The following data is part of a premarket notification filed by William J. Forni, D.d.s. with the FDA for Ultraprox, Interproximal Toothbrush.
| Device ID | K860779 |
| 510k Number | K860779 |
| Device Name: | ULTRAPROX, INTERPROXIMAL TOOTHBRUSH |
| Classification | Pick, Massaging |
| Applicant | WILLIAM J. FORNI, D.D.S. 4655 HOEN AVE. Santa Rosa, CA 95405 |
| Product Code | JET |
| CFR Regulation Number | 872.6650 [🔎] |
| Decision | Substantially Equivalent (SESE) |
| Type | Traditional |
| 3rd Party Reviewed | No |
| Combination Product | No |
| Date Received | 1986-03-03 |
| Decision Date | 1986-04-02 |