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U.S. Department of Health and Human Services

510(k) Premarket Notification
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Device Classification Name Mouthpiece, Saliva Ejector
510(k) Number K760620
Device Name SALIVA EJECTOR
Applicant
LORVIC CORP.
803 N. Front St. Suite 3
McHenry,  IL  60050
Correspondent
LORVIC CORP.
803 N. Front St. Suite 3
McHenry,  IL  60050
Regulation Number872.6640
Classification Product Code
DYN  
Date Received09/13/1976
Decision Date 09/21/1976
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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