Device Classification Name |
mouthguard, over-the-counter
|
510(k) Number |
K221369 |
Device Name |
FBCC Night Guard |
Applicant |
FBCC Inc |
6711 S Sepulveda Blvd, Unit 602 |
Los Angeles,
CA
90045
|
|
Applicant Contact |
Pablo Osorio |
Correspondent |
Prime Path Medtech |
1321 Upland Dr. Suite 6792 |
Houston,
TX
77043
|
|
Correspondent Contact |
Elisabeth Miller |
Classification Product Code |
|
Date Received | 05/12/2022 |
Decision Date | 11/18/2022 |
Decision |
Substantially Equivalent
(SESE) |
510k Review Panel |
Dental
|
Summary |
Summary
|
Type |
Traditional
|
Reviewed by Third Party |
No
|
Combination Product |
No
|
|
|