Exhibit A STA Modification Request

1641-EX-ST-2016 Text Documents

Medtronic MiniMed Inc.

2016-11-16ELS_184595

• rvlecltioiiic, Inc. 18000 IZ) n’-J in’ StEct Northrid, CA 1 2— 121 — nii.d tiiiicd ihctcs.jn MecUtbomc Exhibit A: Special Temporary Authority Modification Narrative Statement File Number: 1506-EX-ST-2016 Call Sign: WK9XMQ Medtronic seeks to modify its Special Temporary Authorization granted under WK9XMQ (File Number 1506-EX-ST-2016). Medtronic MiniMed respectfully requests to extend the current STA Grant authorization expiration date of January 03, 2017 to now expire on April 28, 2017. The new expiration date fails within the six month allowable for issuance of a Special Temporary Authority. All other aspects of our device, operation, and 1ocae continue as described in our application and narrative statement associated with the STA Grant as issued on November 1, 2016. Nor is there any change to our original request for confidentiality as submitted on October 19, 2016. Sincerely, j’Jodie Rogers RF Program Manager Medtronic MiniMed


Document Created: 2016-11-16 11:22:08
Document Modified: 2016-11-16 11:22:08
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