The following data is part of a premarket notification filed by Beaverstate Dental, Inc. with the FDA for Model A15-101.
| Device ID | K953191 |
| 510k Number | K953191 |
| Device Name: | MODEL A15-101 |
| Classification | Light, Fiber Optic, Dental |
| Applicant | BEAVERSTATE DENTAL, INC. 19425 S.W. 89TH AVE. Tualatin, OR 97062 -8537 |
| Contact | Chuck Whisman |
| Correspondent | Chuck Whisman BEAVERSTATE DENTAL, INC. 19425 S.W. 89TH AVE. Tualatin, OR 97062 -8537 |
| Product Code | EAY |
| CFR Regulation Number | 872.4620 [🔎] |
| Decision | Substantially Equivalent (SESE) |
| Type | Traditional |
| 3rd Party Reviewed | No |
| Combination Product | No |
| Date Received | 1995-06-23 |
| Decision Date | 1995-09-05 |