| Brand Name | HEAL COLLAR 3.5X4.5, 7MM |
| Common Device Name | DENTAL HEALING ABUTMENT |
| 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 | 25240214 |
| Report Number | 0001038806-2026-02822 |
| Device Sequence Number | 15843664 |
| Product Code |
NHA
|
| UDI-Device Identifier | 00889024015005 |
| UDI-Public | (01)00889024015005(17)291201(10)2120024748 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | IT |
| PMA/510(K) Number | K111852 |
| 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,Distributor |
| Initial Reporter Occupation |
Dentist
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
06/23/2026 |
| 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 | HC347 |
| Device Lot Number | 2120024748 |
| Was Device Available for Evaluation? |
Yes
|
| Date Returned to Manufacturer | 04/29/2026 |
| 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 | 05/21/2026 |
| Supplement Report FDA Received Date | 06/23/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 12/02/2024 |
| 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 Sex | Unknown |
| Patient Ethnicity | Non Hispanic |
|
|