FDA Adverse Event
Malfunction
Summary report: N
TRUSCAN BODY COMPATIBLE WITH BIOHORIZONS INTERNAL 5.7
MDR report key: 17509732
·
Received August 10, 2023
Report
- Report Number
- MW5122988
- Event Type
- Malfunction
- Date Received
- August 10, 2023
- Date of Event
- February 22, 2023
- Report Date
- August 8, 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
- *
Narratives
Description of Event or Problem · 0
THE ABUTMENT CONNECTION WAS ROTATED. SAME LOT# PRODUCTS ARE FINE. AS A RESULT OF THE QUALITY TEST, IT WAS CONFIRMED THAT THE CONNECTION (HEX) OF THE BH57-SB SCANBODY AND THE DIRECTION OF THE D-CUT OF THE CAP WERE DISTORTED BY ABOUT 14°. HOWEVER, WHEN SEPARATING THE SCANBODY, THE COMPONENT BODY (BH57-SBB) WAS CONFIRMED AS A GOOD PRODUCT (NORMAL PRODUCT) WITHOUT HEX DISTORTION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1084149 | TRUSCAN BODY COMPATIBLE WITH BIOHORIZONS INTERNAL 5.7 | ACCESSORIES, IMPLANT, DENTAL, ENDOSSEOUS | NDP | TRUABUTMENT KOREA CO.,LTD. | BH57-SB | KCCBB0927043 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |