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U.S. Department of Health and Human Services

Premarket Approval (PMA)

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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.
 
DeviceMODEL 5019 HV SPLITTER/ADAPTOR
Generic NameImplantable cardioverter defibrillator (non-CRT)
ApplicantMedtronic, Inc.
8200 Coral Sea St. N.E
Ms Mvs11
Mounds View, MN 55112
PMA NumberP920015
Supplement NumberS106
Date Received03/21/2013
Decision Date04/12/2013
Product Code LWS 
Advisory Committee Cardiovascular
Supplement Type30-Day Notice
Supplement Reason Process Change - Manufacturer/Sterilizer/Packager/Supplier
Expedited Review Granted? No
Combination ProductNo
Predetermined Change Control Plan AuthorizedNo
Approval Order Statement  
IMPLEMENTATION OF THE MANUFACTURING EXECUTION SYSTEM VERSION 7.9 AT VARIOUS INTERNALSUPPLIERS AND FINAL DEVICE MANUFACTURING LOCATIONS;2) AN ADDITIONAL SUPPLIER FOR EXTRUDED TUBING;TRANSFER OF INCOMING INSPECTION LOCATION FOR VARIOUS COMPONENTS;3) MODIFICATIONS TO A CONTROLLED ENVIRONMENT; AND4)AN ALTERNATE SUPPLIER OF A SILICONE COMPONENT.
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