| 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 | ICDs: Origen, Inogen, Dynagen, Momentum EL ICD, Autogen, Vigiliant EL ICD, Perciva ICD, Resonate EL ICD, Perciva HF ICD, |
| Generic Name | Implantable cardioverter defibrillator (non-CRT) |
| Applicant | Boston Scientific 4100 Hamline Ave. N St Paul, MN 55112 |
| PMA Number | P960040 |
| Supplement Number | S403 |
| Date Received | 09/05/2017 |
| Decision Date | 09/25/2017 |
| Product Code |
LWS |
| Advisory Committee |
Cardiovascular |
| 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 Modify the quartz crystal component manufacturing process. |
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