| 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 | EMBLEM S-ICD System |
| Generic Name | Implantable cardioverter defibrillator (non-CRT) |
| Applicant | Boston Scientific Corporation 4100 Hamline Ave. N St Paul, MN 55112 |
| PMA Number | P110042 |
| Supplement Number | S132 |
| Date Received | 12/23/2019 |
| Decision Date | 03/20/2020 |
| Product Codes |
LWS NVY |
| Advisory Committee |
Cardiovascular |
| Supplement Type | Normal 180 Day Track |
| Supplement Reason | Process Change - Manufacturer/Sterilizer/Packager/Supplier |
| Expedited Review Granted? | No |
| Combination Product | No |
| Predetermined Change Control Plan Authorized | No |
Approval Order Statement Approval for alternate hardware components and design modifications (with associated manufacturing changes), firmware update to version 3.1.543 (Models A209/A219), and software to version 4.08 (Model 2877). |
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