DEVICE: Light Bond (D798BILBPF0)

Notice: Any discrepancies with this record compared to the label?
If so, send a picture of the label to GUDIDSupport@fda.hhs.gov.

Device Identifier (DI) Information

Light Bond
BILBPF
In Commercial Distribution
BILBPF
RELIANCE ORTHODONTIC PRODUCTS INC
D798BILBPF0
HIBCC

1
113170088 *Terms of Use
Light Bond is intended for use as a light cure bracket and lingual retainer adhesive. Light Bond™ LIGHT CURE SEALANT AND BRACKET BONDING SYSTEM KIT WITH FLUORIDE PRODUCT FEATURES: SMOOTH, TACKY PASTE VISCOSITY: The viscosity of Light Bond™ Regular Paste is very tacky which helps prevent bracket flotation. NO MIXING - UNLIMITED WORKING TIME: Light Bond™ is a photo initiated adhesive that offers the operator unlimited working time to position brackets and clean flash. BONDS TO METAL, CERAMIC & COMPOSITE SURFACES: Light Bond™ will bond to any enamel, porcelain, composite or metal surface, when properly conditioned. This is the 2 syringe kit configuration
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Device Characteristics

Labeling does not contain MRI Safety Information
No
No
No
Yes
No
Yes
No
No

GMDN

[?]

GMDN© Term Code, Names and Definitions (*Terms of Use): GMDN® is a registered trademark of The GMDN Agency. All rights reserved. Used under licence from The GMDN Agency Ltd.

GMDN Term Code GMDN Term Name GMDN Term Definition GMDN Term Status [?] Implantable?
31750 Orthodontic bracket adhesive
A bonding compound, e.g., polymethylmethacrylate (PMMA), used specifically to cement an orthodontic bracket to the surface of a tooth. After application, this device cannot be reused.
Active false
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FDA Product Code

[?]
Product Code Product Code Name
DYH Adhesive, Bracket And Tooth Conditioner, Resin
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FDA Premarket Submission

FDA Premarket Submission Number [?] Supplement Number [?]
K895522 000
No CLOSE

Sterilization

No
No
Sterilization Method [?]
No Sterilization Methods Found
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Storage and Handling

[?]
Storage and Handling
Special Storage Condition, Specify: Light Bond can be handled and stored at ambient temperatures
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Clinically Relevant Size

[?]
Size Type Text
No Device Sizes
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Device Record Status

687cc5ca-192f-4a17-b20c-5dcafd97d2f8
September 10, 2018
1
August 10, 2018
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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
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Secondary DI

[?]
Issuing Agency [?] Secondary DI Number
No Secondary DIs found
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Unit of Use DI

[?]
Unit of Use DI Number: No Unit of Use DI Numbers Found CLOSE

Direct Marking (DM)

[?]
No
No
None
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Production Identifier(s) in UDI

[?]
Yes
No
Yes
No
No CLOSE

Customer Contact

[?]
630-773-4009
PAULGROPI@AOL.COM
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