slide 1 of 22 rob packard, president [email protected] 510(k) project management
TRANSCRIPT
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Rob Packard, Presidentwww.MedicalDeviceAcademy.com
510(k)ProjectManagement
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Rob Packard, Presidentwww.MedicalDeviceAcademy.com
Agenda
• Overview• Device Classification• Predicate Selection • Table of Contents • Team Member Selection• Performance Testing Plan • FDA Pre-Sub Meetings
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Rob Packard, Presidentwww.MedicalDeviceAcademy.com
510(k) Overview
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Rob Packard, Presidentwww.MedicalDeviceAcademy.com
Product Classification
1. Identify a device similar to yours
2. Use the registration and listing databasehttp://bit.ly/CDRH-Registration-Listing-Database
3. Identify the 3-letter product code
4. Click on the code to go to the product classification page
5. Click on the TPLC link http://bit.ly/FDATPLC
http://medicaldeviceacademy.com/fda-device-classification/
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Rob Packard, Presidentwww.MedicalDeviceAcademy.com
Find Classification Other Wayshttp://bit.ly/ProductClassification
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Rob Packard, Presidentwww.MedicalDeviceAcademy.com
Predicate Selection
1. Is the predicate device legally marketed?
2. Do the devices have the same intended use?
3. Do the devices have the same technological characteristics?
4. Do the different technological characteristics raise different questions of safety and effectiveness?
5. Are the methods of evaluating new/different characteristics acceptable?
6. Does the data demonstrate substantial equivalence?
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Rob Packard, Presidentwww.MedicalDeviceAcademy.com
How FDA Evaluates SE?http://bit.ly/Substantial-Equiv-Guidance
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Rob Packard, Presidentwww.MedicalDeviceAcademy.com
Section 2 - Table of Contents
• 20 Sections
• Create a Template (http://bit.ly/510k-ToC)• eCopy Guidance (http://bit.ly/FDA-eCopy)• RTA Checklist (http://bit.ly/Acceptance-Checklist)
http://bit.ly/510k-Format
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Rob Packard, Presidentwww.MedicalDeviceAcademy.com
Use ToC as Planning Tool
• red = the information does not appear to be available
• yellow = document requires revision and/or reformatting of content
• blue = ready for the client’s review and approval• green = ready for submission• Add a column to assign team responsibilities• Prioritize task completion
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Rob Packard, Presidentwww.MedicalDeviceAcademy.com
Example of ToC ToolSection # Description of 510(k) Section Comments Assigned To Target Completion Date1 Medical Device User Fee Cover Sheet (Form FDA 3601) Missing Client2 Table of Contents Missing Rob Packard
3510(k) Cover Letter & CDRH Premarket Review Submission Cover Sheet
May want to add a confidentiality statement and need to include coverletter Client
4 Indications for Use Statement Does not match the predicate - is this more narrow or just different Rob Packard
5 510(k) Summary or 510(k) StatementYou have both and only need one; there is a new guidance for 510k summary Client
6 Truthful and Accuracy Statement ok - must be signed Client7 Class III Summary and Certification need to explain why it's not applicable Rob Packard8 Financial Certification or Disclosure Statement need to explain why it's not applicable Rob Packard
9 Declarations of Conformity and Summary Reports
Need all the form 3654s completed for each applicable standard and a summary document--ideally in tabular format Rob Packard
10 Executive Summary Need to review in detail, but looks good Client
11 Device Description You might want these to be documents referenced rather than embedded figures TBD
12 Substantial Equivalence Discussion Needs lots of work to comply with current guidance - July 24, 2014 Rob Packard
13 Proposed Labeling
Needs to include PDF of labels and IFU; IFU needs to include indications for use and it must match Section 4 exactly Client
14 Sterilization and Shelf Life Missing TBD15 Biocompatibility Missing TBD16 Software need to explain why it's not applicable Rob Packard17 Electromagnetic Compatibility and Electrical Safety need to explain why it's not applicable Rob Packard
18 Performance Testing – BenchMissing - should include simulated use--maybe with an anotomical "dummy" TBD
19 Performance Testing – Animal need to explain why it's not applicable Rob Packard20 Performance Testing – Clinical need to explain why it's not applicable Rob Packard21 Other N/A N/A
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Rob Packard, Presidentwww.MedicalDeviceAcademy.com
Team Member Selection
• Boilerplate – 1, 3, 6 & non-applicable• 9 - Declarations of Conformity (FDA Form 3654)• Biocompatibility & Sterility – 14 & 15• Software & EMC – 16 & 17• Labeling - 13• Performance Testing
– Bench Testing - 18– Animal Testing - 19– Clinical Studies – 20 + Sections 7 & 8
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Rob Packard, Presidentwww.MedicalDeviceAcademy.com
Most Critical Sections
• 4 – Indications for Use (1st)• 5 - 510(k) Summary (4th)• 10 – Executive Summary (my last)• 11 - Device Description (2nd)• 12 – Substantial Equivalence (3rd)
• RTA Checklist is a great quality
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Rob Packard, Presidentwww.MedicalDeviceAcademy.com
Planning Performance Testing
• Look for a special controls guidance document 1st.
• Look for any device-specific standards (e.g., ASTM F483)
• Review each of the possible 510(k) Summaries carefully
• Order 510(k) submissions through FOI
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Rob Packard, Presidentwww.MedicalDeviceAcademy.com
Bench Testing
• ASTM testing methods• Simulated use experiments• Validation tools (known input data for
software/hardware devices)• Finite Element Analysis (FEA)• Cadaveric studies
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Rob Packard, Presidentwww.MedicalDeviceAcademy.com
Animal Studies
• The agency allows rationales for reduction of sample number in order to spare the lives of animals.
• Try to find another submission or 510(k) summary that specifies the number of animals
• Test more than once per animal or your device and the predicate in each animal (i.e., animal is it’s own control)
• Small animal vs. large animal and duration…
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Rob Packard, Presidentwww.MedicalDeviceAcademy.com
Human Studies
• 10-15% of 510(k) submissions require clinical study data• Steps:
– Study Synopsis– Investigator Package– Protocol Approval– Conduct Study– Summary Report
• Non-significant risk studies do not require IDE• IRB approval is always required• Paper data collection vs. electronic data collection
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Rob Packard, Presidentwww.MedicalDeviceAcademy.com
FDA Pre-Sub Meetings
• Guidance released February 18, 2014• Consultants and RA Experts have used
these for years, but weren’t called “pre-sub” meetings
• Do your homework 1st
• In-person vs. Tcon• Timing = Prior to Performance Testing• Identify Proposed Predicate Device(s)
http://bit.ly/FDA-Pre-Sub
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Rob Packard, Presidentwww.MedicalDeviceAcademy.com
Pre-Sub Questions
• Is justification of no carcinogenicity testing acceptable?
• Does FDA agree with “worst-case” rationale?• Is software “moderate level of concern”?• Is planned approach for human factors
acceptable?• Are there concerns of predicate selected?• Have an expert present that can “kick you”.
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Rob Packard, Presidentwww.MedicalDeviceAcademy.com
What not to do for Pre-Sub…
• Do not ask if data is acceptable?• Do not bother if you already did your testing?• Do not argue, because you don’t have to agree
with the agency.
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Rob Packard, Presidentwww.MedicalDeviceAcademy.com
http://medicaldeviceevents.com/conference-registration/
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Rob Packard, Presidentwww.MedicalDeviceAcademy.com
Q & A
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Rob Packard, Presidentwww.MedicalDeviceAcademy.com
Need a quotation for a510(k) Submission?
Rob Packard
+1.802.258.1881
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