| Device Classification Name |
Sealant, Pit And Fissure, And Conditioner
|
| 510(k) Number |
K172169 |
| Device Name |
Pulpdent (Activa) Pit and Fissure Sealant with MCP |
| Applicant |
| Pulpdent Corporation |
| 80 Oakland St. |
|
Watertown,
MA
02472
|
|
| Applicant Contact |
Kenneth J. Berk |
| Correspondent |
| Medtek, LLC |
| 2516 Kettle Creek Ct. |
|
Lincolnton,
NC
28092
|
|
| Correspondent Contact |
Roger Mastrony |
| Regulation Number | 872.3765 |
| Classification Product Code |
|
| Subsequent Product Code |
|
| Date Received | 07/18/2017 |
| Decision Date | 01/05/2018 |
| Decision |
Substantially Equivalent
(SESE) |
| Regulation Medical Specialty |
Dental
|
| 510k Review Panel |
Dental
|
| Summary |
Summary
|
| Type |
Traditional
|
| Reviewed by Third Party |
No
|
| Combination Product |
No
|
Predetermined Change Control Plan Authorized |
No
|
|
|