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U.S. Department of Health and Human Services

510(k) Premarket Notification
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Device Classification Name Tray, Fluoride, Disposable
510(k) Number K904914
Device Name DENTAL VACUUM INJECTION TRAY
Applicant
THE LEBANON VAC-TRAY CORP.
905 N. LEBANON ST.
LEBANON,  IN  46052
Applicant Contact TRAVIS H OSBORNE
Correspondent
THE LEBANON VAC-TRAY CORP.
905 N. LEBANON ST.
LEBANON,  IN  46052
Correspondent Contact TRAVIS H OSBORNE
Regulation Number872.6870
Classification Product Code
KMT  
Date Received10/31/1990
Decision Date 12/17/1990
Decision Substantially Equivalent (SESE)
Regulation Medical Specialty Dental
510k Review Panel Dental
Type Traditional
Reviewed by Third Party No
Combination Product No
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