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U.S. Department of Health and Human Services

510(k) Premarket Notification
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Device Classification Name Unit, Operative Dental
510(k) Number K953912
Device Name JACOBYSCOPE
Applicant
Perioview, Inc.
25283 Cabot Rd. #111
Laguna Hills,  CA  92653
Applicant Contact BENNETT JACOBY
Correspondent
Perioview, Inc.
25283 Cabot Rd. #111
Laguna Hills,  CA  92653
Correspondent Contact BENNETT JACOBY
Regulation Number872.6640
Classification Product Code
EIA  
Date Received08/21/1995
Decision Date 11/15/1995
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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