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U.S. Department of Health and Human Services

510(k) Premarket Notification
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Device Classification Name Pacemaker Lead Adaptor
510(k) Number K841739
Device Name MODEL 866 PERMATHANE BIPOLAR, COAXIAL
Applicant
Pacesetter Systems
803 N. Front St. Suite 3
Mchenry,  IL  60050
Correspondent
Pacesetter Systems
803 N. Front St. Suite 3
Mchenry,  IL  60050
Regulation Number870.3620
Classification Product Code
DTD  
Date Received04/27/1984
Decision Date 08/03/1984
Decision Substantially Equivalent (SESE)
Regulation Medical Specialty Cardiovascular
510k Review Panel Cardiovascular
Type Traditional
Reviewed by Third Party No
Combination Product No
Predetermined Change
Control Plan Authorized		 No
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