Blossom DT4011TI

GUDID D742DT4011TI0

Standard Platform, Ø4.0mm x 11.5mm DT Implant, 2mm Collar

INTRA-LOCK INTERNATIONAL, INC.

Dental implant system

• Primary Device ID: D742DT4011TI0
• NIH Device Record Key: fee655e1-7482-4dd0-8038-e84c20202068
• Commercial Distribution Status: In Commercial Distribution
• Brand Name: Blossom
• Version Model Number: DT4011TI
• Catalog Number: DT4011TI
• Company DUNS: 131500998
• Company Name: INTRA-LOCK INTERNATIONAL, 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: 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

Customer Support Contacts

• Phone: 8773300338
• Email: info@intra-lock.com

Device Identifiers

Device Issuing Agency	Device ID
HIBCC	D742DT4011TI0 [Primary]

FDA Pre-market Approvals/Notifications & deNovo

• Premarket Notification: K103194

FDA Product Code

• DZE: Implant, Endosseous, Root-Form

Sterilization

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

Device Entry Metadata

• Public Version Status: Update
• Device Record Status: Published
• Public Version Number: 4
• Public Version Date: 2019-03-29
• Device Publish Date: 2017-02-06

On-Brand Devices [Blossom]

• D742DT4011TI0: Standard Platform, Ø4.0mm x 11.5mm DT Implant, 2mm Collar
• D742SGC0: Gs Gold Cylinder Abutment, w/ Retaining Screw
• D742S15NM0: No Margin Gs 15° Angled Abutment, w/ Retaining Screw
• D742OPCAS0: One-Piece Plastic Castable Abutment, Slim
• D742OPCA0: One-Piece Plastic Castable Abutment
• D742IS3415TI0: Blossom™ SQ Platform, Ø3.4mm x 15mm Implant, Short Collar + Cover Screw
• D742IS3410TI0: Blossom™ SQ Platform, Ø3.4mm x 10mm Implant, Short Collar + Cover Screw
• D742IS3408TI0: Blossom™ SQ Platform, Ø3.4mm x 8mm Implant, Short Collar + Cover Screw
• D742I6011STI0: Wide Platform, Ø6.0mm x 11.5mm Blossom™ Implant, Short Collar
• D742I6010STI0: Wide Platform, Ø6.0mm x 10mm Blossom™ Implant, Short Collar
• D742I6008STI0: Wide Platform, Ø6.0mm x 8mm Blossom™ Implant, Short Collar
• D742I6006STI0: Wide Platform, Ø6.0mm x 6.5mm Blossom™ Implant, Short Collar
• D742I4713STI0: Wide Platform, Ø4.75mm x 13mm Blossom™ Implant, Short Collar
• D742I4711STI0: Wide Platform, Ø4.75mm x 11.5mm Blossom™ Implant, Short Collar
• D742I4710STI0: Wide Platform, Ø4.75mm x 10mm Blossom™ Implant, Short Collar
• D742I4708STI0: Wide Platform, Ø4.75mm x 8mm Blossom™ Implant, Short Collar
• D742BLCT4015S0: Blossom™ Implant CT Ø4 x 15 mm
• D742BLCT4013S0: Blossom™ Implant CT Ø4 x 13 mm
• D742BLCT4011S0: Blossom™ Implant CT Ø4 x 11.5 mm
• D742BLCT4010S0: Blossom™ Implant CT Ø4 x 10 mm
• D742BL4008STI0: Blossom™ Implant Ø4.0mm x 8mm Straight, Short Collar
• D742IS3710TI0: SQ Platform, Ø3.75mm x 10mm Implant, Short Collar, Conic
• D742IS3413TI0: Blossom™ SQ Platform, Ø3.4mm x 13mm Implant, Short Collar + Cover Screw
• D742IS3411TI0: Blossom™ SQ Platform, Ø3.4mm x 11.5mm Implant, Short Collar + Cover Screw
• D742S60060: Gold & Blue, Ø6.0mm x 6.5mm Blossom™ Implant, Short Collar
• D742S47080: Gw Blossom™ Implant Ø4.75 x 8mm + Cover Screw
• D742S47060: Gw Blossom™ Implant Ø4.75 x 6.5mm + Cover Screw
• D742S60100: Gold & Blue, Ø6.0mm x 10mm Blossom™ Implant, Short Collar
• D742S60080: Gold & Blue, Ø6.0mm x 8mm Blossom™ Implant, Short Collar
• D742CS50: Countersink Drill Ø4.75mm and 5.0mm
• D742CS30: Countersink Drill Ø3.4mm & 3.75mm
• D742CS0: Countersink Drill Ø4mm
• D742SHAW60: Gw Healing Abutment, Wide, 6mm Cuff
• D742SAA250: Gs 25° Angled Abutment, w/ Retaining Screw, 1mm Cuff
• D742SAA1520: Gs 15° Angle Abutment 2mm Cuff, w/ Retaining Screw
• D742SAA150: Gs 15° Angle Abutment 1mm Cuff, w/ Retaining Screw
• D742CTA170: Conic Titanium Abutment 17 Deg w/ Retaining Screw
• D742CCA170: Conic Castable Abutment 17 Deg w/ Retaining Screw
• D742SFAW30: Gw FlatOne® Abutment Height 3mm, Wide
• D742SFAW10: Gw FlatOne® Abutment Height 1mm, Wide
• D742SFAW20: Gw FlatOne® Abutment Height 2mm, Wide
• D742S47110: Gw Blossom™ Implant Ø4.75 x 11.5mm + Cover Screw
• D742S47100: Gw Blossom™ Implant Ø4.75 x 10mm + Cover Screw