AccessGUDID - DEVICE: Palodent® V3 Sectional Matrix System (D0026597301)

GUDID

Device Identifier (DI) Information

Brand Name: Palodent® V3 Sectional Matrix System
Version or Model: 659730
Commercial Distribution Status: In Commercial Distribution
Catalog Number: 659730
Company Name: DENTSPLY INTERNATIONAL INC.

Primary DI Number: D0026597301
Issuing Agency: HIBCC
Commercial Distribution End Date:
Device Count: 50
Labeler D-U-N-S® Number*: 083235549 *Terms of Use

Device Description: Palodent V3 Sectional Matrix System 5.5mm Matrix Bands Refill

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":	No
For Single-Use:	Yes
Prescription Use (Rx):	Yes
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: Keep away from sunlight. Keep dry.
Storage Environment Temperature: between 10 and 24 Degrees Celsius

Clinically Relevant Size

[?]

Size Type Text
Device Size Text, specify: 50x Bands (5.5mm)

Device Record Status

Public Device Record Key: 07cb65aa-f105-4c92-8d2c-a968574b543b
Public Version Date: April 10, 2019
Public Version Number: 1
DI Record Publish Date: April 02, 2019