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  Class 2 Device Recall PalTop see related information
Date Initiated by Firm February 22, 2019
Create Date March 27, 2019
Recall Status1 Terminated 3 on June 19, 2020
Recall Number Z-1064-2019
Recall Event ID 82374
510(K)Number K112795  
Product Classification Implant, endosseous, root-form - Product Code DZE
Product Paltop 1.25 Hex Drivers, Short
Part Number: 60-70102
Code Information Lot Number: WO-010354
Recalling Firm/
Manufacturer
Keystone Dental Inc
154 Middlesex Tpke
Burlington MA 01803-4403
For Additional Information Contact SAME
866-902-9272
Manufacturer Reason
for Recall
Paltop Surgical Kits contain 1.25mm Hex Driver(s) which may have a slightly oversized hex driving feature, make it difficult to engage screws and abutments containing the corresponding screw feature
FDA Determined
Cause 2
Process control
Action Keystone Dental initiated recall by phone to each one of the impacted customers. The phone call was then followed by a Recall Notification Letter that was mailed via overnight FedEx mail on February 22, 2019. Letters states problem and action to take: Replacement 1.25mm Hex Driver(s) have been provided to you with this letter. The 1.25mm Hex Driver(s) currently in your kit should be discarded. Please refer to the images on page 2 to locate the driver within your kit. This issue is limited to this 1.25mm Hex Driver(s) only and no other product within the kit is affected by this issue. Complete the Reply Communication form.
Quantity in Commerce 3 Hex Driver
Distribution FL, MA, SC, VA
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 = PALTOP ADVANCED DENTAL SOLUTIONS LTD
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