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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: DENTSPLY IMPLANTS MANUFACTURING GMBH C/GUIDE SLEEVE 5.2 WD PRIMETAPER/OMNITAPER/ASTRATECH IMPL EV; ACCESSORIES, IMPLANT, DENTAL, ENDOSSEOUS

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DENTSPLY IMPLANTS MANUFACTURING GMBH C/GUIDE SLEEVE 5.2 WD PRIMETAPER/OMNITAPER/ASTRATECH IMPL EV; ACCESSORIES, IMPLANT, DENTAL, ENDOSSEOUS Back to Search Results
Catalog Number 68017221
Medical Device Problem Code Mechanical Problem (1384)
Health Effect - Clinical Code Insufficient Information (4580)
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the guided surgery drill sleeve malfunctioned due to the internal spring becoming frozen in retracted position.
 
Additional Manufacturer Narrative
Dentsply sirona became aware of a malfunction for same/similar devices that could have possibly caused or contributed to a serious injury.Product return is requested and will be evaluated after receipt.In case any new or additional information will be gained from this investigation a follow-up report will be sent.Trend is tracked and monitored.
 
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Brand Name
C/GUIDE SLEEVE 5.2 WD PRIMETAPER/OMNITAPER/ASTRATECH IMPL EV
Common Device Name
ACCESSORIES, IMPLANT, DENTAL, ENDOSSEOUS
Manufacturer (Section D)
DENTSPLY IMPLANTS MANUFACTURING GMBH
rodenbacher chaussee 4
hanau hessen 63457
GM  63457
Manufacturer (Section G)
DENTSPLY IMPLANTS MANUFACTURING GMBH
rodenbacher chaussee 4
hanau hessen 63457
GM   63457
Manufacturer Contact
dan eagar
221 west philadelphia st.
york, PA 17401
7178457511
MDR Report Key24232773
Report Number3013111692-2026-04463
Device Sequence Number9220525
Product Code NDP
UDI-Device Identifier07392532269714
UDI-Public07392532269714
Combination Product (Y/N)N
Initial Reporter StateVA
Initial Reporter CountryUS
PMA/510(K) Number
EXEMPT
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional
Initial Reporter Occupation Dentist
Type of Report Initial
Report Date (Section B) 02/02/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Catalogue Number68017221
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer01/09/2026
Is the Reporter a Health Professional? Yes
Distributor Facility Aware Date01/09/2026
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 01/09/2026
Initial Report FDA Received Date02/02/2026
Was Device Evaluated by Manufacturer? (Y/N) Device Not Returned to Manufacturer
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Concomitant Medical Products
and Therapy/Usage Dates
NOT PROVIDED.
Patient SexUnknown
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