FDA Adverse Event Injury Summary report: N

SICAT CLASSICGUIDE

MDR report key: 12266591 · Received August 3, 2021

Report

Report Number
3006098230-2021-00003
Event Type
Injury
Date Received
August 3, 2021
Date of Event
June 25, 2021
Report Date
August 3, 2021
Manufacturer
SICAT GMBH & CO. KG
Product Code
NDP
PMA / PMN Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CT, US
Reporter Occupation
DENTIST

Narratives

Additional Manufacturer Narrative · 1

THE FOLLOWING SCENARIO APPEARS TO BE THE MOST PROBABLE: THE DENTIST PLANNED IMPLANT AT TOOTH #21 IN A WAY, SO THAT AFTER SURGERY THE IMPLANT ENDS UP VERY CLOSE TO THE NERVE CANAL OF THE NERVUS MANDIBULARIS. THIS MAY HAVE CAUSED THE NERVE TO BE COMPRESSED, RESULTING IN THE PARESTHESIA.

Description of Event or Problem · 1

THE REPORTING DENTIST HAS USED A SICAT SURGICAL GUIDE (SICAT CLASSICGUIDE) FOR PREPARING OSTEOTOMIES (DRILL HOLES FOR ACCOMMODATING DENTAL IMPLANTS) FOR DENTAL IMPLANTS. HOWEVER, THE IMPLANTS AT POSITION #21 AND #28 DID NOT END UP AT PRECISELY THE CORRECT POSITON. THE PATIENT EXPERIENCED PARESTHESIA. THE IMPLANT AT POSITION #21 HAD TO BE REMOVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1167879 SICAT CLASSICGUIDE SURGICAL GUIDE NDP SICAT GMBH & CO. KG

Patients

Seq Age Sex Outcome Treatment
1 58 YR Required Intervention BIOMET 3I(IFNT) DENTAL IMPLANT, SN: (B)(4).