| 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 System |
| 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 | S021 |
| Date Received | 09/05/2018 |
| Decision Date | 01/25/2019 |
| Product Code |
LTI |
| Advisory Committee |
Gastroenterology/Urology |
| Supplement Type | Normal 180 Day Track No User Fee |
| Supplement Reason | Postapproval Study Protocol |
| Expedited Review Granted? | No |
| Combination Product | No |
| Predetermined Change Control Plan Authorized | No |
Approval Order Statement Approval of the revised protocol that includes inflation can branding, a new timeline, product performance observations, a deviation log, an additional clinical site to be enrolled, and editorial modifications to avoid redundancy and add clarification as needed for the PAS protocol. |
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