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U.S. Department of Health and Human Services

510(k) Premarket Notification
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Device Classification Name Adhesive, Bracket And Tooth Conditioner, Resin
510(k) Number K842448
Device Name BOSWORTH SUPER BOND DENTAL ADHESIVE
Applicant
Harry J. Bosworth Co.
803 N. Front St. Suite 3
Mchenry,  IL  60050
Correspondent
Harry J. Bosworth Co.
803 N. Front St. Suite 3
Mchenry,  IL  60050
Regulation Number872.3750
Classification Product Code
DYH  
Date Received06/22/1984
Decision Date 09/27/1984
Decision Substantially Equivalent (SESE)
Regulation Medical Specialty Dental
510k Review Panel Dental
Type Traditional
Reviewed by Third Party No
Combination Product No
Predetermined Change
Control Plan Authorized		 No
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