SURGICAL INSTRUMENT

Basic Information

• Brand Name: SURGICAL INSTRUMENT
• Primary DI: 07899995210746
• Version / Model: MI 3415
• Catalog Number: MI 3415
• 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: 2021-03-30
• Public Version: 1
• Public Version Date: 2021-04-07
• Public Version Status: New
• Public Device Record Key: 5de8887f-25ad-4d16-b6d0-c19cfb7a50de

Device Description

IMPLANT FIXER MICRO MINI LONG

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: Yes
• Sterilization Prior Use: No

Product Codes

Code	Name	Medical Specialty	Regulation #	Device Class
KCT	Sterilization Wrap Containers, Trays, Cassettes & Other Accessories	General Hospital	880.6850	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	07899995210746	GS1

Premarket Submissions

Submission Number	Supplement Number
K201688	000