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 |