ClearanceBrief
Recall Z-0704-2017 ยท EBC Sealant, Pit And Fissure, And Conditioner

Ultradent Products, Inc.

UltraSeal XT Plus Clear Refill. The package contains 4x 1.2 ml UltraSeal XT Plus. Product Usage: The UltraSeal XT Plus is used for prophylactic sealing of pits and fissures. It may also be used for micro restorative or initial layer of composite restorations.

DateDec 3, 2016 (initiated Nov 17, 2016)
StatusTerminated
ReasonThere was a labeling error with product, UltraSeal XT Plus Clear Refill, Part Number (PN) 565, Lot Number (Lot) BD79T. The package was mislabeled as PQ1, PN 641; while the barcode, IFU and products were labeled for UltraSeal XT Plus Clear Refill, PN 565, Lot BD79T.
Root causeLabeling mix-ups
ActionConsignees notified via phone on 17Nov2016 and by letter on 22Nov2016 to identify and return products. Consignees with any questions regarding this field action can be sent to 801-553-4858 or 801-553-4220.
Quantity31
DistributionWorldwide Distribution - US Nationwide
FDA recordOpen on fda.gov

510(k) clearances named in this recall

K993846ULTRASEAL XT PLUS
Ultradent Products, Inc., Feb 16, 2000