Leading Regeneration

Customer acknowledgement form

Please complete this form even if you do not have any affected stock.

TGA Recall Reference Number: RC-2019-RN-00543-1
Product name: Geistlich Bio-Oss Pen®
All (in-date) Batches
0.5cc, 1cc, and 1.5cc Applicators with Green or Red Cap. 

On behalf of this organization I acknowledge receipt of the Geistlich Bio-Oss Pen® notice dated 04/04/2019 relating to the above product.


Email or fax no.
Telephone no.

Bio-Oss Pen® Stock 

If you have no Bio-Oss Pen® stock, tick this box

If you have Bio-Oss Pen® stock, please complete the stock details table below.

Product CodeQuantity of unused stock
500081- Bio-Oss Pen® 0.25-1mm, 0.25g o.5cc
500082 – Bio-Oss Pen® 0.25-1mm, 0.5g 1cc
500083 – Bio-Oss Pen® 1-2mm, 0.5g 1.5cc
Total Bio-Oss Pen® stock

Please Complete the acknowledgement form even if you do not have any Bio-Oss Pen® stock and return it to info@geistlich.com.au or FAX 1800709698 to reconcile this process.

Clinical Case Successfully Submitted

Thank you for submitting your clinical case.