AccessGUDID - DEVICE: Palodent® 360 (D0026596011)

GUDID

Device Identifier (DI) Information

Brand Name: Palodent® 360
Version or Model: 659601
Commercial Distribution Status: In Commercial Distribution
Catalog Number: 659601
Company Name: DENTSPLY INTERNATIONAL INC.

Primary DI Number: D0026596011
Issuing Agency: HIBCC
Commercial Distribution End Date:
Device Count: 48
Labeler D-U-N-S® Number*: 083235549 *Terms of Use

Device Description: Palodent® 360 Matrice Refill - Size 4.5mm

Device Characteristics

What MRI safety information does the labeling contain?	Labeling does not contain MRI Safety Information
Device required to be labeled as containing natural rubber latex or dry natural rubber (21 CFR 801.437):	No
Device labeled as "Not made with natural rubber latex":	Yes
For Single-Use:	Yes
Prescription Use (Rx):	No
Over the Counter (OTC):	No
Kit:	No
Combination Product:	No
Human Cell, Tissue or Cellular or Tissue-Based Product (HCT/P):	No

GMDN

[?]

GMDN Term Code	GMDN Term Name	GMDN Term Definition	GMDN Term Status [?]	Implantable?
38786	Dental matrix band, single-use	A band or strip of strong material (typically a transparent plastic) or a short tube that is used to form a mould around a tooth for the insertion of restorative materials. The device is typically held snugly around the tooth by a matrix retainer. This is a single-use device.	Active	false

FDA Product Code

[?]

Product Code	Product Code Name
DZN	INSTRUMENTS, DENTAL HAND

FDA Premarket Submission

FDA Premarket Submission Number [?]	Supplement Number [?]
Premarket Submission Number Not Available/Not Released

Device Exempt from Premarket Submission: Yes CLOSE

Sterilization

Device Packaged as Sterile: No
Requires Sterilization Prior to Use: No

Sterilization Method [?]
No Sterilization Methods Found

Storage and Handling

[?]

Storage and Handling
Special Storage Condition, Specify: Store at room temperature.
Storage Environment Temperature: between 2 and 24 Degrees Celsius
Special Storage Condition, Specify: Keep away from moisture or excessive humidity.

Clinically Relevant Size

[?]

Size Type Text
Device Size Text, specify: 48 Matrices, Size 4.5mm (Dark Blue)

Device Record Status

Public Device Record Key: 1963a0f7-80bb-4b7a-ad79-c866d18ae226
Public Version Date: August 24, 2022
Public Version Number: 1
DI Record Publish Date: August 16, 2022

Alternative and Additional Identifiers Additional Identifiers

Package DI

[?]

Package DI Number	Quantity per Package	Contains DI Package	Package Discontinue Date	Package Status	Package Type
No Package DIs found

Secondary DI

[?]

Issuing Agency [?]	Secondary DI Number
No Secondary DIs found

Unit of Use DI

[?]

Unit of Use DI Number: D0026596010 CLOSE

Direct Marking (DM)

[?]

Device Subject to Direct Marking (DM), but Excepted: No
DM DI Different from Primary DI: No
DM DI Number: None
CLOSE

Production Identifier(s) in UDI

[?]

Lot or Batch Number: Yes
Serial Number: No
Expiration Date: Yes
Manufacturing Date: No
Donation Identification Number: No CLOSE

Customer Contact

[?]

Phone: +1(800)532-2855
Email: MilfordDE-Customer-Service@dentsplysirona.com

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