MAUDE Adverse Event Report: ZIMVIE US CORP LLC ZFX¿, GENTEK¿ RETAINING SCREW, TSV/TM; DENTAL SCREW

Catalog Number	ZFX09-ZB-TSV-RS
Medical Device Problem Code	Fracture (1260)
Health Effect - Clinical Code	Pain (1994)
Date of Event	12/02/2025
Type of Reportable Event	Malfunction
Event or Problem Description
It was reported that the gentek screw fractured.Pain was reported as a result of the event.Tooth site 36.Screw placed on (b)(6) 2025 and removed on (b)(6) 2025.
Additional Manufacturer Narrative
Zimvie complaint number (b)(4) a4: patient weight: unknown / not provided.D4: expiration date: unknown / not provided.
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 h11: additional narrative.Zfx received one (1) gentek® retaining screw, tsv®/trabecular metal® for evaluation.Visual evaluation, functional test was performed.Visual evaluation: the screw is broken under the screw head.The screw has scratches and is in used condition.The top coil from thread has come off.Functional test: the dimensions are on tolerances from drawing s173.Measurement instruments used: micrometer mc|0-25|05 and indicator in|0-150|08.Complaint history review was performed for the reported lot number 2120022812 for similar events and no other complaint was identified.Review completed utilizing keywords: ¿dental : functional : fracture : screw¿ based on the investigation and risk management file review, the most likely root cause determined from the investigation was excessive torque applied - customer error.Therefore, based on the available information, a device malfunction did occur.The screw is broken under the screw head.The reported event was confirmed.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.

• Brand Name: ZFX¿, GENTEK¿ RETAINING SCREW, TSV/TM
• Common Device Name: DENTAL SCREW
• 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: mark mashburn ; 4555 riverside drive; palm beach gardens, FL 33410 ; 5619713230
• MDR Report Key: 23920228
• Report Number: 0001038806-2025-04117
• Device Sequence Number: 13032176
• Product Code: NHA
• UDI-Device Identifier: 04251881703702
• UDI-Public: (01)04251881703702(10)0000240222(240)ZFX09-ZB-TSV-RS
• Combination Product (Y/N): N
• Initial Reporter Country: FR
• PMA/510(K) Number: K231915
• Exemption Number: 5645646
• Number of Events Summarized: 1
• 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): 03/03/2026

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: ZFX09-ZB-TSV-RS
• Device Lot Number: 0000240222
• Was Device Available for Evaluation?: No
• Date Returned to Manufacturer: 12/09/2025
• 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: 12/30/2025
• Supplement Report FDA Received Date: 03/03/2026
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 02/22/2024
• 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: 63 YR
• Patient Sex: Unknown
• Patient Ethnicity: Non Hispanic