PROVITEMP PTEMP1-10

GUDID 03760260221030

ITENA CLINICAL

Dental composite resin Dental composite resin Dental composite resin Dental composite resin Dental composite resin Dental composite resin Dental composite resin

• Primary Device ID: 03760260221030
• NIH Device Record Key: ae745cce-2992-40a4-9252-cec9796fc1da
• Commercial Distribution Status: In Commercial Distribution
• Brand Name: PROVITEMP
• Version Model Number: Automix syringe
• Catalog Number: PTEMP1-10
• Company DUNS: 278261221
• Company Name: ITENA CLINICAL
• Device Count: 1
• DM Exempt: false
• Pre-market Exempt: false
• MRI Safety Status: Labeling does not contain MRI Safety Information
• Human Cell/Tissue Product: false
• Device Kit: false
• Device Combination Product: false
• Single Use: false
• Lot Batch: true
• Serial Number: false
• Manufacturing Date: false
• Expiration Date: true
• Donation Id Number: false
• Contains Natural Rubber Latex: false
• Labeled No Natural Rubber Latex: false
• RX Perscription: true
• OTC Over-The-Counter: false

Device Identifiers

Device Issuing Agency	Device ID
GS1	03760260221030 [Primary]

FDA Product Code

• EMA: Cement, Dental

Sterilization

• Steralize Prior To Use: false
• Device Is Sterile: false

Device Entry Metadata

• Public Version Status: Update
• Device Record Status: Published
• Public Version Number: 3
• Public Version Date: 2022-11-10
• Device Publish Date: 2016-10-15

On-Brand Devices [PROVITEMP]

• 03760260221221: Automix syringe
• 03760260221030: Automix syringe