| Note: This medical device record is a PMA supplement. A supplement may have changed the device description/function or indication from that approved in the original PMA. Be sure to look at the original PMA record for more information. |
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| Device | MOMENTUM™ CRT-D IS1 DF4 IS1 (G124, G125); MOMENTUM™ CRT-D IS1 DF1 LV1 (G126); MOMENTUM™ X4 CRT-D IS1 DF1 IS4 (G128, G138 |
| Generic Name | Defibrillator, automatic implantable cardioverter, with cardiac resynchronization (CRT-D) |
| Applicant | Boston Scientific Corp 4100 Hamline Ave. N St Paul, MN 55112 |
| PMA Number | P010012 |
| Supplement Number | S613 |
| Date Received | 06/26/2026 |
| Decision Date | 07/23/2026 |
| Product Code |
NIK |
| Advisory Committee |
Cardiovascular |
| Supplement Type | 30-Day Notice |
| Supplement Reason | Process Change - Manufacturer/Sterilizer/Packager/Supplier |
| Expedited Review Granted? | No |
| Combination Product | No |
| Predetermined Change Control Plan Authorized | No |
Approval Order Statement to add a functionally equivalent alternate vapor degreasing solvent used to remove contaminants from pulse generator components |
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