Provisional Abutment

Basic Information

• Brand Name: Provisional Abutment
• Primary DI: 07899995206640
• Version / Model: CP 3400-H
• Catalog Number: CP 3400-H
• Company Name: Sin Sistema de Implante Nacional S/A
• Labeler DUNS: 904569092
• Distribution Status: In Commercial Distribution
• Device Count in Pkg: 1
• Record Status: Published
• Publish Date: 2022-01-17
• Public Version: 1
• Public Version Date: 2022-01-25
• Public Version Status: New
• Public Device Record Key: 5f70fb25-1467-4562-a40e-a4416e50480a

Device Description

TEMPORARY CYLINDER EXT HEX Ø3.4 /PT2008

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: No
• Has Serial Number: Yes
• Has Lot/Batch Number: Yes
• Has Manufacturing Date: Yes
• Has Expiration Date: No
• Has Donation ID: No

Sterilization

• Is Sterile: No
• Sterilization Prior Use: Yes
• Sterilization Methods: Moist Heat or Steam Sterilization

Product Codes

Code	Name	Medical Specialty	Regulation #	Device Class
NHA	Abutment, Implant, Dental, Endosseous	Dental	872.3630	2

GMDN Terms

Code	Name	Definition	Implantable	Status
64627	Dental implant holding endpiece	A device intended to hold a dental implant (e.g., orthodontic implant screw) at its distal end during the application of the implant to the patient’s oral cavity. It is typically a small metal shaft designed to be mounted onto the distal end of a manual screwdriver or slow-speed power tool whereby rotation is applied to introduce the implant into a surgical cavity. This is a reusable device.	No	Active

Identifiers

Type	ID	Issuing Agency	Package Type	Qty per Pkg	Pkg Status	Pkg Discontinue Date
Primary	07899995206640	GS1

Premarket Submissions

Submission Number	Supplement Number
K051859	000