| Primary Device ID | 10852253006219 |
| NIH Device Record Key | e81f0155-4a59-401f-8cd2-6a1064b055d9 |
| Commercial Distribution Status | In Commercial Distribution |
| Brand Name | FormCore DC |
| Version Model Number | 28700100 |
| Company DUNS | 021866033 |
| Company Name | J. MORITA U.S.A., INC |
| 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 | true |
| Device Combination Product | false |
| Single Use | true |
| 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 Issuing Agency | Device ID |
|---|---|
| GS1 | 10852253006219 [Primary] |
| EBF | Material, Tooth Shade, Resin |
| Steralize Prior To Use | false |
| Device Is Sterile | false |
| Public Version Status | Update |
| Device Record Status | Published |
| Public Version Number | 4 |
| Public Version Date | 2020-01-28 |
| Device Publish Date | 2016-09-22 |
| 18522530060211 | Dental Composite Resin for Core Build-up |
| 10852253006219 | Dental Composite Resin for Core Build-up |
Mark Image Registration | Serial | Company Trademark Application Date |
|---|---|
![]() FORMCORE DC 78958335 3286386 Dead/Cancelled |
J. Morita USA, Inc. 2006-08-23 |