|
Class 2 Device Recall Legacy"2 HA Implant |
|
Date Initiated by Firm |
August 09, 2019 |
Date Posted |
November 12, 2019 |
Recall Status1 |
Terminated 3 on April 27, 2021 |
Recall Number |
Z-0364-2020 |
Recall Event ID |
83763 |
510(K)Number |
K090234
|
Product Classification |
Implant, endosseous, root-form - Product Code DZE
|
Product |
Implant Direct, REF: 833708, Legacy 2 Implant, Surface: HA, 3.7mmD x 8mmL, 3.5mmD Platform, RxOnly, Sterile R, Made in USA
Dental Implants
|
Code Information |
Lot #135128 Exp: 3/12/20 |
Recalling Firm/ Manufacturer |
Implant Direct Sybron Manufacturing, LLC 3050 E Hillcrest Dr Westlake Village CA 91362-3171
|
For Additional Information Contact |
Elizabeth Dunn 818-444-3300 Ext. 5467
|
Manufacturer Reason for Recall |
A QA inspection confirmed that a Healing Collar (Part number 8735-15) was packaged instead of the Implant ordered.
|
FDA Determined Cause 2 |
Packaging |
Action |
Implant Direct Sybron Manufacturing LLC mailed out an urgent medical device recall notice on 8/9/2019 to its customers via FedEx overnight priority instructing them to take the following actions:
1. Please review your inventory for the affected product. If located, please quarantine the affected product and return the product to us according to the instructions on the attached form.
2. Please complete and return the Acknowledgement Form within fortyeight (48) hours, whether you have affected product or not.
3. If you are an authorized Implant Direct Sybron Manufacturing LLC distributor, we request that you identify those customers that may have been shipped the affected product and contact these customers to inform them of this issue within fortyeight (48) hours of receipt.
4.If you have any of the affected product listed above, please return the product and we will send you a replacement part.
5.If you have any questions, please contact Implant Direct Sybron Manufacturing LLC Customer Care at 888-649-6425. Customer Care is available Monday through Friday, between the hours of 5am-5pm PST.
6.If you or your patients have experienced any issues as a result of the affected products noted in this communication, you may voluntarily report the incident to the FDA through the MEDWATCH reporting system at the following:
http://www.fda.gov/Safety/MedWatch/HowToReport/ucm053074.htm |
Quantity in Commerce |
23 implants |
Distribution |
U.S.: IN, VA, MD, TX, WA
OUS: Japan |
Total Product Life Cycle |
TPLC Device Report
|
|
1 A record in this database is created when a firm initiates a correction or removal action. The record is updated if the FDA identifies a violation and classifies the action as a recall, and it is updated for a final time when the recall is terminated. Learn more about medical device recalls.
2 Per FDA policy, recall cause determinations are subject to modification up to the point of termination of the recall.
3 For details about termination of a recall see Code of Federal Regulations (CFR) Title 21 §7.55.
|
510(K) Database |
510(K)s with Product Code = DZE and Original Applicant = IMPLANT DIRECT LLC
|
|
|
|