| 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 | FlexiTip XL-R Applicator |
| Generic Name | Agent, absorbable hemostatic, non-collagen based |
| Regulation Number | 878.4490 |
| Applicant | Davol, Inc. 100 Crossings Blvd. Warwick, RI 02886 |
| PMA Number | P050038 |
| Supplement Number | S041 |
| Date Received | 05/02/2023 |
| Decision Date | 05/24/2023 |
| Product Code |
LMG |
| Advisory Committee |
General & Plastic Surgery |
| 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 Use of reclaimed Stainless Steel (SS) tubes to manufacture Arista AH FlexiTip XL-R Applicator. |
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