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Recall Observatory FDA recall evidence

Device product

Affinity Hydroactive Impression Material Heavy Body Regular Set 12PK- A vinyl poly siloxane material used to create, via impression, a reproduction of tooth and gum structure. Product ID: 013912

Z-1100-2022

March 18, 2022

Class II

Product summary

Firm
Clinician's Choice Dental Products Inc.
Event
Event 90031
Status
Terminated
Classification
Class II
Quantity
46 units
Official record key
device-enforcement:Z-1100-2022

Official wording

Reason: Wrong compression material - Template Ultra Quick matrix Material was packaged instead of the Heavy Body viscosity as indicated on the outer packaging of the 12PK

Code information: LOT No.: 611612 (UDI): 07540172000178

Distribution pattern: Distributed in SC.

Derived failure modes

  • Unknown

    reason.no_named_rule · v1.0.0

    Wrong compression material - Template Ultra Quick matrix Material was packaged instead of the Heavy Body viscosity as indicated on the outer packaging of the 12PK