Evanesce™ Nano-Enhanced Universal Restorative Single Dose BL1UX

Basic Information

• Brand Name: Evanesce™ Nano-Enhanced Universal Restorative Single Dose BL1UX
• Primary DI: 00359883006402
• Version / Model: 323569
• Catalog Number: 323569
• Company Name: DEN-MAT HOLDINGS, LLC
• Labeler DUNS: 809857704
• Distribution Status: In Commercial Distribution
• Device Count in Pkg: 1
• Record Status: Published
• Publish Date: 2025-03-12
• Public Version: 1
• Public Version Date: 2025-03-20
• Public Version Status: New
• Public Device Record Key: bcfa44b7-a644-4642-bea2-c7e00c6ab9fa

Device Description

Dental Composite Resin

Device Characteristics

• Single Use: Yes
• Prescription Use (Rx): Yes
• Over the Counter (OTC): No
• Kit: No
• Combination Product: Yes
• HCT/P: No
• Contains NRL: No
• Not Made with NRL: No
• MRI Safety: Labeling does not contain MRI Safety Information
• Direct Marking Exempt: Yes
• PM Exempt: No
• Has Serial Number: No
• Has Lot/Batch Number: Yes
• Has Manufacturing Date: No
• Has Expiration Date: Yes
• Has Donation ID: No

Sterilization

• Is Sterile: No
• Sterilization Prior Use: No

Product Codes

Code	Name	Medical Specialty	Regulation #	Device Class
EBF	Material, tooth shade, resin	Dental	872.3690	2

GMDN Terms

Code	Name	Definition	Implantable	Status
35870	Dental composite resin	A non-sterile substance intended for professional use as a dental luting agent, liner, base, pulp-capping material, pit/fissure sealant, and/or direct dental restorative material, whereby the majority of the setting reaction is based on the self-, light-, or dual-cured polymerization of a dimethacrylate resin [e.g., polymethylmethacrylate (PMMA), polyurethane, or bisphenol-A-diglycidylether methacrylate (Bis-GMA)]; it includes some additional fillers/components (e.g., glass-based, quartz, or ceramic). It may be preloaded into a syringe, and dedicated disposable devices associated with application may be included. After application, this device cannot be reused.	No	Active

Identifiers

Type	ID	Issuing Agency	Package Type	Qty per Pkg	Pkg Status	Pkg Discontinue Date
Primary	00359883006402	GS1

Customer Contacts

• Phone: [phone]
• Email: [email protected]

Premarket Submissions

Submission Number	Supplement Number
K984484	000

Device Sizes

Type	Value	Unit	Text
Weight	0.25	Gram

Storage Conditions

• Type: Special Storage Condition, Specify
• Special Conditions: Avoid heat direct sunlight radical starters Avoid contact with alkali metals hydrides strong oxidizing agents and radical initiators
• Type: Storage Environment Temperature
• Temperature Range: High: 25 Degrees Celsius