| 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 | SURGIFOAM® Absorbable Gelatin Sponge, U.S.P., Dental Sponge, SURGIFOAM® Absorbable Gelatin Sponge, U.S.P., Hemorrhoidect |
| Generic Name | Agent, absorbable hemostatic, collagen based |
| Regulation Number | 878.4490 |
| Applicant | Ferrosan Meidcal Devices A/S Sydmarken 5 Soeborg 08876 |
| PMA Number | P990004 |
| Supplement Number | S051 |
| Date Received | 11/22/2021 |
| Decision Date | 12/21/2021 |
| Product Code |
LMF |
| Advisory Committee |
General & Plastic Surgery |
| 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 Change to the Electron beam (E-beam) equipment located at the current E-beam contract sterilization site for the SURGIFOAM® Absorbable Gelatin Dental Sponge, the SURGIFOAM® Absorbable Gelatin Hemorrhoidectomy Sponge, and the SURGIFOAM® Absorbable Gelatin Powder. |
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