POLYDIMETHYLSILOXANE IMPRESSION MATERIAL

Device Classification Name

material, impression

510(k) Number K131510
Device Name POLYDIMETHYLSILOXANE IMPRESSION MATERIAL
Applicant
BLACKWELL DEVICE CONSULTING
104 2nd street se
catawba, 
NC 
28609

Applicant Contact angela blackwell
Correspondent
BLACKWELL DEVICE CONSULTING
104 2nd street se
catawba, 
NC 
28609

Correspodent Contact angela blackwell
Regulation Number 872.3660
Classification Product Code
ELW  
Date Received 05/24/2013
Decision Date 12/20/2013
Decision

substantially equivalent

(SESE)

Regulation Medical Specialty

Dental

510k Review Panel

Dental

statement

statement

Type Traditional
Reviewed by Third Party No

Combination Product

No