Keyhole 4-Loop Archwire

Basic Information

• Brand Name: Keyhole 4-Loop Archwire
• Primary DI: D9091059381
• Version / Model: 105-938
• Catalog Number: 105-938
• Company Name: Ortho Arch Company Inc
• Labeler DUNS: 020956330
• Distribution Status: In Commercial Distribution
• Device Count in Pkg: 1
• Record Status: Published
• Publish Date: 2021-12-06
• Public Version: 1
• Public Version Date: 2021-12-14
• Public Version Status: New
• Public Device Record Key: 0c2369ef-01ee-48f1-9e96-3c4aa5a91e86

Device Description

.019 X .025 RIGHT FORM KEYHOLE 4-LOOP 38MM (10)

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: 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
DZC	Wire, Orthodontic	Dental	872.5410	1

GMDN Terms

Code	Name	Definition	Implantable	Status
41397	Orthodontic archwire	A dental wire in the shape of an arch used with orthodontic attachments (orthodontic brackets) that are affixed to the crowns/surfaces of two or more teeth in order to cause/guide tooth movement. 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	D9091059381	HIBCC