BASIS

GUDID D080XXBSS100GXXD100

YAMAHACHI DENTAL MFG.,CO.

Dental appliance fabrication material, resin Dental appliance fabrication material, resin Dental appliance fabrication material, resin Dental appliance fabrication material, resin Dental appliance fabrication material, resin Dental appliance fabrication material, resin Dental appliance fabrication material, resin Dental appliance fabrication material, resin Dental appliance fabrication material, resin Dental appliance fabrication material, resin Dental appliance fabrication material, resin Dental appliance fabrication material, resin Dental appliance fabrication material, resin Dental appliance fabrication material, resin Dental appliance fabrication material, resin Dental appliance fabrication material, resin Dental appliance fabrication material, resin

• Primary Device ID: D080XXBSS100GXXD100
• NIH Device Record Key: e806e96a-0062-4d92-aa52-2a33ed4d4fa6
• Commercial Distribution Status: In Commercial Distribution
• Brand Name: BASIS
• Version Model Number: 100G,D-10
• Company DUNS: 693430001
• Company Name: YAMAHACHI DENTAL MFG.,CO.
• 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: true
• Lot Batch: true
• Serial Number: false
• Manufacturing Date: false
• Expiration Date: true
• Donation Id Number: false
• Contains Natural Rubber Latex: false
• Labeled No Natural Rubber Latex: false
• RX Perscription: true
• OTC Over-The-Counter: false

Device Identifiers

Device Issuing Agency	Device ID
HIBCC	D080XXBSS100GXXD100 [Primary]

FDA Pre-market Approvals/Notifications & deNovo

• Premarket Notification: K131036

FDA Product Code

• EBI: Resin, Denture, Relining, Repairing, Rebasing

Sterilization

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

Device Entry Metadata

• Public Version Status: New
• Device Record Status: Published
• Public Version Number: 1
• Public Version Date: 2023-10-09
• Device Publish Date: 2023-09-29

On-Brand Devices [BASIS ]

• 04582275718485: 500ml
• 04582275711141: 1kg, V PINK
• 04582275710717: 3kg, O PINK
• 04582275710694: 1kg, O PINK
• 04582275719253: 10kg, V PINK
• D080XXBSSX3KGXXOPN0: 3KG,O PINK
• D080XXBSSX1KGXXVPN0: 1KG,V PINK
• D080XXBSSX1KGXXOPN0: 1KG,O PINK
• D080XXBSS10KGXXVPN0: 10KG,V PINK
• D080XXBSS500MXXXXX0: 500ML
• D080XXBSSXX1LXXXXX0: 1L
• D080XXBSSX40GXXVPN0: 40G,V PINK
• D080XXBSSX40GXXRPN0: 40G,R PINK
• D080XXBSSX40GXXPNK0: 40G,PINK
• D080XXBSSX40GXXOPN0: 40G,O PINK
• D080XXBSSX40GXXLGP0: 40G,LIGHT PINK
• D080XXBSSX40GXXLFW0: 40G,LF W
• D080XXBSSX40GXXLFP0: 40G,LF PINK
• D080XXBSSX40GXXLFA0: 40G,LF α
• D080XXBSSX40GXXDTP0: 40G,D-T PINK
• D080XXBSSX40GXXDRP0: 40G,DARK PINK
• D080XXBSSX40GXXDLP0: 40G,D-LF PINK
• D080XXBSSX40GXXDLA0: 40G,D-LF α
• D080XXBSSX40GXXD100: 40G,D-10
• D080XXBSSX40GXXCLE0: 40G,CLEAR
• D080XXBSSX3KGXXVPN0: 3KG,V PINK
• D080XXBSSX3KGXXRPN0: 3KG,R PINK
• D080XXBSSX3KGXXPNK0: 3KG,PINK
• D080XXBSSX3KGXXLGP0: 3KG,LIGHT PINK
• D080XXBSSX3KGXXLFW0: 3KG,LF W
• D080XXBSSX3KGXXLFP0: 3KG,LF PINK
• D080XXBSSX3KGXXLFA0: 3KG,LF α
• D080XXBSSX3KGXXDTP0: 3KG,D-T PINK
• D080XXBSSX3KGXXDRP0: 3KG,DARK PINK
• D080XXBSSX3KGXXDLP0: 3KG,D-LF PINK
• D080XXBSSX3KGXXDLA0: 3KG,D-LF α
• D080XXBSSX3KGXXD100: 3KG,D-10
• D080XXBSSX3KGXXCLE0: 3KG,CLEAR
• D080XXBSSX1KGXXRPN0: 1KG,R PINK
• D080XXBSSX1KGXXPNK0: 1KG,PINK
• D080XXBSSX1KGXXLGP0: 1KG,LIGHT PINK
• D080XXBSSX1KGXXLFW0: 1KG,LF W
• D080XXBSSX1KGXXLFP0: 1KG,LF PINK
• D080XXBSSX1KGXXLFA0: 1KG,LF α
• D080XXBSSX1KGXXDTP0: 1KG,D-T PINK
• D080XXBSSX1KGXXDRP0: 1KG,DARK PINK
• D080XXBSSX1KGXXDLP0: 1KG,D-LF PINK
• D080XXBSSX1KGXXDLA0: 1KG,D-LF α
• D080XXBSSX1KGXXD100: 1KG,D-10
• D080XXBSSX1KGXXCLE0: 1KG,CLEAR