Regulatory Open Forum

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  • 1.  510(k) Query

    Posted 22-Aug-2016 00:28

    Hello everyone,

    I am fairly new to the RA Manager role and just getting really confused with the 510(k) process (although it might be fairly easy). I was wondering if I can get some answers/clarifications please.

    We have a medical device that we want 510(k) clearance for. I have gone through the process of classifying the device as Class II and identified the product Panel, Product Code and CFR regulation number. I have also filtered few different predicate products to start with, based on the intended use. We will apply for 510(k) clearance for that. Now once we get the 510(k) clearance from FDA, we would like to add another intended use that is totally different from the initial one. Is it acceptable to apply for a second 510(k) for the same device with an entirely different set of product Panel, Product Code and CFR regulation number with a new predicate product in that category.

    Could I please get some clarification as I am quite confuse. Thanks a lot in advance.

    ------------------------------
    Harsha Gupta
    Regulatory Affairs Manager
    Orthocell Ltd.
    Murdoch Western Australia WA
    Australia
    ------------------------------


  • 2.  RE: 510(k) Query

    Posted 22-Aug-2016 01:17

    Dear Harsha,

    Yes, it is most definitely acceptable to have a second 510(k) for the same device with an entirely different set of product Panel, Product Code and CFR regulation number with a new predicate product in that category.  In fact, that will require a separate 510(k).  However, you may submit the two 510(k)'s concurrently if so desired.  In other words, there is no need (from an FDA statutory/regulatory perspective) for either 510(k) to be contingent on the other.

    ------------------------------
    Kevin Randall, ASQ CQA, RAC (U.S., Canada, Europe)
    Principal Consultant
    ComplianceAcuity, Inc.
    Golden CO
    United States
    www.complianceacuity.com



  • 3.  RE: 510(k) Query

    Posted 23-Aug-2016 22:15

    Thanks a lot for the clarification Dan. One more question if you wouldn't mind please, say once we get the initial 510(k) approved and we want to apply for the second intended use (which is totally different from initial product panel and code). I read somewhere that I can use my own product as a predicate. If I choose to use my own device as the predicate device, would it be acceptable as our product would still be class II but would be most likely reviewed by a different panel (as there will be different intended use) or will we have to select a different predicate product that will have the same intended use as the ones we would want to add. The reason I am getting confused is because some of the CDRH webinars said that the intended use of the device should be same as predicate device. Or, would this not apply as it will be our own product with a totally diffrerent set of additional intended use- which I don't think is possible/acceptable. I understand that we won't be able to apply for special 510(k) and will have to go with Traditional one only ( as the intended use will change) but just confused about if and how can we use our own device as the predicate product for additional intended use.

    ------------------------------
    Harsha Gupta
    Regulatory Affairs Manager
    Orthocell Ltd.
    Murdoch Western Australia WA
    Australia



  • 4.  RE: 510(k) Query

    Posted 24-Aug-2016 05:27

    Actually, it was Kevin who answered your question.

    I don't know enough to give useful advice in this area.

    ------------------------------
    Dan O'Leary
    Swanzey NH
    United States



  • 5.  RE: 510(k) Query

    Posted 24-Aug-2016 08:39

    Harsha,

    This is a fairly difficult question. In general, you must have a predicate for the indicated use. SO while you would be able to use your device as what I will call a "technology predicate" you would need another predicate that describes the indication for use that you want, generally. If possible, the predicate with the indication should be as similar as possible to your device, so make the assessment of "equivalence" easier.

    If there really isn't a good predicate to the indication you want, but it is a natural extension of the device, you can try to get an additional indication without having a predicate. This is sometimes possible, but typically requires clinical data to establish S&E in the new indication that is "equivalent" to the original indication.

    Situations like this are fairly complex, and it might be worth it to have a pre-sub meeting with FDA to discuss how best to set up the second indication.

    g-

    ------------------------------
    Ginger Glaser RAC
    Vice-President, Quality and Regulatory Affairs
    Maplewood MN
    United States



  • 6.  RE: 510(k) Query

    Posted 24-Aug-2016 11:47

    Harsha,

    As a general rule, using one’s own legally marketed device as predicate is definitely permissible, and in many cases preferable.  But in this instance, your own product cleared via the first 510(k) would not be allowed as the predicate because it won’t have the same intended use.

    Remember that, per section 513 of the FD&C Act [21 U.S.C. §360c(i)], the predicate device and the subject device must have the SAME “intended” use. That non-negotiable requirement is the most fundamental statutory tenet of the substantial equivalence concept.  However, the predicate device and subject device can have different “indications for use. The difference between “intended” use and “indications” for use is an entire discussion in itself, and an important one at that.  But the differences do not appear germane to your current scenario based on the information you've provided.  So I’ll forego that discussion for the time being.

    As we discussed, the subject device must have the same intended use as the predicate.  However, technological differences are permitted within certain guidelines.  This echoes one of Ginger's points.  So even though the first device’s intended use disqualifies it from being the predicate for the second device, the first device may nonetheless be useful in the second 510(k) for what FDA currently calls (and wants you to call) a “reference device”.  This can be useful to more efficiently address the technological features of the subject device.  For example, it may turn out that data such as biocompatibility testing, animal-sourced material certifications, sterilization validation, bio-absorption, mechanical characteristics, etc., are the same for your first cleared device and your second device.  If so, then rather than resubmitting all those data for redundant review in the second 510(k), it might in the second 510(k) be appropriate to instead refer the new FDA reviewer/panel to those data already on file at, and already reviewed by, FDA within the first 510(k), even though in association with a different FDA review panel.

    ------------------------------
    Kevin Randall, ASQ CQA, RAC (U.S., Canada, Europe)
    Principal Consultant
    ComplianceAcuity, Inc.
    Golden CO
    United States
    www.complianceacuity.com



  • 7.  RE: 510(k) Query

    Posted 24-Aug-2016 13:05
    Harsha,

    I had a client few years ago, who was very similarly situated to your description. 

    Here is how I helped (this is just one example for your thought). 

    1. a 510(k) submission for SE using a potential predicate per my client's request while I offered to use its own device for a new indication.
    2. After submission, FDA asked us to use the client's own device.
    3. During review, FDA requested clinical data (which we had none).
    4. In the middle of substantive review, a new branch was assigned as the new indication falls under a different branch at the time.
    5. The new branch requested additional data (clinical data) supporting the new indication.
    6. I offered to FDA to review our extensive summary of clinical data from the public sources.
    7. FDA agreed.
    8. FDA also stated if they are not satisfied with the data from the public sources, we were encouraged to perform a clinical trial to provide supporting data.
    9. Sometime later, FDA came back stating there has been some policy changes and thus, FDA was encouraging my client to go through "de novo process." 
    9. The client decided to drop the indication for now!


    Thank you.

    s/ David
    ______________________________________________
    Dr. David Lim, Ph.D., RAC, ASQ-CQA 
    Phone (Toll-Free): 1-(800) 321-8567



    "Knowledge is power only when it is practiced and put into action." - Regulatory Doctor

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  • 8.  RE: 510(k) Query

    Posted 24-Aug-2016 23:18

    Hi All,

    Thanks a lot for all the information. It has really helped me clarify the process. I am thinking the best bet would be to use a different predicate product rather than our own. Another question though, and I am sure the answer is "No, its not possible and I will need two different 510(k)s" but just want a confirmation.

    So, if I want two different intended use (that will be under a totally different review panel and regulation number with different product code), will I most definitely have to apply for two different 510(k)'s? I can't really have two predicate products on the same application with two different set of intended use and product panel, code and regulation number, right?

    I really appreciate all of your replying back as it is really helping me out with this new role. Thanks a lot.

    ------------------------------
    Harsha Gupta
    Regulatory Affairs Manager
    Orthocell Ltd.
    Murdoch Western Australia WA
    Australia



  • 9.  RE: 510(k) Query

    Posted 27-Aug-2016 11:26

    Do you want the device to have both intended uses? Or two separate products, each with its own intended use?

    You may want to check out the section on multiple predicates and reference devices in the Substantia; Equivalence guidance that came out in 2014, as well as the part on Intended Use and changes to Indications for Use that comes right after it as they have some good examples:

    http://www.fda.gov/downloads/MedicalDevices/.../UCM284443.pdf#page=14




  • 10.  RE: 510(k) Query

    Posted 28-Aug-2016 02:52

    Hi Samir,

    The idea is to have the same product with both of the intended uses. I will definitely read the documents that you have advised and hopefully, it will clarify a lot of my queries. 

    Thank you for your advise.

    Regards

    ------------------------------
    Harsha Gupta
    Regulatory Affairs Manager
    Orthocell Ltd.
    Murdoch Western Australia WA
    Australia