Fork

Basic Information

• Brand Name: Fork
• Primary DI: 03770022347069
• Version / Model: FORKS
• Catalog Number: Forks (x20)
• Company Name: MODJAW
• Labeler DUNS: 265572589
• Distribution Status: In Commercial Distribution
• Device Count in Pkg: 20
• Record Status: Published
• Publish Date: 2022-02-23
• Public Version: 1
• Public Version Date: 2022-03-03
• Public Version Status: New
• Public Device Record Key: 665ae208-b3a7-458c-8419-037bee5b2694

Device Description

Single-use support for the SMILIT mandibular tracker, which is fixed to the patient's teeth.

Device Characteristics

• Single Use: Yes
• Prescription Use (Rx): Yes
• Over the Counter (OTC): No
• Kit: No
• Combination Product: No
• HCT/P: No
• Contains NRL: No
• Not Made with NRL: No
• MRI Safety: Labeling does not contain MRI Safety Information
• Direct Marking Exempt: No
• PM Exempt: Yes
• Has Serial Number: Yes
• Has Lot/Batch Number: Yes
• Has Manufacturing Date: Yes
• Has Expiration Date: Yes
• Has Donation ID: No

Sterilization

• Is Sterile: No
• Sterilization Prior Use: No

Product Codes

Code	Name	Medical Specialty	Regulation #	Device Class
NFS	Device, Jaw Tracking, For Monitoring Jaw Positions	Dental	872.2060	1

GMDN Terms

Code	Name	Definition	Implantable	Status
47556	Jaw physiology evaluation system	An assembly of mains electricity (AC-powered) devices designed to record parameters for mandibular and muscles of mastication function, primarily to aid in the diagnosis and treatment of temperomandibular joint (TMJ) and myofascial pain dysfunction (MPD) disorders, and for orthodontic, denture, and reconstruction patient evaluation. It typically uses surface electromyography to evaluate muscle groups at rest or in function; sonography to detect sounds/vibrations from the TMJ joint and/or other computer-based system to non-invasively track the mandible in function or identify its position in space relative to the skull.	No	Active

Identifiers

Type	ID	Issuing Agency	Package Type	Qty per Pkg	Pkg Status	Pkg Discontinue Date
Unit of Use	03770022347076	GS1
Primary	03770022347069	GS1

Customer Contacts

• Phone: [phone]
• Email: [email protected]