Wagotrix

Basic Information

• Brand Name: Wagotrix
• Primary DI: 00850028211434
• Version / Model: WGSMIK
• Catalog Number: WGSMIK
• Company Name: GoldenDent
• Labeler DUNS: 078273228
• Distribution Status: In Commercial Distribution
• Device Count in Pkg: 1
• Record Status: Published
• Publish Date: 2021-02-25
• Public Version: 1
• Public Version Date: 2021-03-05
• Public Version Status: New
• Public Device Record Key: c941c474-d771-40de-bafd-de69c89c2911

Device Description

WagoTrix Sectional Matrix System Intro Kit includes: 3.5 Anatomical Matrix Refill - Qty 25, 4.5 Anatomical Matrix Refill - Qty 25, 5.5 Anatomical Matrix Refill - Qty 25, 6.5 Anatomical Matrix Refill - Qty 25, Wedge - Small - Qty 25, Wedge - Medium - Qty 25, Wedge - Large - Qty 25, Matrix Ring Universal - Qty 35, Matrix Pin Holder - Qty 1, Matrix Ring Forceps - Qty 1

Device Characteristics

• Single Use: No
• Prescription Use (Rx): No
• Over the Counter (OTC): No
• Kit: Yes
• 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: No
• PM Exempt: Yes
• Has Serial Number: No
• Has Lot/Batch Number: Yes
• Has Manufacturing Date: Yes
• Has Expiration Date: No
• Has Donation ID: No

Sterilization

• Is Sterile: No
• Sterilization Prior Use: Yes
• Sterilization Methods: Moist Heat or Steam Sterilization

Product Codes

Code	Name	Medical Specialty	Regulation #	Device Class
JEP	RETAINER, MATRIX	Dental	872.4565	1
EKF	INSTRUMENT, CONTOURING, MATRIX, OPERATIVE	Dental	872.4565	1
EJB	HANDLE, INSTRUMENT, DENTAL	Dental	872.4565	1
DZN	INSTRUMENTS, DENTAL HAND	Dental	872.4565	1

GMDN Terms

Code	Name	Definition	Implantable	Status
62764	Dental matrix band kit	A collection of non-sterile devices intended for the temporary introduction of a dental matrix band to form a mould around a tooth prior to tooth restoration using a direct restorative material (not included). Often referred to as a dental matrix system, it includes a matrix band(s), matrix band tensioner, dental wedge, and appropriate forceps. This device is reusable after appropriate cleaning/sterilization of the reusable instruments, and when the consumable products have been replenished.	No	Active

Identifiers

Type	ID	Issuing Agency	Package Type	Qty per Pkg	Pkg Status	Pkg Discontinue Date
Primary	00850028211434	GS1