PEDO-ADAPTABLE CLASS III MASK 155-121

GUDID D7751551210

PEDO-ADAPTABLE CLASS III MASK

GREAT LAKES ORTHODONTICS, LTD.

Orthodontic extraoral headgear

• Primary Device ID: D7751551210
• NIH Device Record Key: 573c9dba-c892-4693-a24d-27ca00e8d6d4
• Commercial Distribution Status: In Commercial Distribution
• Brand Name: PEDO-ADAPTABLE CLASS III MASK
• Version Model Number: 155-121
• Catalog Number: 155-121
• Company DUNS: 041854332
• Company Name: GREAT LAKES ORTHODONTICS, LTD.
• 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: false
• Serial Number: false
• Manufacturing Date: true
• Expiration Date: false
• 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: 8008287626
• Email: info@greatlakesortho.com
• Phone: 8008287626
• Email: info@greatlakesortho.com
• Phone: 8008287626
• Email: info@greatlakesortho.com
• Phone: 8008287626
• Email: info@greatlakesortho.com
• Phone: 8008287626
• Email: info@greatlakesortho.com
• Phone: 8008287626
• Email: info@greatlakesortho.com
• Phone: 8008287626
• Email: info@greatlakesortho.com
• Phone: 8008287626
• Email: info@greatlakesortho.com
• Phone: 8008287626
• Email: info@greatlakesortho.com
• Phone: 8008287626
• Email: info@greatlakesortho.com
• Phone: 8008287626
• Email: info@greatlakesortho.com
• Phone: 8008287626
• Email: info@greatlakesortho.com
• Phone: 8008287626
• Email: info@greatlakesortho.com
• Phone: 8008287626
• Email: info@greatlakesortho.com
• Phone: 8008287626
• Email: info@greatlakesortho.com
• Phone: 8008287626
• Email: info@greatlakesortho.com
• Phone: 8008287626
• Email: info@greatlakesortho.com
• Phone: 8008287626
• Email: info@greatlakesortho.com

Device Identifiers

Device Issuing Agency	Device ID
HIBCC	D7751551210 [Primary]

FDA Pre-market Approvals/Notifications & deNovo

• Premarket Notification: K861424

FDA Product Code

• DZB: Headgear, Extraoral, Orthodontic

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: 2016-05-18

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• D7753004060 - RETRACTOR - LARGE WHITE *I: 2018-10-05 RETRACTOR - LARGE WHITE *I
• D7753004140 - RETRACTOR - SMALL RED *I: 2018-10-05 RETRACTOR - SMALL RED *I
• D7753006120 - LARGE LIP RETRACTOR *O: 2018-10-05 LARGE LIP RETRACTOR *O
• D7753006140 - SMALL LIP RETRACTOR *O: 2018-10-05 SMALL LIP RETRACTOR *O
• D7753006260 - GL INTRAORAL MOUTH PROPS: 2018-10-05 GL INTRAORAL MOUTH PROPS
• D7753006270 - GL INTRAORAL MOUTH PROPS: 2018-10-05 GL INTRAORAL MOUTH PROPS