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  • 1.  Any experience with Pre-Clearance Inspections for External Infusion Pump ?

    Posted 15-Nov-2017 13:09
    Edited by Ary Saaman 15-Nov-2017 13:10

    In their Guidance « Infusion Pumps Total Product Life Cycle » (draft version of April 23, 2010, and final version of December 2, 2014) it is written on page 33 that « FDA may conduct a pre-clearance inspection of infusion pump manufacturers ». In the Guidance it is also explained what might trigger a Pre-Clearance Inspection (i.e., an inspection as part of FDA's 510(k) review process of said devices and prior to clearance). Does anyone know if FDA carrries out such inspections and, if so, what information could you share with me about them ? For the sake of clarity : my company is a developer of external infusion pumps (e.g., an insulin infusion pump) and hence we could be subject to such an inspection. With kindest regards,



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    Ary Saaman
    Director, Regulatory Affairs
    Debiotech S.A.
    Lausanne
    Switzerland
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  • 2.  RE: Any experience with Pre-Clearance Inspections for External Infusion Pump ?

    Posted 16-Nov-2017 07:23
    I dont know if they are doing them or not, but that is an illegal requirement for a 510(k).  They also tried experimenting with an "assurance case" standard of review which is equally illegal.  FDA was essentially legislating a new standard as an administrative body whose job it is to implement legislative directives.  Ed Basile of King & Spalding and I complained about this publicly from the podium. I did it in writing as well.  There is no such requirement as a pre-clearance inspection in the statutory 510(k) program.  If companies are consenting to it, they shouldn't. 

    Mark DuVal, JD, FRAPS
    President & CEO
    DuVal & Associates, P.A.



    Sent from my Verizon, Samsung Galaxy smartphone





  • 3.  RE: Any experience with Pre-Clearance Inspections for External Infusion Pump ?

    Posted 17-Nov-2017 22:00

    Mark, you make two statement that I don't understand. I'm hoping you clarify them for me.

     

    I one case you that a pre-market inspection "is an illegal requirement for a 510(k)". In another case you say that an "assurance case" standard of review is equally illegal.

     

    I am not an attorney, but from a matter of education, I'm curious to understand the reasoning. For example, in the 510(k) case, I don't think the pre-market inspection is forbidden, just not a common practice. However, I don't see a reason that FDA could not decide to do pre-market inspections on a limited basis (some product codes) or even for all 510(k) devices. Given the resources, it might not be practical, but that is a different issue. Is there a provision in the FD&CA that forbids pre-market inspections for 510(k), therefor making them illegal?

     

    As a corollary, where would a de novo fit? I now think of it as a "peculiar" PMA.

     

    For the assurance case, I see it as a method to demonstrate that a particular device type is safe and effective. Again, I don't see that the method is forbidden, and therefor is allowed.



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    Dan O'Leary
    Swanzey NH
    United States
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  • 4.  RE: Any experience with Pre-Clearance Inspections for External Infusion Pump ?

    Posted 17-Nov-2017 15:01
    Ary-   I agree with Mark that there is no legal requirement, but wanted to share some additional background.   When the FDA wrote that guidance, it was in response to a major (hundreds of thousands of devices) problem with infusion pumps, leading to at least one product exit from the market (Baxter's Colleague pump).  Multiple Class I recalls led the FDA to launch an initiative to encourage manufacturers to fix the issues.   I'm sure you've already found this FDA page on the subject:  Infusion Pumps . To make matters worse, competitors also had problems, and Hospira's infusion pump biz, spun off from Abbott, acquired by Pfizer, and then sold to ICU Medical, also had quality concerns raised by FDA. This continues to be an industry issue (for example, see CareFusion Recalls Alaris Pump Module due to an Alarm Error Which May Cause Interruption of Therapy and Medtronic Recalls SynchroMed II and SynchroMed EL Implantable Drug Infusion Pumps Due to Failure of Priming Bolus - Update Related to May 2013 Recall).    For your purposes, I don't think that this "quality baggage" applies to a dedicated insulin pump, and I wouldn't worry too much about language in a guidance unless your device maker client has a history of FDA issues akin to what took place in the US infusion pump market.

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    Roger Cepeda, Attorney
    Health Sciences Law Group LLC
    7670 N. Port Washington Rd., Ste. 201
    Fox Point, WI 53217
    Office: 414-206-2105
    Mobile: 847-421-8361
    Fax: 414-206-2109
    Roger.Cepeda@HealthSciencesLawGroup.com
    http://www.healthscienceslawgroup.com/
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