Ultra-Lite

GUDID 04713909450505

ROLENCE ENTERPRISE INC.

Dental/surgical polymerization lamp

• Primary Device ID: 04713909450505
• NIH Device Record Key: b1043764-9d30-40e9-bc66-ccb20d8cf8d3
• Commercial Distribution Discontinuation: 2021-09-23
• Commercial Distribution Status: In Commercial Distribution
• Brand Name: Ultra-Lite
• Version Model Number: 5 Turbo
• Company DUNS: 656096658
• Company Name: ROLENCE ENTERPRISE INC.
• Device Count: 1
• DM Exempt: false
• Pre-market Exempt: false
• 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: false
• Serial Number: true
• Manufacturing Date: false
• Expiration Date: false
• Donation Id Number: false
• Contains Natural Rubber Latex: false
• Labeled No Natural Rubber Latex: false
• RX Perscription: false
• OTC Over-The-Counter: false

Device Identifiers

Device Issuing Agency	Device ID
GS1	04713909450505 [Primary]

FDA Pre-market Approvals/Notifications & deNovo

• Premarket Notification: K001719

FDA Product Code

• EBZ: Activator, Ultraviolet, For Polymerization

Sterilization

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

Device Entry Metadata

• Public Version Status: Update
• Device Record Status: Published
• Public Version Number: 3
• Public Version Date: 2018-07-06
• Device Publish Date: 2016-09-23

On-Brand Devices [Ultra-Lite]

• 04713909450505: 5 Turbo
• 04713909450406: R1/R2/R3
• 04713909450390: R1/R2/R3