MIRAGE™ ROTH CERAMIC BRACKETS

Basic Information

• Brand Name: MIRAGE™ ROTH CERAMIC BRACKETS
• Primary DI: 10190886006191
• Version / Model: 60-L5-2LK-V
• Company Name: G & H Wire Company, Inc.
• Labeler DUNS: 831465641
• Distribution Status: In Commercial Distribution
• Device Count in Pkg: 5
• Record Status: Published
• Publish Date: 2016-09-24
• Public Version: 4
• Public Version Date: 2023-01-31
• Public Version Status: Update
• Public Device Record Key: 64a2eae0-8352-45e7-bdd4-ea4e2c17b9fc

Device Description

MIRAGE™ .022 LL5 HK -22°T 0°A Mirage™ ceramic bracket system is the "clear choice" for aesthetically-minded patients. Small and smooth, with rounded corners that provide the ultimate in patient comfort, Mirage™ ceramic brackets are nearly invisible, blending inconspicuously into the oral cavity. Composed of 99.9% pure polycrystalline alumina oxide, Mirage™ ceramic brackets are impervious to stains and discoloration, helping them stay transparent for the duration of the treatment.

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

Sterilization

• Is Sterile: No
• Sterilization Prior Use: No

Product Codes

Code	Name	Medical Specialty	Regulation #	Device Class
NJM	Bracket, Ceramic, Orthodontic	Dental	872.5470	2

GMDN Terms

Code	Name	Definition	Implantable	Status
58937	Orthodontic bracket, ceramic	A ceramic device intended to be bonded to a tooth to hold an orthodontic archwire used to apply pressure to the tooth in order to alter the position of the tooth. It typically has a metal (e.g., stainless steel) insert slot for the archwire, which is held in place with an orthodontic archwire/bracket fixation ring. This is a single-patient device intended to be used for the duration of the treatment (single-use) before being discarded.	No	Active

Identifiers

Type	ID	Issuing Agency	Package Type	Qty per Pkg	Pkg Status	Pkg Discontinue Date
Primary	10190886006191	GS1
Unit of Use	00190886006194	GS1

Customer Contacts

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

Premarket Submissions

Submission Number	Supplement Number
K132368	000