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U.S. Department of Health and Human Services

Class 2 Device Recall IMPAK ELASTIC ACRYLIC RESIN LIQUID

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  Class 2 Device Recall IMPAK ELASTIC ACRYLIC RESIN LIQUID see related information
Date Initiated by Firm September 12, 2018
Create Date October 30, 2018
Recall Status1 Terminated 3 on May 19, 2020
Recall Number Z-0292-2019
Recall Event ID 81206
Product Classification Resin, denture, relining, repairing, rebasing - Product Code EBI
Product IMPAK Elastic Acrylic Resin Liquid Heat Cure Type 1, Class I, 1 Quart (946ml)
REF:3306. Product Usage - Impak Elastic Acrylic Resin Liquid, Used for Dental Splints and Dental Nightguards
Code Information Lot Number: 85623 , 85827
Recalling Firm/
Manufacturer
CMP Industries, Llc
413 N Pearl St
Albany NY 12207-1311
For Additional Information Contact SAME
518-434-3147
Manufacturer Reason
for Recall
Foreign material in product
FDA Determined
Cause 2
Material/Component Contamination
Action Nobilium, A Division of CMP Industries LLC notified customer by phone and certified mail on 9/12/18 advising users of the problem and to return product.. Distributors requested to notify the user level (dental laboratory who processed this material. Questions, call 518-434-3147, extension 144, M-F 8-4:30pm (Eastern).
Quantity in Commerce 400 units
Distribution Worldwide distribution, US Nationwide in the states of CA, FL, IL, MI, NY, OK, OR, PA, TX, WA and countries of Canada and Spain.
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.
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