| 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 |
|
| Date Received | 05/14/2024 |
| 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
|
|
|