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 |