Vivid Surebond VII Refill

GUDID D724D0104521

PEARSON DENTAL SUPPLIES, INC.

Dentine bonding agent/set Dentine bonding agent/set Dentine bonding agent/set Dentine bonding agent/set Dentine bonding agent/set Dentine bonding agent/set Dentine bonding agent/set Dentine bonding agent/set Dentine bonding agent/set Dentine bonding agent/set Dentine bonding agent/set Dentine bonding agent/set Dentine bonding agent/set

• Primary Device ID: D724D0104521
• NIH Device Record Key: f02ec311-1b01-4da2-93c1-7cdfa4d140a6
• Commercial Distribution Status: In Commercial Distribution
• Brand Name: Vivid Surebond VII Refill
• Version Model Number: D010452
• Company DUNS: 082874108
• Company Name: PEARSON DENTAL SUPPLIES, 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: true
• 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: false
• OTC Over-The-Counter: false

Device Identifiers

Device Issuing Agency	Device ID
HIBCC	D724D0104521 [Primary]

FDA Product Code

• KLE: Agent, Tooth Bonding, Resin

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: 2024-02-16
• Device Publish Date: 2016-06-21

Devices Manufactured by PEARSON DENTAL SUPPLIES, INC.

• D724D0104501 - Vivid Surebond VII: 2024-02-16
• D724D0104521 - Vivid Surebond VII Refill: 2024-02-16
• D724D0104521 - Vivid Surebond VII Refill: 2024-02-16
• D724S2702601 - Vivid Ceramic Prime: 2024-02-16
• D724B0105080 - Vivid Electrode Tip #11: 2023-04-04
• D724B8805000 - Vivid Surgo Matic: 2023-04-04
• D724B8805020 - Vivid Electrode Tip #1: 2023-04-04
• D724B8805040 - Vivid Electrode Tip #2: 2023-04-04
• D724B8805060 - Vivid Electrode Tip #6: 2023-04-04