FDA Adverse Event
Injury
Summary report: N
YOMI ROBOTIC SYSTEM
MDR report key: 18127880
·
Received November 13, 2023
Report
- Report Number
- 3012787974-2023-80079
- Event Type
- Injury
- Date Received
- November 13, 2023
- Date of Event
- October 13, 2023
- Report Date
- November 13, 2023
- Manufacturer
- NEOCIS, INC.
- Product Code
- QRY
- UDI-DI
- 00810004900004
- PMA / PMN Number
- K222750
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NH, US
- Reporter Occupation
- DENTIST
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
CORRECTION: G3.
Description of Event or Problem · 0
AFTER A GUIDED PROCEDURE, IT WAS FOUND THAT 1 OF 2 IMPLANT PLACEMENTS PARTIALLY COMPROMISED THE BUCCAL WALL. A POST OPERATIVE ASSESSMENT WITH THE SYSTEM'S LOG FILES WAS COMPLETED. A SLIGHT HANDPIECE ROTATION WAS DETERMINED TO BE THE LIKELY ROOT CAUSE OF THE EVENT AS IT WOULD EXPLAIN THE 1.0 MM ERROR DURING THE LANDMARK CHECK AND ALSO WHY PART OF THE IMPLANT WAS OUTSIDE THE BUCCAL WALL. THE SURGEON REMOVED THE IMPLANT AND REPLACED IT. THERE WERE NO FURTHER ISSUES NOTED WITH THE REPLACED IMPLANT AS WELL AS THE 2ND IMPLANT PLACEMENT. THE HANDPIECE IS A STANDARD 3RD PARTY INSTRUMENT USED WITH YOMI NOT MANUFACTURED BY NEOCIS. THIS REPORT IS BEING FILED IN AN ABUNDANCE OF CAUTION TO BE IN COMPLIANCE WITH THE MDR REGULATION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2203334 | YOMI ROBOTIC SYSTEM | DENTAL NAVIGATION SYSTEM | QRY | NEOCIS, INC. | GEN 1 | 00810004900004 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Required Intervention |