Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-2580-2023Class II

Henry Schein Hard Line Chairside Reline kit-Resilient Acrylic Denture Relining Material KI Item No...

Keystone Industries / initiated 2023-04-10 / Open, Classified / root cause: packaging

Keystone Industries began a recall of Henry Schein Hard Line Chairside Reline kit-Resilient Acrylic Denture Relining Material KI Item No.: 0921940HS Henry Schein Item No.: 570-0718 on . FDA classified it as Class II and gives the reason as "The Hard Line Chairside Reline Kit (570-0718) (0921940HS) was labeled as Soft Line Chairside Reline Kit (570-0717) (0921250HS) on the outer box. The contents of the Kit and the IFU enclosed with the kit were correctly...". As of , the recall status on record is Open, Classified, and MDM tags the root cause as packaging.

Recall record

Recall number
Z-2580-2023
Classification
Class II
Status
Open, Classified
Initiated
Posted
Recalling firm
Keystone Industries
Product
Henry Schein Hard Line Chairside Reline kit-Resilient Acrylic Denture Relining Material KI Item No.: 0921940HS Henry Schein Item No.: 570-0718
Product code
EBI Resin, Denture, Relining, Repairing, Rebasing
Reason for recall
The Hard Line Chairside Reline Kit (570-0718) (0921940HS) was labeled as Soft Line Chairside Reline Kit (570-0717) (0921250HS) on the outer box. The contents of the Kit and the IFU enclosed with the kit were correctly labeled as Hard Line materials
Root cause tag
packaging
FDA root cause
Packaging process control
Action
Keystone Industries notified the wholesaler on 4/10/23 via via email to initiate a warehouse alert and hold further shipments. A follow-up Letter was sent to the Wholesaler by email on April 12, 2023, with instructions for conducting the recall. The Wholesaler in turn sent a Recall Notification to all end user facilities on April 13, 2023. Letter states reason for recall, health risk and action to take: 1. Contact the appropriate warehouses identified above and issue an alert to stop all shipments of the affected product. 2. Have each warehouse check their inventory to determine if any of the affected product remains in their stock and segregate all affected units from inventory for return. 3. Implement appropriate control measures to quarantine any future shipments of the affected product that may be in transit to your warehouses. 4. Review distribution records and trace all affected product kits sent to customers. 5. Send Recall Notification on Henry Schein letterhead to all identified customers that received product, instructing them to return all affected products to your appropriate distribution center. Provide a copy of the Customer Recall Notification Letter template to Keystone Industries for submission to the FDA. 6. Quarantine all product returned from customers until the completion of the recall. Recall should end within 15 working days of issuing the Customer Recall Notifications. 7. Provide Keystone with a final report which records the amount of product returned from each Henry Schein distribution warehouse, amount originally shipped to each customer, number of customers, and number of products returned from each customer. 8. Upon completion of the recall, return all affected products to Keystone Industries by requesting Return Materials Authorization (RMA) number and scheduling product pickup with your appropriate sales representative. Complete the attached Acknowledgement of Medical Device Correction Form and return within 5 days of receiving this
Quantity in commerce
240 units
Distribution
US Nationwide distribution in the states of IL, PA, FL NV, TX.
Product codes and lots
UDI: +H65857007171/$$325120723B058BP Lot Number: 23B058B

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-2580-2023
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-2580-2023Class IIOngoingVoluntary: Firm initiated