| Device Classification Name |
Varnish, Cavity
|
| 510(k) Number |
K200614 |
| Device Name |
FiteBac Antimicrobial Cavity Cleanser |
| Applicant |
| Largent Health, LLC |
| 3698 Largent Way NW, Suite 101 |
|
Marietta,
GA
30064
|
|
| Applicant Contact |
Kirk Kimmerling |
| Correspondent |
| Secure Biomed Evalutations |
| 7828 Hickory Flat Highway Suite 120 |
|
Woodstock,
GA
30188
|
|
| Correspondent Contact |
Elizabeth O’Keeffe |
| Regulation Number | 872.3260 |
| Classification Product Code |
|
| Date Received | 03/09/2020 |
| Decision Date | 06/25/2020 |
| Decision |
Substantially Equivalent
(SESE) |
| Regulation Medical Specialty |
Dental
|
| 510k Review Panel |
Dental
|
| Summary |
Summary
|
| Type |
Traditional
|
| Reviewed by Third Party |
No
|
| Combination Product |
Yes
|
Predetermined Change Control Plan Authorized |
No
|
|
|