The following data is part of a premarket notification filed by S & C Polymer Gmbh with the FDA for Lc Provifill.
| Device ID | K010012 | 
| 510k Number | K010012 | 
| Device Name: | LC PROVIFILL | 
| Classification | Crown And Bridge, Temporary, Resin | 
| Applicant | S & C POLYMER GMBH ROBERT-BOSCH-STRASSE 5 Elmshorn, DE D-25335 | 
| Contact | Jurgen Engelbrecht | 
| Correspondent | Jurgen Engelbrecht S & C POLYMER GMBH ROBERT-BOSCH-STRASSE 5 Elmshorn, DE D-25335 | 
| Product Code | EBG | 
| CFR Regulation Number | 872.3770 [🔎] | 
| Decision | Substantially Equivalent (SESE) | 
| Type | Traditional | 
| 3rd Party Reviewed | No | 
| Combination Product | No | 
| Date Received | 2001-01-02 | 
| Decision Date | 2001-02-14 | 
| Device Identifier | submissionNumber | Supplement | 
|---|---|---|
| EBIB735901 | K010012 | 000 | 
| EBIB735801 | K010012 | 000 | 
| EBIB735711 | K010012 | 000 | 
| EBIB735701 | K010012 | 000 | 
| EBIB735601 | K010012 | 000 | 
| EBIB735411 | K010012 | 000 | 
| EBIB735401 | K010012 | 000 |