I can share practical cases.
1). A firm may present their device design modification as a special 510(k). During an RTA review, it was accepted as a special 510(k). During the substantive review, the reviewer may realize that there are some design changes that trigger/broaden the intended use/indications.
Would you choose to receive an NSE letter and then submit a new traditional 510(k) with another fee?
OR
Would you rather convert your special 510(k) to a traditional without paying an additional fee?
2). After the RTA review as a special 510(k), the reviewer realized during the substantive review that the additional data submitted by a firm during the substantive review significantly constitute performance data not merely supporting compliance to the previous design/performance of the device. If this is the case, the reviewer has to convert from a special 510(k) to a traditional 510(k) review process.
If an RTA review is bound (even administratively only and not legally), this is a big loophole for abusive practices - firms can submit as special 510(k)s for design modifications while attempting to slightly broaden the scope and meaning of the intended use/indications during the substantive review.
Please note: the FDA reviewers shouldn't deviate from the guidance(s) without reasonable justification. Read more at
https://www.linkedin.com/pulse/article/20140514134039-19369535-understanding-the-meaning-and-scope-of-fda-guidance ____________________________________________________________ Dr. David Lim, Ph.D., RAC, ASQ-CQA Direct-dial: (540) 763-3333
Fax: (866) 591-5671
"Knowledge is power only when it is practiced and put into action." - Regulatory Doctor
Original Message:
Sent: 10-20-2014 09:25
From: Dirk Steinhoff
Subject: FDA policy on RTA (Refuse to Accept)
I agree with KAM, that FDA cannot convert its decission.
Geeta Pamidimukkala from FDA had this talk at RAPS 2014 about it. I could not find it in her slides, so maybe it was a question after her talk. If you have access to the web content of RAPS 2014 there is a video from this session. You might find it there.
Best,
Dirk
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Dirk Steinhoff
Regulatory Affairs Manage
Volketswil
Switzerland
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Original Message:
Sent: 10-20-2014 08:12
From: Kerri-Anne Mallet
Subject: FDA policy on RTA (Refuse to Accept)
I do not believe this is accurate. I recently attended a seminar at RAPS about the 510(k) process and the speaker from FDA (name escapes me at the moment) said that if the FDA accepts a Special 510(k) as part of the RTA, they cannot officially convert it later. They may decide to ask for more information during the substantive review but FDA would have to "eat the extra time". Thus theY still only have 30 days instead of 90 days to make their decision, but you will likely have more clock stops.
KAM
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Kerri-Anne Mallet
K-Med Regulatory Services
Attleboro MA
United States
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