FDA Adverse Event
Injury
Summary report: N
NEOCIS GUIDANCE SYSTEM
MDR report key: 19655234
·
Received July 2, 2024
Report
- Report Number
- 3012787974-2024-80087
- Event Type
- Injury
- Date Received
- July 2, 2024
- Date of Event
- June 6, 2024
- Report Date
- April 23, 2025
- Manufacturer
- NEOCIS INC.
- Product Code
- PLV
- UDI-DI
- 00810004900004
- PMA / PMN Number
- K161399
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MO, US
- Reporter Occupation
- DENTIST
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
UDI RELATED DATA QUALITY UPDATES ONLY. UPDATES BASED ON UDI/MDR DATA QUALITY NOTIFICATION RECEIVED ON 13TH DEC 2024.
Description of Event or Problem · 0
AFTER A GUIDED PROCEDURE, IT WAS FOUND THAT THE IMPLANT PLACEMENT WAS LINGUAL COMPARED TO THE SURGICAL PLAN. A POST-OPERATIVE ASSESSMENT WITH THE SYSTEM'S LOG FILES WAS COMPLETED AND A SYSTEM ACCURACY CHECK WAS COMPLETED. THE LIKELY ROOT CAUSE FOR THE ISSUE WAS ATTRIBUTED TO SKYVING OF THE DRILL BIT. THE SURGEON REMOVED THE IMPLANT AND REPLACED IT BY HAND. NO FURTHER MEDICAL INTERVENTION WAS REPORTED AS A RESULT OF THIS ISSUE. THE HANDPIECE IS A STANDARD 3RD PARTY INSTRUMENT USED WITH YOMI NOT MANUFACTURED BY NEOCIS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 507471 | NEOCIS GUIDANCE SYSTEM | DENTAL NAVIGATION SYSTEM | PLV | NEOCIS INC. | DRW-1000-00 | 00810004900004 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Required Intervention |