FDA Adverse Event
Malfunction
Summary report: N
NEOCIS GUIDANCE SYSTEM
MDR report key: 17346955
·
Received July 18, 2023
Report
- Report Number
- 3012787974-2023-80072
- Event Type
- Malfunction
- Date Received
- July 18, 2023
- Date of Event
- June 19, 2023
- Report Date
- April 23, 2025
- Manufacturer
- NEOCIS INC.
- Product Code
- PLV
- UDI-DI
- 00810004900004
- PMA / PMN Number
- K161399
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- DENTIST
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
CORRECTION: G3.
Additional Manufacturer Narrative · 0
UDI RELATED DATA QUALITY UPDATES ONLY. UPDATES BASED ON UDI/MDR DATA QUALITY NOTIFICATION RECEIVED ON DECEMBER 13, 2024.
Description of Event or Problem · 0
DURING A GUIDED IMPLANT PLACEMENT, THE IMPLANT WAS PLACED TOO BUCAL WHEN COMPARED TO PLAN. THE SURGEON REMOVED THE IMPLANT AND GRAFTED THE SITE. NO FURTHER MEDICAL INTERVENTION WAS REPORTED AS A RESULT OF THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 766715 | NEOCIS GUIDANCE SYSTEM | DENTAL NAVIGATION SYSTEM | PLV | NEOCIS INC. | DRW-1000-00 | 00810004900004 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Other |