| Brand Name | Kontact |
| Common Device Name | Dental Implant |
| Manufacturer (Section D) |
| Biotech Dental |
| 305 allees craponne |
| salon-de-provence 13300 |
| FR 13300 |
|
| MDR Report Key | 50722673 |
| Report Number | 3010730876-2026-00025 |
| Device Sequence Number | 10159578 |
| Product Code |
DZE
|
| UDI-Device Identifier | 03701045270966 |
| UDI-Public | (01)03701045270966(10)230222-071/O |
| Combination Product (Y/N) | N |
| Initial Reporter State | MO |
| Initial Reporter Country | US |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Device Implanted Year | 2026 |
| Device Explanted Year | 2026 |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Importer
|
| Initial Reporter Occupation |
Dentist
|
| Type of Report
| Initial |
| Report Date (Section B) |
09/10/2026 |
| Report Date (Section F) |
09/10/2026 |
| 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 | K3608 |
| Device Lot Number | 230222-071/O |
| Was Device Available for Evaluation? |
Yes
|
| Is the Reporter a Health Professional? |
Yes
|
| Was the Report Sent to FDA? |
No
|
| Distributor Facility Aware Date | 08/31/2026 |
| Event Location |
Outpatient Treatment Facility
|
| Initial Date Received by Manufacturer | Not provided |
| Initial Report FDA Received Date | 09/10/2026 |
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Patient Sequence Number | 1 |
| Outcome Attributed to Adverse Event |
Required Intervention;
|
| Patient Age | 55 YR |
| Patient Sex | Male |
| Patient Race | Black Or African American |
|
|