Stage-1 Tissue Punch, Disposable, 4.5mm; catalog number: ISS141K. Intended for use in partially or fully edentulous mandibles and maxillae, in support of single or multiple-unit restorations.
The cutting edge of tissue punches may be potentially damaged with small dents and nicks.
Worldwide Distribution -- US, to the state of California; and, the countries of Canada and Germany
https://www.accessdata.fda.gov/scripts/ires/index.cfm?Product=Z-1443-2018