MAUDE Adverse Event Report: BioHorizons Inc. BioHorizons Inc; Dental Implant

Model Number	BTR5210
Medical Device Problem Code	Failure to Osseointegrate (1863)
Health Effect - Clinical Code	Insufficient Information (4580)
Date of Event	07/08/2026
Type of Reportable Event	Serious Injury
Event or Problem Description
Implant failed to osseointegrate.
Additional Manufacturer Narrative
This emdr was initially submitted on (b)(6) 2026, with a b4 report date of (b)(6) 2026.Following the fda production environment update on (b)(6) 2026, a validation change prevented acceptance of emdr files containing future-dated b4 report dates.Biohorizons was notified of this requirement on (b)(6) 2026.As a result, the original submission failed and is being resubmitted with a non-future-dated b4 report date to facilitate successful fda receipt and processing.

• Brand Name: BioHorizons Inc
• Common Device Name: Dental Implant
• Manufacturer (Section D): BioHorizons Inc.; 2300 riverchase center; birmingham AL 35244
• Manufacturer Contact: anissa smith ; 2300 riverchase center; birmingham, AL 35244
• MDR Report Key: 50155906
• Report Number: 1060818-2026-15384
• Device Sequence Number: 9278258
• Product Code: DZE
• UDI-Device Identifier: 00847236021948
• UDI-Public: 00847236021948
• Combination Product (Y/N): N
• Initial Reporter Country: SP
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Company Representative
• Initial Reporter Occupation: Dentist
• Type of Report: Initial
• Report Date (Section B): 08/07/2026

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 Model Number: BTR5210
• Device Catalogue Number: BTR5210
• Device Lot Number: Unknown
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 07/08/2026
• Initial Report FDA Received Date: 08/06/2026
• 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