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U.S. Department of Health and Human Services

Class 2 Device Recall

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  Class 2 Device Recall see related information
Date Initiated by Firm November 03, 2005
Date Posted November 26, 2005
Recall Status1 Terminated 3 on January 11, 2006
Recall Number Z-0203-06
Recall Event ID 34016
510(K)Number K052477  
Product Classification Bracket, Plastic, Orthodontic - Product Code DYW
Product Damon 3 Bracket
Upper Right lateral .022 slot
Part Number 491-4210
Lot Number100512025 and 100512020
Code Information Lot Number 100512025 and 100512020
Recalling Firm/
Manufacturer
Ormco Corporation
1332 S Lone Hill Ave
Glendora CA 91740-5339
For Additional Information Contact Wendy Urtel
949-255-8767
Manufacturer Reason
for Recall
Two part numbers of Damon 3 Brackets (491-4210 and 491-4211) were prematurely shipped domestically prior to receiving FDA 510K market clearance.
FDA Determined
Cause 2
Other
Action Telephone notification will be followed by letters sent via U.S. first class mail with mailing to commence on Thursday, 11/3/05.
Quantity in Commerce 1560
Distribution Nationwide
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 = DYW and Original Applicant = ORMCO CORP.
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