meddevicedb.com FDA Device Reference

PROTRACTION FACE MASK, REVERSE PULL FACE MASK MODEL KM-PVS, KM-PIS, KM-PVM, KM-PIM, MODEL KM-FMS, KM-FML, KM-FMF

K111169 Class II Traditional
Decision Date
2011-10-03
Sponsor / Applicant
Kwang Myung Daicom, Inc.

Technical Specification

510(k) Submission ID K111169
Product Code DZB
Medical Specialty / Panel Dental
Regulation Citation 21 CFR 872.5500
Decision Date 2011-10-03
Clearance Pathway Traditional

Official Documentation

FDA CDRH Summary / statement of record

View FDA Summary PDF

Clearance Summary

PROTRACTION FACE MASK, REVERSE PULL FACE MASK MODEL KM-PVS, KM-PIS, KM-PVM, KM-PIM, MODEL KM-FMS, KM-FML, KM-FMF received FDA 510(k) clearance under submission number K111169, sponsored by Kwang Myung Daicom, Inc.. The device was reviewed via the Traditional premarket notification pathway and assigned to the Dental review panel. The statutory decision date of record is 2011-10-03.

Classification & Regulation

This clearance is catalogued under FDA product code DZB and 21 CFR 872.5500, within the Dental review panel as a Class II device.