The following data is part of a premarket notification filed by Dentaurum with the FDA for Dentaurum Mix Two-paste Bracket Adhesive.
| Device ID | K030977 | 
| 510k Number | K030977 | 
| Device Name: | DENTAURUM MIX TWO-PASTE BRACKET ADHESIVE | 
| Classification | Adhesive, Bracket And Tooth Conditioner, Resin | 
| Applicant | DENTAURUM 10 PHEASANT RUN Newtown, PA 18940 | 
| Contact | Jan W.a. Doorschodt | 
| Correspondent | Jan W.a. Doorschodt DENTAURUM 10 PHEASANT RUN Newtown, PA 18940  | 
| Product Code | DYH | 
| CFR Regulation Number | 872.3750 [🔎] | 
| Decision | Substantially Equivalent (SESE) | 
| Type | Traditional | 
| 3rd Party Reviewed | No | 
| Combination Product | No | 
| Date Received | 2003-03-28 | 
| Decision Date | 2003-08-25 |