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DOC vs. general use of FDA consensus standards

  • 1.  DOC vs. general use of FDA consensus standards

    This message was posted by a user wishing to remain anonymous
    Posted 06-Apr-2020 08:57
    This message was posted by a user wishing to remain anonymous

    Hi all, 
    can you please comment on the difference between DOC vs. general use of consensus standards for FDA submissions?
    Is it allowed to issue a DOC, even if some clauses of the standards are N/A?
    Also, what are the perks of including a DOC in the submission to the FDA? After all, either way (with and without DOC) test reports are still needed. Is my understanding correct?
    Thank you all.


  • 2.  RE: DOC vs. general use of FDA consensus standards

    Posted 07-Apr-2020 07:24
    The Declaration of Conformity in a submission provides a convenient way to let the reviewer know what standards were applied and how. You can use a Declaration of Conformity for recoznied consensus standards as well as standards that are not recognized by FDA. These Declarations essentially replace the old Form 3654, which is no longer required.

    If some clauses are not applicable, you include that in your Declaration as per the link below. And yes, a full test report may be required.

    https://www.fda.gov/medical-devices/premarket-notification-510k/required-elements-declaration-conformity-recognized-standard

    ------------------------------
    Jean Bigoney PhD, RAC, CQE
    Senior Regulatory Affairs Specialist
    Morrisville
    United States
    ------------------------------



  • 3.  RE: DOC vs. general use of FDA consensus standards

    Posted 07-Apr-2020 08:30
    Hello anonymous

    In my most recent filing, I did not include DoCs.  What a hassle to produce and include, versus just submitting the technical reports. Much more onerous than the old FDA 3456 forms, which were also a pain for devices citing use of many standards. 

    I know FDA wants them because they become a legal statement (like the Truth and Accurate statement -AKA the orange jumpsuit statement).  Also, then the review becomes faster for FDA because they don't have to actually read the technical reports.  And FDA seems more efficient then. But I suspect in the end you may stillbhave to submit the report to close a deficiency.

    Until I have to (maybe under STEP program), I personally won't use DoCs.   I did not get any deficiency, since I put in the actual reports, and protocol where required. 

    Good.luck.

    ------------------------------
    Ginger Cantor, MBA, RAC
    Founder/Principal Consultant
    Centaur Consulting LLC
    River Falls, Wisconsin 54022 USA
    715-307-1850
    centaurconsultingllc@gmail.com
    ------------------------------



  • 4.  RE: DOC vs. general use of FDA consensus standards

    This message was posted by a user wishing to remain anonymous
    Posted 07-Apr-2020 08:55
    This message was posted by a user wishing to remain anonymous

    Based on the new guidances, for a traditional 510(k), I found it was easier just to claim general use and then include the full test report. It seemed more effort to try to go through and determine which clauses were and were not applicable, deviations, etc, know that we might be asked to submit the full test report anyhows.


  • 5.  RE: DOC vs. general use of FDA consensus standards

    Posted 07-Apr-2020 16:07

    If you are referring to the 510(k) submission, DoC is declaring that your testing conforms to the FDA's consensus standards and shows any exceptions or non-applicable criteria in the standard. In my experience, listing of FDA's recognized standards in the Form 3514 should be filled out regardless of whether you use a DoC in the submission or not. It may be redundant, and it's possible that you will not have a DoC for every standard you use, but it is best to still provide the DoC that lists all consensus standards applied in the 3514. If non-recognized standards are used, you can also list them in 3514 and throughout the submission. This is especially true when the bench or biocompatibility testing (whether done in-house or at the outsourced) included any FDA's non-recognized standards. Also, keep in mind that the DoC is to be made per the ISO 17050-1 and ISO 17050-2. Kindly review section 514(c)(1)(B) of the FD&C Act,  the final FDA guidance "Appropriate Use of Voluntary Consensus Standards in Premarket Submissions for Medical Devices, issued on September 14, 2018, and ISO/IEC 17050-1:2004 "Conformity assessment – Supplier's declaration of conformity – Part 1: General requirements" for all necessary components of the DoC. Good luck!



    ------------------------------
    Jo Huang RAC
    Assoc Manager - Regulatory Affairs
    Irvine CA
    United States
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  • 6.  RE: DOC vs. general use of FDA consensus standards

    Posted 08-Apr-2020 05:31
    Edited by Richard Vincins 08-Apr-2020 05:33
    I agree with Ginger, the completion of the forms is just burdensome annoyance, more just a repetition of information from other places in the submission, though valid questions are asked in the Declaration of Conformity form such as if part or all of the standard is used.  What I did to get around not sending in the forms was change around Section 9 (I also like Ginger stopped completing them and had 1 out of 4 reviewers send me an RTA because the forms were not there - oh well different reviewers following the checklist !).  By the way, if you try to find FDA Form 3654 in their database, it is not there.  What I did in Section 9 - Declaration of Conformity and Summary Reports is break out the different types of testing, i.e. sterilisation, labelling, electrical, performance, clinical.  Then in each of the sub-sections I created a list of the standards, with title and year/revision, used (recognised consensus or not) along with a statement the entire standard was followed or only indicated the sections used from the standard.  Then I had a table under each list with standard number, the FDA recognition number, how the testing was done (internal versus external and listing the external facility), contact info of testing lab, certifications of lab, and then the section where further information could be located, i.e. Section 14 for Sterilization.  I took much of the wording from Form 3654 and incorporated directly into Section 9 to get away from using the form.  It works well, because I still have a Declaration of Conformity to the standards used either in its entirety or parts of the standard.

    ------------------------------
    Richard Vincins RAC
    Vice President Global Regulatory Affairs
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  • 7.  RE: DOC vs. general use of FDA consensus standards

    Posted 08-Apr-2020 08:49
    Hi Richard

    I simply made a statement that I had read the guidance on Appropriate Use Of Consensus Standards, was not including formal DoCs, and was including data, protocols and reports applicable to the standards I referenced. These included IEC 60601-1, ed 3.1, IEC 60601-1-2, 4th edition, ISO 14971:2007/(c)2010 (which the Agency still recognizes through 2022), IEC 62304:2015, and ISO 10993-1.'   They were all identified on my FDA3514 cover sheet.

    Not a problem. 

    Honestly, and clients wonder where the extra time comes in.. It is these burdensome non-value added activities.  At least it doesn't add value for industry, IMHO.

    ------------------------------
    Ginger Cantor, MBA, RAC
    Founder/Principal Consultant
    Centaur Consulting LLC
    River Falls, Wisconsin 54022 USA
    715-307-1850
    centaurconsultingllc@gmail.com
    ------------------------------



  • 8.  RE: DOC vs. general use of FDA consensus standards

    Posted 09-Apr-2020 03:35
    I believe DOC is useful only to the assessor. It is convenient to have all the information in one document, rather than get all the reports and try to figure it out yourself.
    Of course it is not mandatory but it helps the process

    ------------------------------
    Spyros Drivelos
    Medical Devices Expert, RAC
    Agia Paraskevi, Athens
    Greece
    ------------------------------



  • 9.  RE: DOC vs. general use of FDA consensus standards

    Posted 09-Apr-2020 12:13
    Hello,

    I have provided in my recent 510(k) a DoC with all the elements requested in the FDA Guidance Appropriate Use of Voluntary Consensus Standards in Premarket Submissions for Medical Devices without providing the actual test reports and did not receive any remark on this topic from FDA. As detailed in the guidance, FDA can require you to submit evidence documents for types of consensus standards where review of the underlying data may be necessary (i.e. standards that are process-oriented, or that include choices relating to test methods, test selection, or have guidelines that apply to a broad range of device types and safety issues. An example is ISO 14971 or ANSI/AAMI/IEC 60601-1-2. Basically, if a pre-market submission contains a DOC to such a consensus standard, FDA recommends including a summary test report that includes test results. Therefore, not much changes meaning that your standards compliance evidence must still be available at the moment when you submit your 510(k) - regardless whether you decide to attach the actual test reports in your submission or just provide the DoC.

    Hope this clarifies.
    Best regards,

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    Ioana Ulea
    Regulatory Affairs Professional
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  • 10.  RE: DOC vs. general use of FDA consensus standards

    This message was posted by a user wishing to remain anonymous
    Posted 10-Apr-2020 09:07
    This message was posted by a user wishing to remain anonymous

    Thank you all for the very helpful insights and for sharing your experience with us.