NEOCIS GUIDANCE SYSTEM GEN 1 NA

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2019-03-25 for NEOCIS GUIDANCE SYSTEM GEN 1 NA manufactured by Neocis Inc..

Event Text Entries

[139706256] The drill and drill motor are reusable parts. Rigidity inspections were previously on label. Neocis implemented field notification on 12-mar-2019 to remind users and field personnel to inspect the drill-to-drill motor connection for rigidity, as previously labeled. Loose drills should be removed from service and replaced with new drills. Drill face calibration is performed prior to each case to help ensure osteotomy accuracy. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[139706257] Guided osteotomy deviated from the plan and resulted in a breach of the buccal cortical plate. Defect repaired with xenograft membrane and bone. Plan deviation caused by rotation of the drill handpiece at the drill motor interface. The drill handpiece stabilization pin was found to be loose.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3012787974-2019-80001
MDR Report Key8448198
Report SourceHEALTH PROFESSIONAL
Date Received2019-03-25
Date of Report2019-03-22
Date of Event2019-02-20
Date Mfgr Received2019-02-20
Device Manufacturer Date2019-09-12
Date Added to Maude2019-03-25
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationDENTIST
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactDR. THOMAS CLAIBORNE
Manufacturer Street2800 BISCAYNE BLVD. SUITE 600
Manufacturer CityMIAMI FL 33137
Manufacturer CountryUS
Manufacturer Postal33137
Manufacturer Phone8559636247
Manufacturer G1NEOCIS INC.
Manufacturer Street2800 BISCAYNE BLVD SUITE 600
Manufacturer CityMIAMI FL 33137
Manufacturer CountryUS
Manufacturer Postal Code33137
Single Use3
Remedial ActionRL
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameNEOCIS GUIDANCE SYSTEM
Generic NameBONE CUTTING INSTRUMENT AND ACCESSORIES
Product CodePLV
Date Received2019-03-25
Returned To Mfg2019-02-28
Model NumberGEN 1
Catalog NumberNA
Lot NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Age5 MO
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerNEOCIS INC.
Manufacturer Address2800 BISCAYNE BLVD. SUITE 600 MIAMI FL 33137 US 33137


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2019-03-25

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