The following data is part of a premarket notification filed by Prime Dental Manufacturing, Inc. with the FDA for Prime-dent Hema Desensitizer.
| Device ID | K013970 |
| 510k Number | K013970 |
| Device Name: | PRIME-DENT HEMA DESENSITIZER |
| Classification | Material, Tooth Shade, Resin |
| Applicant | PRIME DENTAL MANUFACTURING, INC. 3735 WEST BELMONT AVE. Chicago, IL 60618 |
| Contact | Rolando Marasigan |
| Correspondent | Rolando Marasigan PRIME DENTAL MANUFACTURING, INC. 3735 WEST BELMONT AVE. Chicago, IL 60618 |
| Product Code | EBF |
| CFR Regulation Number | 872.3690 [🔎] |
| Decision | Substantially Equivalent (SESE) |
| Type | Traditional |
| 3rd Party Reviewed | No |
| Combination Product | No |
| Date Received | 2001-12-03 |
| Decision Date | 2002-02-19 |
| Device Identifier | submissionNumber | Supplement |
|---|---|---|
| 00817169020257 | K013970 | 000 |