| 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 | Axonics Sacral Neuromodulation System |
| Generic Name | Stimulator, electrical, implantable, for incontinence |
| Regulation Number | 876.5270 |
| Applicant | Boston Scientific Corporation 100 Boston Scientfic Way Marlborough, MA 01752 |
| PMA Number | P180046 |
| Supplement Number | S093 |
| Date Received | 10/30/2024 |
| Decision Date | 11/27/2024 |
| Product Code |
EZW |
| 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 approval of an alternate supplier for the Bluetooth Low Energy (BLE) module component of the Patient Remote (Model 2301) (PR), and approval of an additional supplierfor the printed circuit board (PCB) of the PR |
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