| Brand Name | Implant Driver EV (S) short |
| Common Device Name | accessories, implant, dental, endosseous |
| Manufacturer (Section D) |
| Dentsply IH AB |
| aminogatan 1 |
| molndal vastra gotalands lan S-431 21 |
| SW S-431 21 |
|
| Manufacturer Contact |
|
|
| mr. dan eagar |
| suite 60w |
| york, PA 17401
|
|
| MDR Report Key | 50951501 |
| Report Number | 9612468-2026-08417 |
| Device Sequence Number | 10429731 |
| Product Code |
NDP
|
| UDI-Device Identifier | 07392532254840 |
| UDI-Public | 07392532254840 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | CH |
| PMA/510(K) Number | EXEMPT |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Initial Reporter Occupation |
Non-Healthcare Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
09/30/2026 |
| 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
|
| Was Device Available for Evaluation? |
Yes
|
| Is the Reporter a Health Professional? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 09/06/2026 |
| Initial Report FDA Received Date | 09/30/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| 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 |
|
|