| 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 | FORMULA BALLOOL-EXPANDABLE RENAL STENT SYSTEM |
| Generic Name | STENT, RENAL |
| Applicant | Cook Medical Incorporated 750 Daniels Way P.O. Box 489 Bloomington, IN 47402 |
| PMA Number | P100028 |
| Supplement Number | S002 |
| Date Received | 02/13/2012 |
| Decision Date | 04/30/2012 |
| Product Code |
NIN |
| Advisory Committee |
Cardiovascular |
| Supplement Type | Real-Time Process |
| Supplement Reason | Change Design/Components/Specifications/Material |
| Expedited Review Granted? | No |
| Combination Product | No |
| Predetermined Change Control Plan Authorized | No |
Approval Order Statement APPROVAL FOR THE 4 MM VERSION OF THE STENT TO BE USED WITH THE FORMULA 414 RX DELIVERY SYSTEM. |
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