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  • 1.  FDA Pre-sub for special v. traditional 510 (k) submission opinion

    This message was posted by a user wishing to remain anonymous
    Posted 20-Jan-2021 17:08
    This message was posted by a user wishing to remain anonymous

    Hello!  Has anyone ever use the FDA's pre-submission program to gain an opinion on whether a special or traditional 510(k) is the correct submission pathway? If so, can you share your experience? Thank you.


  • 2.  RE: FDA Pre-sub for special v. traditional 510 (k) submission opinion

    Posted 21-Jan-2021 03:15
    Hello Anon,

    I have not and honestly probably would not use the pre-submission program for a decision on Special versus Traditional.  The FDA has clear description of when a Special 510(k) can be used versus a Traditional 510(k).  In the Special 510(k)s I have submitted in the past, had one instance where the reviewer felt the changes were too significant and moved it from a Special to a Traditional submission.  We then had to submit additional testing reports.  I would recommend speaking with some external experts who can review your submission to give you best advice on whether to submit a Special or Traditional.  Plus today, FDA is not reviewing Q-Submission (pre-submission) like they did pre-2020.  I would not want to wait 4 to 6 months to get an answer whether it is a Special or Traditional submission when you could submit when ready.

    ------------------------------
    Richard Vincins RAC
    Vice President Global Regulatory Affairs
    ------------------------------



  • 3.  RE: FDA Pre-sub for special v. traditional 510 (k) submission opinion

    Posted 21-Jan-2021 07:18

    Dear Anon,

     

    If you have already completed V&V and could support the Design Control Certification in the submission of a Special, it would take less time and effort to submit as a Special and amend the information if FDA transforms it into a Traditional.  You would obviate the effort to prepare the Pre-sub and eliminate the wait time.

     

    In the past, I have put in the signed cover letter a section that states:

     

    We believe these modifications are eligible for the Special 510(k) process. If the Food and Drug Administration does not agree with this assessment, or decides for other reasons that the information contained in this submission does not qualify, or satisfy the requirements for this Special 510(k) process, we ask that the reviewer notifies the firm of this decision and that the submission shall be converted to a Traditional 510(k) with the original receipt date considered as the start of the review period for this process.

     

    Lee

    Lee Leichter

    President

    P/L Biomedical

    10882 Stonington Avenue

    Fort Myers, FL 33913 USA

    Office: +1-239-244-1448

    Cell: +1-239-994-6488

    Email: leichter@plbiomedical.com

     

     






  • 4.  RE: FDA Pre-sub for special v. traditional 510 (k) submission opinion

    Posted 21-Jan-2021 07:36

     

     

    Hi Anon,

     

    I agree with Richard (as usual) that your question doesn't warrant a presub.  As he said, the guidance in this area is quite good.

     

    Further, Lee's recommendation is an elegant way to best expedite the process, while also minimizing the small timeline risk from FDA disagreeing with your reasoning.

    Best regards,

     

    Ted

     

    --

    Theodore (Ted) Heise, PHD, RAC

    Vice President Regulatory and Clinical Services

     

    MED Institute Inc.

    1330 Win Hentschel Blvd.

    West Lafayette, IN  47906-4149 USA

    765.463.1633 ext. 4444

    http://medinstitute.com

    theise@medinstitute.com

     

     

     

     






  • 5.  RE: FDA Pre-sub for special v. traditional 510 (k) submission opinion

    Posted 21-Jan-2021 08:46
    We submitted a special which was rejected pretty quickly by FDA and converted to traditional. Our strategy was sub as special and keep working on a traditional in case they flip to traditional that way no time is lost on your end.

    ------------------------------
    Edward Panek
    VP, QA/RA
    Med Device

    DOD/DARPA/Dept Veterans Affairs Design Controls in Research

    Research into Neural Nets - https://www.twitch.tv/edosani
    ------------------------------



  • 6.  RE: FDA Pre-sub for special v. traditional 510 (k) submission opinion

    Posted 22-Jan-2021 07:01
    Dear A,
    I believe that according to your request, you already have a device, and you did some changes and want to get the FDA review and approval, you need to use the old version of the product as a predicate device and make a comparison 
    With FDA guidance, the most important issue before submitting Special 510K is to ensure that
    1-No change in the intended use
    2- No change in the scientific technology 
    Note: Software change need Traditional 510K 

    ------------------------------
    YASSER ESTAFANOUS
    Director of RA/QA
    Winter Haven FL
    United States
    ------------------------------



  • 7.  RE: FDA Pre-sub for special v. traditional 510 (k) submission opinion

    This message was posted by a user wishing to remain anonymous
    Posted 26-Jan-2021 08:37
    This message was posted by a user wishing to remain anonymous

    Hi Yasser,
    Can you please elaborate the above note "Note: Software change need Traditional 510K". Do you mean irrespective of any change done to the software i.e. software contained in a Medical Device, it has to be Traditional 510k? What about SaMD's? Can changes made to a SaMD be submitted via a Special 510(k), if it qualifies for it, or does it need to be submitted only through a Traditional 510(k)?

    Thanks


  • 8.  RE: FDA Pre-sub for special v. traditional 510 (k) submission opinion

    Posted 27-Jan-2021 14:14
    Hi,
    If you are talking about SaMD, 
    First of All, There are many factors to consider on this point, including the original issue, why the change was made, and the overall impact of the change.








  • 9.  RE: FDA Pre-sub for special v. traditional 510 (k) submission opinion

    This message was posted by a user wishing to remain anonymous
    Posted 22-Jan-2021 09:02
    This message was posted by a user wishing to remain anonymous

    Former FDA here and converter of many a Special 510(k).  As everyone else said, in principle you can put in a Q-sub.  But in practice it will take forever and be fairly pointless.  You can answer the questions on your own:  Are you modifying your own device, are there well established methods of testing its performance, and is a summary of the test data (instead of all the test data itself) enough to evaluate the device?  The answers might be subjective, but you can come up with SOME answer and justify it, which is the best anyone can do.  Also, you can research whether predicate devices have been submitted as Specials.

    The question of "are summary data enough?" often does not have a good answer.  I mean, let's say your output is data on noise.  What is the "summary" really?  Is it a plot of the data?  FDA basically tries to be consistent with its own previous decisions, so it's important to research those if possible.

    I'd just submit as a Special and be prepared in case FDA converts it to Traditional, in which case you might have to submit your test reports and software documentation in more detail.  Frankly although it shouldn't be, in practice the conversion process at FDA can be somewhat subjective and can also depend on the reviewer's workload at the time.  Conversion requires effort on the reviewer's part; it must be justified to management as well as a special department that handles conversions.  It also requires that the reviewer know how previous similar 510k's were handled.

    To be honest, with all due respect to Lee, I would leave out the paragraph in the cover letter that you mentioned.  FDA reviews every single Special to see whether it should really be a Special, they decide the date that the clock starts, and they do notify sponsors of conversion.  The process is the same for every submission, much of it is automated by their IT tracking system, and it is very, very well defined, so there is no need to make special requests.  As a reviewer I had a load of up to 14 submissions at a time--I wouldn't necessarily have paid attention to (or appreciated) advice from industry on how to run my review or what communications to make.