLATFORM SWITCHED TAPERED IMPLANT 5MM (D) X 13MM (L)
• Common Device Name: DENTAL IMPLANT
• Manufacturer (Section D): ZIMVIE US CORP LLC; 4555 riverside drive; palm beach gardens FL 33410
• Manufacturer (Section G): ZIMVIE US CORP LLC; 4555 riverside drive; palm beach gardens FL 33410
• Manufacturer Contact: carlos gordian-arroyo ; 4555 riverside drive; palm beach gardens, FL 33410 ; 5619713230
• MDR Report Key: 23450157
• Report Number: 0001038806-2025-02902
• Device Sequence Number: 18382751
• Product Code: DZE
• UDI-Device Identifier: 00844868046981
• UDI-Public: (01)00844868046981(17)300115(10)2120025736
• Combination Product (Y/N): N
• Initial Reporter State: VA
• Initial Reporter Country: US
• PMA/510(K) Number: K213672
• Exemption Number: 5645646
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Device Implanted Year: 2025
• Device Explanted Year: 2025
• Serviced by Third Party (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Health Professional,User Facility
• Initial Reporter Occupation: Other Health Care Professional
• Type of Report: Initial,Followup
• Report Date (Section B): 12/09/2025

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 Number: T3ST513
• Device Lot Number: 2120025736
• Was Device Available for Evaluation?: No
• Date Returned to Manufacturer: 10/14/2025
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Follow-Up
• Initial Date Received by Manufacturer: Not provided
• Supplement Date Received by Manufacturer: Not provided
• Initial Report FDA Received Date: 11/03/2025
• Supplement Report FDA Received Date: 12/09/2025
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 01/16/2025
• 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 Number: 1
• Patient Age: 79 YR
• Patient Sex: Unknown
• Patient Ethnicity: Non Hispanic