InterStim™ SureScan™

GUDID 00763000913120

LEAD 978B128 ISTM 4.32MM EUMDR EMAN LI08

MEDTRONIC, INC.

Sacral plexus implantable incontinence-control electrical stimulation system electrode

• Primary Device ID: 00763000913120
• NIH Device Record Key: b02d298a-0a61-40ee-82d4-3db406977d05
• Commercial Distribution Status: In Commercial Distribution
• Brand Name: InterStim™ SureScan™
• Version Model Number: 978B128
• 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: true
• 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
• Phone: +1(800)633-8766
• Email: Corporate.UDI@medtronic.com
• Phone: +1(800)633-8766
• Email: Corporate.UDI@medtronic.com

Device Dimensions

• Length: 28 Centimeter
• Length: 28 Centimeter
• Length: 28 Centimeter

Device Identifiers

Device Issuing Agency	Device ID
GS1	00763000913120 [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: New
• Device Record Status: Published
• Public Version Number: 1
• Public Version Date: 2025-11-24
• Device Publish Date: 2025-11-16

On-Brand Devices [InterStim™ SureScan™]

• 00763000596910: LEAD 978B128 ISTM SSMRI 4.32MM EMAN GLBL
• 00763000596798: LEAD 978A128 ISTM SSMRI 2.16MM EMAN GLBL
• 00763000596873: LEAD 978A141 ISTM SSMRI 2.16MM EMAN GLBL
• 00763000596835: LEAD 978A133 ISTM SSMRI 2.16MM EMAN GLBL
• 00763000913168: LEAD 978B141 ISTM 4.32MM EUMDR EMAN LI08
• 00763000913144: LEAD 978B133 ISTM 4.32MM EUMDR EMAN LI08
• 00763000913120: LEAD 978B128 ISTM 4.32MM EUMDR EMAN LI08
• 00763000913106: LEAD 978A141 ISTM 2.16MM EMAN EUMDR LI08
• 00763000913083: LEAD 978A133 ISTM 2.16MM EMAN EUMDR LI08
• 00763000913069: LEAD 978A128 ISTM 2.16MM EUMDR EMAN LI08