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U.S. Department of Health and Human Services

510(k) Premarket Notification

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Device Classification Name Mouthguard, Prescription
510(k) Number K241369
Device Name LIJIA Night Guard
Applicant
Lijia, LLC
1520 Brookhollow Dr.
Unit 38
Santa Ana,  CA  92705
Applicant Contact Benjamin Li
Correspondent
Prime Path Medtech
1321 Upland Dr.
Suite 6792
Houston,  TX  77043
Correspondent Contact Jennifer Day
Classification Product Code
MQC  
Date Received05/14/2024
Decision Date 08/22/2024
Decision Substantially Equivalent (SESE)
510k Review Panel Dental
Summary Summary
Type Traditional
Reviewed by Third Party No
Combination Product No
Predetermined Change
Control Plan Authorized
No
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