Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1368-2022Class II

Peak Universal Bond Self-Etch Bottle Kit, Part: 4541; Peak Universal Bond Self-Etch Intro Kit, Part: 4554...

Ultradent Products Inc. / initiated 2022-06-01 / Completed / root cause: design

Ultradent Products, Inc. began a recall of Peak Universal Bond Self-Etch Bottle Kit, Part: 4541; Peak Universal Bond Self-Etch Intro Kit, Part: 4554; Peak SE Primer 4pk Refill, Part: 5135; Peak... on . FDA classified it as Class II and gives the reason as "SE primer may be missing some or all of the resin portion of the chemistry. The absence of resin may impact bond strength and restoration while using the primer". As of , the recall status on record is Completed, and MDM tags the root cause as design.

Recall record

Recall number
Z-1368-2022
Classification
Class II
Status
Completed
Initiated
Posted
Recalling firm
Ultradent Products Inc.
Product
Peak Universal Bond Self-Etch Bottle Kit, Part: 4541; Peak Universal Bond Self-Etch Intro Kit, Part: 4554; Peak SE Primer 4pk Refill, Part: 5135; Peak Universal Bond Sample SE, Part: S4554. For use in light-curing dental bonding procedures.
Product code
KLE Agent, Tooth Bonding, Resin
Reason for recall
SE primer may be missing some or all of the resin portion of the chemistry. The absence of resin may impact bond strength and restoration while using the primer.
Root cause tag
design
FDA root cause
Device Design
Action
On 06/01/22, recall notices were mailed to customers who were asked to do the following: 1) Discard all primers inside affected devices. 2) Complete and return the recall notice response form. Customers with questions regarding product credit may call Customer Service at 1-888-2301420. Customers with questions or concerns related to the primer can contact Customer Concerns at 801-553-4139.
Quantity in commerce
1331 Kits (5009 Syringes)
Distribution
Worldwide distribution - US Nationwide distribution in the states of Florida, Michigan, Nevada, Washington, Colorado, Virginia, Puerto Rico, Wisconsin, Iowa, Tennessee, Arkansas, Minnesota, Wyoming, Maine and the countries of Kuwait, Italy, France, Canada, Spain, Malaysia, Russia, Greece.
Product codes and lots
REF/ UDI-DI/ Lot: 4541/ 00883205104274/ BLRCR, BM1Y7, BM9G3; 4554/ 00883205104281/ BLSGH, BM578, BN449; 5135/ 00883205104311/ BLX3F, BLSGM, BLXSG, BLXW4, BM34M, BM784, BM9KB, BMJVK, BMTZM; S4554/ 00883205102065/ BLRJJ, BM1NH

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1368-2022
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1368-2022Class IICompletedVoluntary: Firm initiated