| Brand Name | S Atlantis Abutment Zr 10 |
| Common Device Name | Abutment, Implant, Dental, Endosseous |
| Manufacturer (Section D) |
| DENTSPLY Implants (a Division of DENTSPLY IH AB) |
| aminogatan 1 |
| molndal vastra gotalands lan [ S-431 21 |
| SW S-431 21 |
|
| Manufacturer (Section G) |
| DENTSPLY Implants (a Division of DENTSPLY IH AB) |
| aminogatan 1 |
|
| molndal vastra gotalands lan [ S-431 21 |
|
SW
S-431 21
|
|
| Manufacturer Contact |
|
dan
eagar
|
| 221 west philadelphia st. |
| york, PA 17401
|
|
+1(717)845-7511
|
|
| MDR Report Key | 50052474 |
| Report Number | 9612468-2026-03776 |
| Device Sequence Number | 18603382 |
| Product Code |
NHA
|
| UDI-Device Identifier | 07392532177248 |
| UDI-Public | 07392532177248 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | GM |
| 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 |
| Report Date (Section B) |
07/28/2026 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
Yes
|
| Is this a Product Problem Report? |
No
|
| Operator of Device |
Health Professional
|
| Device Catalogue Number | 35511 |
| Is the Reporter a Health Professional? |
Yes
|
| Initial Date Received by Manufacturer | 06/30/2026 |
| Initial Report FDA Received Date | 07/28/2026 |
| Is the Device Labeled for Single Use? (Y/N) |
Yes
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Initial
|
| Patient Sequence Number | 1 |
| Outcome Attributed to Adverse Event |
Required Intervention;
|
| Patient Sex | Unknown |