FDA Adverse Event Malfunction Summary report: N

PROPLAN CMF

MDR report key: 24714268 · Received March 30, 2026

Report

Report Number
3003998208-2026-00006
Event Type
Malfunction
Date Received
March 30, 2026
Date of Event
March 3, 2026
Report Date
March 27, 2026
Manufacturer
MATERIALISE NV
Product Code
HWT
UDI-DI
05420060351150
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Description of Event or Problem · 0

IT WAS REPORTED THAT THE SPLINTS DID NOT FIT, AND THE SURGERY WAS ABORTED. ADDITIONAL SURGICAL INTERVENTION IS NEEDED TO COMPLETE THE PROCEDURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
775612 PROPLAN CMF PATIENT SPECIFIC SPLINT, ORTHOGNATHIC, INTERMEDIATE HWT MATERIALISE NV SD900.105 MU26QIQDOQ 05420060351150

Patients

Seq Age Sex Outcome Treatment
1 20 YR Female Other