inforMED
MalfunctionELZ

3I INCISE ZR COPING SHADE 2

Received Jan 13, 2015 · Event occurred Dec 18, 2014

Report 0001038806-2015-00013 · MDR key 4414549

Device

Generic name

Zirconia Coping

Manufacturer

Biomet 3i

Model number

N/A

Catalog number

CBZR0102

Lot number

144194

Product problems

  • Fracture
  • Difficult to Insert

Patient

Not reported

  • No Known Impact Or Consequence To Patient

Narrative

Description of Event or Problem

DR REPORTED THAT THE COPING FRACTURED DURING INSERTION.

Additional Manufacturer Narrative

VISUAL INSPECTION AND DHR REVIEW DID NOT PROVIDE ANY INDICATION OF A MANUFACTURING DEVIATION THAT WOULD CONTRIBUTE TO THIS EVENT. A DEFINITIVE CAUSE HAS NOT BEEN DETERMINED.(B)(4)