Intellis™ AdaptiveStim™

GUDID 00763000849047

INS 97715 INTELLIS US EMAN CARDIO

MEDTRONIC, INC.

Spinal cord/peripheral nerve implantable analgesic electrical stimulation system pulse generator, implantable

• Primary Device ID: 00763000849047
• NIH Device Record Key: d97f7a0e-a5db-4490-ba06-1d34fff3d9cd
• Commercial Distribution Status: In Commercial Distribution
• Brand Name: Intellis™ AdaptiveStim™
• Version Model Number: 97715
• Company DUNS: 796986144
• Company Name: MEDTRONIC, INC.
• Device Count: 1
• DM Exempt: false
• Pre-market Exempt: false
• MRI Safety Status: MR Conditional
• Human Cell/Tissue Product: false
• Device Kit: false
• Device Combination Product: false
• Single Use: true
• Lot Batch: false
• Serial Number: true
• 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
• Phone: +1(800)633-8766
• Email: Corporate.UDI@medtronic.com
• Phone: +1(800)633-8766
• Email: Corporate.UDI@medtronic.com
• Phone: +1(800)633-8766
• Email: Corporate.UDI@medtronic.com
• Phone: +1(800)633-8766
• Email: Corporate.UDI@medtronic.com
• Phone: +1(800)633-8766
• Email: Corporate.UDI@medtronic.com
• Phone: +1(800)633-8766
• Email: Corporate.UDI@medtronic.com
• Phone: +1(800)633-8766
• Email: Corporate.UDI@medtronic.com
• Phone: +1(800)633-8766
• Email: Corporate.UDI@medtronic.com
• Phone: +1(800)633-8766
• Email: Corporate.UDI@medtronic.com
• Phone: +1(800)633-8766
• Email: Corporate.UDI@medtronic.com
• Phone: +1(800)633-8766
• Email: Corporate.UDI@medtronic.com
• Phone: +1(800)633-8766
• Email: Corporate.UDI@medtronic.com
• Phone: +1(800)633-8766
• Email: Corporate.UDI@medtronic.com
• 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	00763000849047 [Primary]

FDA Pre-market Approvals/Notifications & deNovo

• Premarket Approval: P840001

FDA Product Code

• LGW: Stimulator, spinal-cord, totally implanted for pain relief

Sterilization

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

Device Entry Metadata

• Public Version Status: New
• Device Record Status: Published
• Public Version Number: 1
• Public Version Date: 2024-05-14
• Device Publish Date: 2024-05-06

Devices Manufactured by MEDTRONIC, INC.

• 00199150060467 - NA: 2025-11-28 CUSTOM PACK BB11Q49R14 EVL 3/8 EC
• 00199150060627 - NA: 2025-11-28 CUSTOM PACK BB12M28R9 HLO QHLM-FROS
• 00199150057177 - NA: 2025-11-24 CUSTOM PACK BB3Z71R34 HLO PRIMARY
• 00199150058976 - NA: 2025-11-24 CUSTOM PACK PDBB12P71R2 HLO HEATT
• 00199150060122 - NA: 2025-11-24 CUSTOM PACK BB12S52R1 EVL 3/8 PACK
• 00763000849801 - Liberant™: 2025-11-24 CONSOLE LMT-BCU LIBERANT
• 00763000913069 - InterStim™ SureScan™: 2025-11-24 LEAD 978A128 ISTM 2.16MM EUMDR EMAN LI08
• 00763000913083 - InterStim™ SureScan™: 2025-11-24 LEAD 978A133 ISTM 2.16MM EMAN EUMDR LI08