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U.S. Department of Health and Human Services

510(k) Premarket Notification

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Device Classification Name Handpiece, Direct Drive, Ac-Powered
510(k) Number K211531
Device Name Cordless Prophy System, Model: i-Polish
Applicant
Guilin Woodpecker Medical Instrument Co., Ltd.
Information Industrial Park
Guilin National High-Tech Zone
Guilin,  CN 541004
Applicant Contact Ning Jiakang
Correspondent
Shenzhen Joyantech Consulting Co., Ltd.
1713a, 17th Floor, Block A, Zhongguan Times Square
Liuxian Ave., Xili Town, Nanshan District
Shenzhen,  CN 518100
Correspondent Contact Yoyo Chen
Regulation Number872.4200
Classification Product Code
EKX  
Date Received05/17/2021
Decision Date 12/17/2021
Decision Substantially Equivalent (SESE)
Regulation Medical Specialty Dental
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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