INTERSTIM

GUDID 00613994572042

LEAD 3057-1SC TEST SCREENER 1PK US BOWEL

MEDTRONIC, INC.

Neural-tissue electrical stimulation lead

• Primary Device ID: 00613994572042
• NIH Device Record Key: 7e86e574-e87e-407d-b870-60960964d43e
• Commercial Distribution Status: In Commercial Distribution
• Brand Name: INTERSTIM
• Version Model Number: 3057-1SC
• Company DUNS: 796986144
• Company Name: MEDTRONIC, INC.
• Device Count: 1
• DM Exempt: false
• Pre-market Exempt: false
• MRI Safety Status: Labeling does not contain MRI Safety Information
• Human Cell/Tissue Product: false
• Device Kit: false
• Device Combination Product: false
• Single Use: true
• Lot Batch: true
• Serial Number: false
• Manufacturing Date: false
• Expiration Date: false
• Donation Id Number: false
• Contains Natural Rubber Latex: false
• Labeled No Natural Rubber Latex: false
• RX Perscription: true
• OTC Over-The-Counter: false

Customer Support Contacts

• Phone: +1(800)633-8766
• Email: Corporate.UDI@medtronic.com
• Phone: +1(800)633-8766
• Email: Corporate.UDI@medtronic.com

Device Identifiers

Device Issuing Agency	Device ID
GS1	00613994572042 [Primary]

FDA Pre-market Approvals/Notifications & deNovo

• Premarket Approval: P080025

FDA Product Code

• EZW: Stimulator, electrical, implantable, for incontinence

Sterilization

• Steralize Prior To Use: false
• Device Is Sterile: true

Device Entry Metadata

• Public Version Status: Update
• Device Record Status: Published
• Public Version Number: 3
• Public Version Date: 2018-07-06
• Device Publish Date: 2014-09-23

On-Brand Devices [INTERSTIM]

• 00613994601964: LEAD 3889-33 TINED QUAD SNS US
• 00613994601957: LEAD 3889-28 TINED QUAD SNS US
• 00613994601940: LEAD 3093-41 TINED QUAD EXT ELECT SNS US
• 00613994601926: LEAD 3093-28 TINED QUAD EXT ELECT SNS US
• 00613994572042: LEAD 3057-1SC TEST SCREENER 1PK US BOWEL
• 00613994572011: ACC 3065USC PNE KIT ETO US BOWEL
• 00613994571977: EXTN 3095-10 KIT QD INLINE US 10CM BOWEL
• 00613994571960: EXTN 3095-25 KIT QD INLINE US 25CM BOWEL
• 00613994571946: EXTN 3095-51 KIT QD INLINE US 51CM BOWEL
• 00613994141996: PNE Kit, 3065USC, InterStim, US