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VSP System Maxilla Cutting GuideRecalls & reported problems

3d Systems, Inc. · A physical template / guide that is positioned on patients’ anatomy (Bony and / or Occulsal), and allows for precise location of predetermined osteotomy planes and holes. · Class 2

Adverse event reports
4
Deaths reported
0
Injuries reported
3
Recalls naming it
0

Summary

The FDA's MAUDE database contains 4 adverse event reports that list this exact device (DI 00816847020831), received between Feb 24, 2023 and Aug 20, 2025 — classified as 3 injuries, 1 malfunction.

The most frequently reported specific device problem is “Inadequacy of Device Shape and/or Size” (1 report).

1 other recall cover devices cleared under the same FDA submission (K120956, K133907, K192192); they may or may not involve this specific model.

Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event, and counts can't be used to compare devices or estimate failure rates. How this data works · Data updated Oct 13, 2026.

Reports received per month

Nov 2023: 0 reportsDec 2023: 0 reportsJan 2024: 0 reportsFeb 2024: 0 reportsMar 2024: 1 reportsApr 2024: 0 reportsMay 2024: 0 reportsJun 2024: 0 reportsJul 2024: 0 reportsAug 2024: 0 reportsSep 2024: 0 reportsOct 2024: 0 reportsNov 2024: 0 reportsDec 2024: 0 reportsJan 2025: 0 reportsFeb 2025: 0 reportsMar 2025: 0 reportsApr 2025: 1 reportsMay 2025: 0 reportsJun 2025: 0 reportsJul 2025: 0 reportsAug 2025: 1 reportsSep 2025: 0 reportsOct 2025: 0 reportsNov 2025: 0 reportsDec 2025: 0 reportsJan 2026: 0 reportsFeb 2026: 0 reportsMar 2026: 0 reportsApr 2026: 0 reportsMay 2026: 0 reportsJun 2026: 0 reportsJul 2026: 0 reportsAug 2026: 0 reportsSep 2026: 0 reportsOct 2026: 0 reports2024202520261
Last 36 months. The most recent month may be incomplete.

Most reported problems

Device problems

  • Adverse Event Without Identified Device or Use Problem2
  • Inadequacy of Device Shape and/or Size1
  • Malposition of Device1

Patient problems

  • No Clinical Signs, Symptoms or Conditions2
  • Laceration(s)1
  • Loss of Range of Motion1

Recent adverse event reports

The 4 most recent of 4 reports, in the reporter's own words as published by the FDA.

  • InjuryAug 20, 2025Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem

    DURING A MAXILLOFACIAL SURGERY INVOLVING VSP SYSTEM DEVICES, THE SURGEON REPORTED THAT THE LEFT MAXILLA GUIDE WAS NOT SEATING PROPERLY ON THE PATIENT'S BONY ANATOMY AND THE SURGEON DECIDED NOT TO PROCEED WITH THE OPERATION.

    Patient problems: Laceration(s)

    MAUDE report 22851702 ↗
  • InjuryApr 17, 2025Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem

    DURING A MAXILLOFACIAL PROCEDURE INVOLVING VSP SYSTEM GUIDES, IT WAS REPORTED THAT THE MAXILLARY PLATES RESULTED IN A DEVIATED DENTAL MIDLINE. THESE PATIENT SPECIFIC PLATES WERE REMOVED, AND STOCK PLATES WERE USED TO CORRECT THE MAXILLARY POSITION. THIS REQUIRED THE DRILLING OF ADDITIONAL HOLES TO PROPERLY SECURE THE STOCK PLATES.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 21858645 ↗
  • MalfunctionMar 15, 2024Malposition of Device; Malposition of Device

    DURING A PROCEDURE UTILIZING VSP SYSTEMS PRODUCTS, IT WAS DISCOVERED THAT THE SURGICAL GUIDE WAS NOT DESIGNED TO PROPERLY FOLLOW THE SURGICAL PLAN, RESULTING IN AN OSTEOTOMY INCOMPATIBLE WITH THE INTENDED IMPLANT. THIS HAS NECESSITATED THE PLANNING OF A REVISION SURGERY TO COMPLETE THE IMPLANTATION.

    Patient problems: Loss of Range of Motion

    MAUDE report 18914128 ↗
  • InjuryFeb 24, 2023Inadequacy of Device Shape and/or Size; Inadequacy of Device Shape and/or Size

    WHILE PERFORMING SURGERY TO PLACE A TEMPOROMANDIBULAR JOINT PROSTHESES, THE SURGEON REPORTED THAT PREDICTIVE HOLES THAT WERE PREDRILLED UTILIZING A 3D SYSTEMS MAXILLA CUTTING GUIDE DID NOT PROPERLY POSITION A FOSSA PROTHESIS. THE SURGEON NEEDED TO REMOVE THE PROTHESIS ALONG WITH THE SCREWS FIXATING IT AND ADJUST THE POSITION OF THE FOSSA PROSTHESIS AS A RESULT. THE SURGEON REPORTED THE GUIDE DID NOT ADEQUATELY ENGAGE THE PATIENT'S ANATOMY TO REGISTER THE GUIDE IN THE ANTERIOR/POSTERIOR DIRECTIONS.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 16436720 ↗

Recalls under the same FDA submission

These recalls involve devices cleared under K120956, K133907, K192192. One submission often covers many models, so check the product and lot details in each record.

  • Z-1510-2022 · May 17, 2022 · Open, Classified
    3D Systems VSP Reconstruction, Model: VSPR-301 Product: Scapula Marking Guide (Anatomically Shaped), Rx Only, Non-Sterile

Other Driver, Wire, And Bone Drill, Manual devices

All Driver, Wire, And Bone Drill, Manual devices →

Sources: FDA GUDID, MAUDE and Medical Device Recalls via openFDA. openFDA data is not validated for clinical or regulatory use.