Rubber Dam Clamp, KSK - Product Usage: used for prevention of contamination by saliva and moistur...
FDA Device Recall #Z-1676-2021 — Class II — April 21, 2021
Recall Summary
| Recall Number | Z-1676-2021 |
| Classification | Class II — Moderate risk |
| Date Initiated | April 21, 2021 |
| Status | Terminated |
| Voluntary | Voluntary: Firm initiated |
Recalling Firm
| Firm | Dentech Corp. |
| Location | Tokyo, N/A |
| Product Type | Devices |
| Quantity | 87,842 UNITS |
Product Description
Rubber Dam Clamp, KSK - Product Usage: used for prevention of contamination by saliva and moisture prevention during dental treatment.
Reason for Recall
Removing parts for safety reasons due to possible breakage.
Distribution Pattern
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.
Lot / Code Information
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.
Frequently Asked Questions
Contact your healthcare provider and the device manufacturer immediately. Check whether your specific model number and lot number are included in the recall scope. For external devices, stop using the affected product and arrange a replacement. For implanted devices, do not panic — removal is typically not required unless the risk assessment clearly indicates it. Your physician will guide you based on your individual clinical situation and the FDA's recommended actions. Report any adverse effects you may have experienced to FDA MedWatch at 1-800-FDA-1088.
Class I recalls indicate a reasonable probability of serious adverse health consequences or death from the defect. Class II recalls involve products that may cause temporary or medically reversible adverse health consequences, or where serious consequences are remote. Class III recalls cover products not likely to cause any adverse health consequences, typically involving technical regulatory violations. The classification guides urgency — Class I recalls require immediate action, while Class III may simply involve returning a product or acknowledging a labeling change. Always read the specific recall notice for recommended patient actions.
Report problems with medical devices to the FDA through MedWatch at 1-800-FDA-1088 or online at FDA.gov/safety/medwatch. Healthcare facilities are required by law to report device-related serious injuries and deaths. Patients and consumers can also report voluntarily. Include the device name, manufacturer, model number, and a description of the problem and any patient outcome. Reports from patients and clinicians help the FDA identify emerging safety signals and may trigger investigations that lead to recalls of dangerous devices.
What Should You Do?
Stop using this device if you are affected by this recall. Contact your healthcare provider and the manufacturer immediately for guidance. Report adverse events to FDA MedWatch.