BEUDAMED
    FDA Registration Active 🇺🇸 United States

    PROVIDENCE MEDICAL TECHNOLOGY, INC.

    Reg #: 3009394448 · FEI: 3009394448 · Expires 2026
    View on FDA
    Products
    8
    Proprietary Names
    28
    Establishment Types
    4
    Classifications
    8

    Registration Details

    Registration Name
    PROVIDENCE MEDICAL TECHNOLOGY, INC.
    Registration Number
    3009394448
    FEI Number
    3009394448
    Status
    Active
    Expiry Year
    2026
    Initial Importer
    No
    Address
    4234 Hacienda Dr. Suite 150
    City
    Pleasanton
    State
    CA
    ZIP
    94588
    Country
    US

    Regulatory Submissions

    510(k) Number
    K253676

    Owner / Operator

    Firm Name
    Providence Medical Technology, Inc.
    Operator Number
    10038884
    Address
    4234 Hacienda Dr. Suite 150
    City
    Pleasanton
    State
    CA
    Postal Code
    94588
    Country
    US
    Correspondent
    Edward Liou

    Products

    Device Name Product Code
    System, Facet Screw Spinal Device MRW
    Screw, Fixation, Bone HWC
    Orthopedic Stereotaxic Instrument OLO
    Arthroscope HRX
    Intervertebral Fusion Device With Bone Graft, Cervical ODP
    Apparatus, Traction, Non-Powered HST
    Support, Patient Position CCX
    Retractor GAD

    Proprietary Names

    CORUS PCSS 3D Implant CORUS PCSS 3D Level One ALLY Bone Screw ALLY Bone Screw-LX CORUS Navigation System-GX CORUS Posterior Cervical Stabilization System (PCSS) CORUS Posterior Cervical Stabilization System (PCSS) Level One CORUS Posterior Cervical Stabilization System (PCSS) Implant (4mm / 5mm) CORUS Spinal System-X CORUS Spinal System CAVUX® Cervical Cage-T CAVUX® Cervical Cage-B CAVUX® Cervical Cage-B 5mm CAVUX® Cervical Cage-SB CAVUX® Cervical Cage-SE CAVUX® Cervical Cage-X CAVUX® Cage-LX CAVUX Expandable Cage CAVUX CAGE-EXP PMT Cervical Harness Cervical Visualization Harness Cervical Harness CAVUX FFS-LX CAVUX Cage-LX CORUS-LX CORUS-LX LevelOne CORUS Navigation Access System DTRAX DiViNE System

    Establishment Types

    Develop Specifications But Do Not Manufacture At This Facility Complaint File Establishment per 21 CFR 820.198 Manufacture Medical Device Repack or Relabel Medical Device