FDA Adverse Event Malfunction Summary report: N

TRUSCAN BODY COMPATIBLE WITH HIOSSEN (OSSTEM) ET (TS) REGULAR

MDR report key: 17463540 · Received August 3, 2023

Report

Report Number
MW5120608
Event Type
Malfunction
Date Received
August 3, 2023
Date of Event
February 21, 2023
Report Date
August 1, 2023
Manufacturer
TRUABUTMENT KOREA CO.,LTD
Product Code
NDP
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
CA, US
Reporter Occupation
UNKNOWN
Health Professional
N

Narratives

Description of Event or Problem · 0

THE ABUTMENT DID NOT FIT PROPERLY. THE ABUTMENT CONNECTION WAS ROTATED OWING TO SCANBODY ISSUE. AS A RESULT OF THE QUALITY TEST, IT WAS CONFIRMED THAT THE CONNECTION (HEX) OF THE OTR-SB SCANBODY AND THE DIRECTION OF THE D-CUT OF THE CAP WAS ROTATED BY ABOUT 30°. WHEN SEPARATING THE SCANBODY, IT WAS VERIFIED THAT THE HEX POSITION OF THE COMPONENT BODY (OTR-SBB) WAS ALSO ROTATED (DISTORTED). THEREFORE, IT WAS CONFIRMED THAT THIS CASE WAS DEFECTIVE IN SHAPE DURING CNC MILLING, AND THAT IT WAS SHIPPED WITHOUT FILTERING THE DEFECT. DEFECT DURING MANUFACTURE: CONNECTION HEX ROTATED SAME LOT# PRODUCTS WERE FINE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
795952 TRUSCAN BODY COMPATIBLE WITH HIOSSEN (OSSTEM) ET (TS) REGULAR ACCESSORIES, IMPLANT, DENTAL, ENDOSSEOUS NDP TRUABUTMENT KOREA CO.,LTD OTR-SB KCCBA1101074

Patients

Seq Age Sex Outcome Treatment
1 Prefer Not To Disclose