GUDID 20613994910787

LEAD WIRE DSE0003 10PK 1.2M RED EXT ROHS

MEDTRONIC XOMED, INC.

Transcutaneous electrical stimulation lead

• Primary Device ID: 20613994910787
• NIH Device Record Key: f8e8405d-42c9-4064-8cc8-e9f6a91fd743
• Commercial Distribution Status: In Commercial Distribution
• Version Model Number: DSE0003
• Company DUNS: 835465063
• Company Name: MEDTRONIC XOMED, 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: false
• 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 Dimensions

• Length: 1.2 Meter
• Length: 1.2 Meter

Device Identifiers

Device Issuing Agency	Device ID
GS1	00613994910783 [Primary]
GS1	20613994910787 [Package]; Contains: 00613994910783; Package: PK [10 Units]; In Commercial Distribution

FDA Pre-market Approvals/Notifications & deNovo

• Premarket Notification: K061639

FDA Product Code

• GWE: STIMULATOR, PHOTIC, EVOKED RESPONSE

Sterilization

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

Device Entry Metadata

• Public Version Status: Update
• Device Record Status: Published
• Public Version Number: 3
• Public Version Date: 2018-07-06
• Device Publish Date: 2016-04-30

Devices Manufactured by MEDTRONIC XOMED, INC.

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• 20763000870359 - Microgel: 2025-07-01 VENT TUBE 1082201 5PK PAPA TYPE 1.14
• 20763000870366 - Sheehy: 2025-07-01 VENT TUBE 1083301 5PK SHEEHY TYPE 1.27
• 20763000870373 - 20763000870373: 2025-07-01 VENT TUBE 1084401 5PK GROMMET 1.27
• 20763000870380 - Reuter: 2025-07-01 VENT TUBE 1010201 5PK BOBBIN 1.14 FLPL
• 20763000870403 - Sheehy: 2025-07-01 VENT TUBE 1013301 5PK BUTTON 1.27 FLPL
• 20763000870410 - Donaldson: 2025-07-01 VENT TUBE 1015101 5PK DONLDSN 1.14 FLPL
• 20763000870427 - Shepard: 2025-07-01 VENT TUBE 1016101 5PK GROMMET 1.14 FLPL