FDA Enforcement Class II Terminated

Rubber Dam Clamp, KSK - Product Usage: used for prevention of contamination by saliva and moisture prevention during dental treatment.

Recall: Z-1676-2021 · Reported June 2, 2021

Enforcement

Recall Number
Z-1676-2021
Event ID
87847
Classification
Class II
Status
Terminated
Product Type
Devices
Firm
Dentech Corp.
Voluntary / Mandated
Voluntary: Firm initiated
Initial Notification
E-Mail
Report Date
June 2, 2021
Initiation Date
April 21, 2021
Classification Date
May 25, 2021
Termination Date
January 12, 2023
Address
53 Shimizu-Cho,, Itabashi-Ku, Tokyo, N/A, N/A, Japan

Description

Rubber Dam Clamp, KSK - Product Usage: used for prevention of contamination by saliva and moisture prevention during dental treatment.

Reason

Removing parts for safety reasons due to possible breakage.

Code Info

Product Code 01012912, no12A Lot Numbers: 190627004, 1812L014, 190708016, 190701018, 190712065, 190712043, 190805016, 190730025, 190731036, 190829013, 190903026, 190815021, 190925016, 191017004, 191009022, 191016040, 191025003, 190816010, 190816060, 191029047, 191016023, 191107029, 191114018, 191121025, 190625014, 191121004, 191029097, 191029138, 191029182, 191030018, 191210088, 200116011, 200204002, 200212011, 191206008, 191206065, 200214043, 200214025, 200225008, 200303006, 200311015, 200402007, 191029223, 191029266, 191029308, 200422023, 200526007, 200526026, 191206068, 191206122, 200130015, 191212035, 200619016, 191206073, 191029351, 200312010, 191206128, 201021075, 190507036, 190508005, 190522012, 190522064, 190524025, 190524061, 190528085, 190530037, 190603009, 190606002, 1806I002, 1808A006, 1810J009, 1812L014. Product Code 01014912, no 12A Lot Numbers: 190813028, 190731042, 190815020, 191113031, 191114017, 191030035, 200121009, 200214042, 200601023, 200619020, 200217009, 200731013, 201001091, 210118026, 210310033, 190614015, 190626011, 1805F039, 1806F049, 1810K008, 1812F024, 1903A003. Product Code 01019912, no 12A Lot Numbers: 191009021, 191114016, 191130036, 191030050, 200214041, 200601022, 200619026,190528052, 200902084, 210113041, 190401021, 190509164, 190513002, 190521029, 190524019, 190626076, 1805F055, 1806F058, 1809B013, 1810K012, 1812F027, 1903A004. Product Code 01012913, no 13A Lot Numbers: 190708017, 190712066, 190712044, 190805017, 190722009, 190730026, 190801003, 190731037, 190903027, 190815027, 190924002, 191002030, 191017005, 191009026, 191016041, 190816012, 190816060, 191029048, 191016024, 191107030, 191114023, 191121026, 191119018, 191121005, 191212036, 191029098, 191029139, 191029183, 191030019, 191210089, 200116012, 200212012, 191206011, 191206065, 200214048, 200214026, 200225009, 200303006, 200303007, 200311016, 200402008, 191029224, 191029267, 191029309, 200424019, 200422024, 200526008, 200526027, 191206068, 191206122, 200130016, 200623055, 200619047, 200617020, 200619017, 191206075, 200609040, 200312011, 200629014, 200723009, 200722013, 200727040, 200821033, 200727020, 191206129, 200626019, 200825074, 200825082, 191029478, 201006029, 201023047, 191206129, 201002057, 200923120, 201022031, 200924044, 201006052, 190508006, 190514013, 190522013, 190522065, 190524026, 190528091, 190530038, 190603010, 190606005, 1808A011, 1805H023, 1806I006, 1808A011, 1810G008, 1810J011, 1810J011, 1812L015. Product Code 01014913, no 13A Lot numbers: 190813029, 190731043, 190815026, 191114022, 191113032, 191130026, 191030036, 200214047, 200214031, 200601026, 200619021, 200731014, 201001096, 201113072, 210113045, 210118027, 210212048, 190614014, 190626012, 1806G005, 1810K009, 1812G003, 1902C003, 1902C003. Product Code 01019913, no 13A Lot numbers: 191009025, 191114021, 191030051, 200214035, 200619028, 200324042, 201002118, 201001097, 201113028, 201211159, 201211255, 190513003, 190521030, 190524020, 190626077, 1806G011, 1809A013, 1810K013, 1812G005, 1901G043, 1902F003. Product Code 01012026, no 26 Lot numbers: 1811J010, 190521007, 190705008, 190712051, 190726034, 190805022, 190709018, 190716045, 190813002, 190827085, 190925021, 191002026, 191009044, 191016044, 190816025, 191029050, 191115003, 191210023, 200105015, 191212045, 190916008, 190924034, 191206032, 191029101, 191029142, 191029186, 191030022, 191015131, 191112009, 191126043, 191210065, 191223018, 200114017, 200128016, 191206093, 200214074, 200225012, 191029227, 191029270, 191029312, 200325007, 200522006, 200526032, 200623058, 200430027, 200619054, 200622022, 200609032, 191029355, 200623028, 200312004,200722037, 200901033, 191029396, 191206142, 191206142, 200915054, 200728053, 200817108, 200916015, 191029440, 191029481, 200902058, 200914064, 201006030, 201022056, 201023048, 201002078, 200923123, 201009051, 191029524, 201028029, 200924047, 201002141, 201002168, 201002186, 201209001, 191029566, 201207039, 201014048. Product Code 01014026, no 26 Lot numbers: 190815048, 191114047, 191030039, 200214073, 200622076, 190613002, 190626019, 1807A026, 1807A026, 1811C001, 1812F019, 1901G007. Product Code 01019026, no26 Lot numbers: 191002038, 191009043, 190513001, 190626085, 1806G010, 1809B011, 1809F005, 1811C007, 1902F001.

Distribution

Worldwide distribution - US Nationwide distribution in the states of CA, MN, KY, WA and the countries of Russia, Libya, Moldova, China, Egypt, India, Canada, Guatemala, Iraq, Saudi Araba, Australia, Ukraine, Israel, Indonesia, Malaysia, UK, Singapore, South Korea, Georgia, Taiwan Lithuania, Greece, Sweden, Netherland, France, Poland, Slovenia, Bulgaria, Norway and Romania.

Quantity

87,842 UNITS