AccessGUDID - DEVICE: Perfect A Smile (D798PPC40)

GUDID

Device Identifier (DI) Information

Brand Name: Perfect A Smile
Version or Model: PPC4
Commercial Distribution Status: In Commercial Distribution
Catalog Number: PPC4
Company Name: RELIANCE ORTHODONTIC PRODUCTS INC

Primary DI Number: D798PPC40
Issuing Agency: HIBCC
Commercial Distribution End Date:
Device Count: 1
Labeler D-U-N-S® Number*: 113170088 *Terms of Use

Device Description: Pontic Paint is intended for use as a light cure coloring agent of thermoplastic aligners. This patented formula works with clear thermoforming aligner plastics. It is not recommended for use with cloudy (C) thermoforming materials. This is a 4g jar of the C4 Shade pontic paint.

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:	No
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?
44728	Dental shaded pontic kit	A collection of devices intended to be used to produce artificial tooth veneers (shaded pontics) typically inside clear plastic custom-made teeth aligners (retainer-style orthodontic appliances). This is used to create the appearance of teeth inside the aligner to cover spaces where teeth may be missing for aesthetic purposes during treatment to realign teeth. The contents of the device may include polymer-based materials, dispenser gun, mixing tips, applicator brushes and practice aligner.	Active	false

FDA Product Code

[?]

Product Code	Product Code Name
NXC	Aligner, Sequential

FDA Premarket Submission

FDA Premarket Submission Number [?]	Supplement Number [?]
K130237	000

Device Exempt from Premarket Submission: No 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 (15-30 degrees C)

Clinically Relevant Size

[?]

Size Type Text
No Device Sizes

Device Record Status

Public Device Record Key: c1dfc332-5119-49ce-becf-611a5d208c3a
Public Version Date: September 18, 2019
Public Version Number: 1
DI Record Publish Date: September 10, 2019