| 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 | MENTOR SALINE-FILLED TESTICULAR PROSTHESIS |
| Generic Name | Prosthesis, testicular |
| Regulation Number | 876.3750 |
| Applicant | Coloplast Corp. 1601 W. River Rd. N. Plymouth, MN 55411 |
| PMA Number | P020003 |
| Supplement Number | S002 |
| Date Received | 02/17/2004 |
| Decision Date | 03/18/2004 |
| Product Code |
FAF |
| Advisory Committee |
Gastroenterology/Urology |
| 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 CHANGE INVOLVING THE ENGRAVING PROCESS, A CHANGE IN A RAW MATERIAL SUPPLIER AND A MINOR CHANGE IN THE MOLDING PROCESS. |
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