NOVA-S SAPPHIRE

Basic Information

• Brand Name: NOVA-S SAPPHIRE
• Primary DI: D90946602105
• Version / Model: .018 U3R-HK
• Catalog Number: 466-021
• Company Name: Ortho Arch Company Inc
• Labeler DUNS: 020956330
• Distribution Status: In Commercial Distribution
• Device Count in Pkg: 1
• Record Status: Published
• Publish Date: 2022-05-04
• Public Version: 1
• Public Version Date: 2022-05-12
• Public Version Status: New
• Public Device Record Key: e8412afe-8701-447a-b247-7f48b91bbea6

Device Description

.018 U3R NOVA-S SAPPHIRE BRACKET - HK MBT (5)

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	D90946602105	HIBCC

Premarket Submissions

Submission Number	Supplement Number
K142729	000