ANATOMAGE GUIDE

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 2020-01-15 for ANATOMAGE GUIDE manufactured by Anatomage Inc..

Event Text Entries

[175221973] Based on our investigation, we can conclude that all production processes were properly followed. The fit issue may have been caused by an inaccurate intra-oral scan, which was difficult to detect due to shine present in the patient cbct scan. Doctors are advised not to use the surgical guide for surgery if it does not seat properly as its accuracy may be impacted and may contribute to complications. Sg006 - anatomage guide technical datasheet (rev i) is shipped with every guide and instructs doctors to not use the guide if significant seating issues persist. In this case, the doctor acknowledged that it did not seat well, but chose to proceed with surgery. However, the doctor determined that the surgery was successful, and as a result chose to leave the implant in. This suggests that although the guide was not seated properly, it functioned as intended and no adverse events occurred as a result of using it. Therefore, the exact cause of the implant failure could not be determined. Implants fail for a wide variety of reasons, any of which could have caused the failure in this case.
Patient Sequence No: 1, Text Type: N, H10


[175221975] The doctor stated that the guide was rocking, mainly on the right side, but proceeded with surgery. After placing the implant at site #7, he determined that surgery was successful and left it in. However, the implant failed an undisclosed amount of time later. Although the surgery occurred on (b)(6) 2019, the issue was not reported to anatomage until (b)(6) 2019.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3008272529-2019-00032
MDR Report Key9593849
Report SourceHEALTH PROFESSIONAL
Date Received2020-01-15
Date of Report2020-01-15
Date of Event2019-05-29
Date Mfgr Received2019-12-20
Device Manufacturer Date2019-05-23
Date Added to Maude2020-01-15
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMEERA KLER
Manufacturer Street303 ALMADEN BLVD. SUITE 700
Manufacturer CitySAN JOSE CA 95110
Manufacturer CountryUS
Manufacturer Postal95110
Manufacturer G1ANATOMAGE INC.
Manufacturer Street303 ALMADEN BLVD. SUITE 700
Manufacturer CitySAN JOSE CA 95110
Manufacturer CountryUS
Manufacturer Postal Code95110
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameANATOMAGE GUIDE
Generic NameSURGICAL GUIDE
Product CodeNDP
Date Received2020-01-15
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerANATOMAGE INC.
Manufacturer Address303 ALMADEN BLVD. SUITE 700 SAN JOSE CA 95110 US 95110


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2020-01-15

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