Rebilda Form

GUDID E22114081

VOCO GmbH

Dental matrix band, single-use

• Primary Device ID: E22114081
• NIH Device Record Key: 10c3c45a-16cf-4abc-83c9-1ba70572fe1d
• Commercial Distribution Status: In Commercial Distribution
• Brand Name: Rebilda Form
• Version Model Number: 1408
• Company DUNS: 316699578
• Company Name: VOCO GmbH
• Device Count: 20
• DM Exempt: false
• Pre-market Exempt: true
• 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: 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: 999-999-9999
• Email: xxx@xx.xx

Device Identifiers

Device Issuing Agency	Device ID
HIBCC	E2211408 [Unit of Use]
HIBCC	E22114081 [Primary]

FDA Product Code

• EHQ: Cusp, Preformed

Sterilization

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

Device Entry Metadata

• Public Version Status: Update
• Device Record Status: Published
• Public Version Number: 2
• Public Version Date: 2018-03-29
• Device Publish Date: 2017-11-26

On-Brand Devices [Rebilda Form]

• E22114091: 1409
• E22114081: 1408
• E22114071: 1407