| 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 | Obalon Balloon Kit |
| Generic Name | IMPLANT, INTRAGASTRIC FOR MORBID OBESITY |
| Applicant | Medtimo, Inc. 7625 Golden Triangle Dr. Suite G Eden Prairie, MN 55344 |
| PMA Number | P160001 |
| Supplement Number | S017 |
| Date Received | 05/14/2018 |
| Decision Date | 06/01/2018 |
| Product Code |
LTI |
| 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 Installation and qualification of Clean Environment Room Suite J only. |
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