AccessGUDID - DEVICE: Affinity ™ Heavy Body FS 120ml Cartridge (07540172012355)

GUDID

Device Identifier (DI) Information

Brand Name: Affinity ™ Heavy Body FS 120ml Cartridge
Version or Model: 013406
Commercial Distribution Status: In Commercial Distribution
Catalog Number: 013406
Company Name: CLINICIAN'S CHOICE DENTAL PRODUCTS, INC.

Primary DI Number: 07540172012355
Issuing Agency: GS1
Commercial Distribution End Date:
Device Count: 1
Labeler D-U-N-S® Number*: 626406016 *Terms of Use

Device Description: VPS Impression Material

Device Characteristics

What MRI safety information does the labeling contain?	Labeling does not contain MRI Safety Information
Device required to be labeled as containing natural rubber latex or dry natural rubber (21 CFR 801.437):	No
Device labeled as "Not made with natural rubber latex":	No
For Single-Use:	No
Prescription Use (Rx):	No
Over the Counter (OTC):	No
Kit:	No
Combination Product:	No
Human Cell, Tissue or Cellular or Tissue-Based Product (HCT/P):	No

GMDN

[?]

GMDN Term Code	GMDN Term Name	GMDN Term Definition	GMDN Term Status [?]	Implantable?
35866	Silicone dental impression material	An elastomeric, polysiloxane-based material capable of reacting to form a rubber-like substance suitable to reproduce the structure of a patient's teeth and gums, or other oral anatomy, after being placed on an impression tray and inserted into the mouth. This is a single-use device.	Active	false

FDA Product Code

[?]

Product Code	Product Code Name
ELW	MATERIAL, IMPRESSION

FDA Premarket Submission

FDA Premarket Submission Number [?]	Supplement Number [?]
Premarket Submission Number Not Available/Not Released

Device Exempt from Premarket Submission: No CLOSE

Sterilization

Device Packaged as Sterile: No
Requires Sterilization Prior to Use: No

Sterilization Method [?]
No Sterilization Methods Found

Storage and Handling

[?]

Storage and Handling
Storage Environment Temperature: between 18 and 24 Degrees Celsius
Special Storage Condition, Specify: Min Relative Humidity. Ensure Adequate Ventilation

Clinically Relevant Size

[?]

Size Type Text
Total Volume: 120 Milliliter
Device Size Text, specify: cartridge

Device Record Status

Public Device Record Key: a6827515-9562-4aa9-ae2f-80a371410f31
Public Version Date: June 11, 2018
Public Version Number: 1
DI Record Publish Date: May 11, 2018