SKINNY NOSE LIGHT BOND PASTE TIPS

Basic Information

• Brand Name: SKINNY NOSE LIGHT BOND PASTE TIPS
• Primary DI: D8281330206
• Version / Model: 1330206
• Company Name: FIVE STAR ORTHODONTIC LABORATORY & SUPPLY INC
• Labeler DUNS: 113352686
• Distribution Status: In Commercial Distribution
• Device Count in Pkg: 42
• Record Status: Published
• Publish Date: 2016-09-24
• Public Version: 3
• Public Version Date: 2018-07-06
• Public Version Status: Update
• Public Device Record Key: e1873906-5498-44df-82c0-69d3be6da1f9

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: No
• 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
DYH	Adhesive, Bracket And Tooth Conditioner, Resin	Dental	872.3750	2

GMDN Terms

Code	Name	Definition	Implantable	Status
31750	Orthodontic bracket adhesive	A bonding compound, e.g., polymethylmethacrylate (PMMA), used specifically to cement an orthodontic bracket to the surface of a tooth. After application, this device cannot be reused.	No	Active

Identifiers

Type	ID	Issuing Agency	Package Type	Qty per Pkg	Pkg Status	Pkg Discontinue Date
Primary	D8281330206	HIBCC
Unit of Use	D82813302064	HIBCC

Premarket Submissions

Submission Number	Supplement Number
K880793	000