Tray Adhesive

GUDID D701DTA22

Tray Adhesive 29.5 mL bottle

PULPDENT CORPORATION

Dental impression material adhesive

• Primary Device ID: D701DTA22
• NIH Device Record Key: 942cde4a-dd8b-42d1-bb1a-a041e976e2fc
• Commercial Distribution Status: In Commercial Distribution
• Brand Name: Tray Adhesive
• Version Model Number: DTA2
• Company DUNS: 001006089
• Company Name: PULPDENT CORPORATION
• Device Count: 1
• DM Exempt: false
• Pre-market Exempt: true
• 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
HIBCC	D701DTA22 [Primary]

FDA Product Code

• EBL: Pin, Retentive And Splinting, And Accessory Instruments

Sterilization

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

Device Entry Metadata

• Public Version Status: New
• Device Record Status: Published
• Public Version Number: 1
• Public Version Date: 2021-10-01
• Device Publish Date: 2021-09-23

Devices Manufactured by PULPDENT CORPORATION

• D701T20G191 - Applicator Tips: 2024-12-11 Automix Tips, clear, with bendable 19-gauge metal cannula - Pkg of 20
• D701SVBFUS2 - ACTIVA™ BioACTIVE Bulk Flow: 2024-12-10 1 x 1gm syringe + 2 Automix tips, Universal shade (ShadeFusion), sample
• D701SVKBFUS2 - ACTIVA™ Kids BioACTIVE Bulk Flow: 2024-12-10 1 x 1gm syringe + 2 Automix tips, Universal shade (ShadeFusion), sample
• D701VBF1US2 - ACTIVA™ BioACTIVE Bulk Flow: 2024-12-10 1 x 3mL / 5gm syringe + 10 Automix tips, Universal shade (ShadeFusion)
• D701VKBF1OW2 - ACTIVA™ Kids BioACTIVE Bulk Flow: 2024-12-10 1 x 3mL / 5gm syringe + 10 Automix tips, opaque white shade
• D710VKBF1US2 - ACTIVA™ Kids BioACTIVE Bulk Flow: 2024-12-10 1 x 3mL / 5gm syringe + 10 Automix tips, Universal shade (ShadeFusion)
• D701SUNO2 - DENTASTIC UNO SAMPLE: 2024-02-16 Adhesive, dentine, applicator brush
• D701SVPFA32 - Activa Presto: 2023-06-30 .6 mL sample A3 shade + 5 tips