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U.S. Department of Health and Human Services

Class 3 Device Recall Chromaclone PVS Heavy (Regular Set)

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  Class 3 Device Recall Chromaclone PVS Heavy (Regular Set) see related information
Date Initiated by Firm February 04, 2013
Date Posted February 13, 2013
Recall Status1 Terminated 3 on May 30, 2013
Recall Number Z-0811-2013
Recall Event ID 64272
510(K)Number K972027  
Product Classification Material, impression - Product Code ELW
Product Ultradent Products, Chromaclone PVS, Regular Set heavy body, Bubble Gum Flavor, 50 ml, Impression Material, Part No. 5012, Lot No. B7PPC. Used in prosthodontics.
Code Information Part No. 5012, Lot No. B7PPC
Recalling Firm/
Manufacturer		 Ultradent Products, Inc.
505 W 10200 S
South Jordan UT 84095-3935
For Additional Information Contact Corey Jaseph
801-553-4420
Manufacturer Reason
for Recall		 Incorrect packaging of regular set and fast set cartridges.
FDA Determined
Cause 2		 Packaging process control
Action Ultradent Products, Inc. sent an Urgent Medical Device Correction letter dated February 4, 2013, to all affected customers. The letter identified the product, the problem, and the action to be taken by the customer. Customers were instructed to check their inventory for the affected products. They may continue to use product or dispose unwanted cartridges and reply back to firm indicating acknowledgement of letter and if replacement is needed. Consumers with questions can call the firm at 801-553-4420. For questions regarding this recall call 801-553-4420.
Quantity in Commerce 32 cartridges
Distribution Nationwide Distribution
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 = ELW and Original Applicant = ZHERMACK S.P.A.
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