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Special 510k Review

  • 1.  Special 510k Review

    Posted 24-Aug-2021 10:25
    Hello,
    For those who have special 510k experience, please help me understand the process:
     - Special 510k submitted
     - RTA received on Day 15, review clock stops
     - RTA response submitted and accepted on Day 22

    Does this mean that a response should be expected by at least Day 29 (Additional Information request) or Day 30 (clearance)?

    I know there is an unwritten rule that reviewers have an additional 30 days after an AI response, but I wasn't sure if this is applicable to RTA's as well. Please share your experience.

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    Charnelle Thomas RAC
    Director, Regulatory Affairs
    Canton GA
    United States
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  • 2.  RE: Special 510k Review

    Posted 24-Aug-2021 11:52
    Edited by Kevin Randall 24-Aug-2021 12:50

    FDA operates against two 510(k) review clocks:  One for the acceptance review phase, and one for the substantive review phase.  These clocks may or may not run concurrently depending on the outcome of the acceptance review.

    The acceptance review clock duration is 15 calendar days for each acceptance review.  In other words, FDA has 15 calendar days after receipt of the 510(k) by the DCC (Document Control Center) in which to complete an acceptance review against FDA's RTA criteria.  If acceptance review deficiencies are found, then FDA, as a general rule, issues a Refuse to Accept (RTA).  When that happens, the Sponsor has up to 180 days to respond to the RTA.  Once FDA receives the Sponsor's RTA response, FDA has another 15-calendar day acceptance review clock in which to review the RTA corrections.

    Only once the submission has passed the acceptance review criteria (i.e., been accepted for substantive review) can the the 30-day Special 510(k) substantive review clock (or 90-day Traditional or Abbreviated substantive review clocks) be calculated.  The substantive review clock is calculated starting from the DCC receipt date of the most recent submission that ultimately allowed the submission to be accepted for substantive review.

    So this means that if the RTA response which finally allows FDA to accept the 510(k) for substantive review was received by the DCC on calendar day 22, then the overall MDUFA performance goal clock is calculated starting from that day 22.  In other words, FDA's MDUFA performance goal will be 30 days after day 22 (i.e., day 52) for a Special 510(k), or 90 days after day 22 (i.e., day 112) for a Traditional or Abbreviated 510(k).



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    Kevin Randall, ASQ CQA, RAC (U.S., Europe, Canada)
    Principal Consultant
    Ridgway, CO
    United States
    © Copyright 2021 by ComplianceAcuity, Inc. All rights reserved.
    ------------------------------



  • 3.  RE: Special 510k Review

    Posted 24-Aug-2021 12:30
    Just made a few important clarifications in my original wording; be sure to review my latest narrative.

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    Kevin Randall, ASQ CQA, RAC (U.S., Europe, Canada)
    Principal Consultant
    Ridgway, CO
    United States
    © Copyright 2021 by ComplianceAcuity, Inc. All rights reserved.
    ------------------------------



  • 4.  RE: Special 510k Review

    Posted 24-Aug-2021 15:31
    Edited by Charnelle Thomas 24-Aug-2021 15:31
    Thank you Kevin. You nailed down the part that is unclear:

    "FDA operates against two 510(k) review clocks:  One for the acceptance review phase, and one for the substantive review phase.  These clocks may or may not run concurrently depending on the outcome of the acceptance review."

    I have seen it run concurrently, but these were mostly for traditional and abbreviated. For special, I know the timing may be a bit different.

    ------------------------------
    Charnelle Thomas RAC
    Director, Regulatory Affairs
    Canton GA
    United States
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  • 5.  RE: Special 510k Review

    Posted 24-Aug-2021 16:59
    Indeed, 510(k) review timelines can certainly get confusing.  Regarding RTA timelines for Special 510(k)s, my understanding is that FDA's RTA process and 15-day acceptance review clock are theoretically applied by FDA universally regardless of 510(k) type, though FDA's RTA reviewers undoubtedly have more fire under them for Special 510(k)s.

    ------------------------------
    Kevin Randall, ASQ CQA, RAC (U.S., Europe, Canada)
    Principal Consultant
    Ridgway, CO
    United States
    © Copyright 2021 by ComplianceAcuity, Inc. All rights reserved.
    ------------------------------



  • 6.  RE: Special 510k Review

    Posted 24-Aug-2021 13:46
    And don't forget of course that when FDA calculates the aforesaid 30/90-day MDUFA performance goal, it does so in terms of "FDA Days", which are those calendar days when an accepted submission is considered to be under 'active' review at the Agency ('active' is my own term meaning not on hold).

    ------------------------------
    Kevin Randall, ASQ CQA, RAC (U.S., Europe, Canada)
    Principal Consultant
    Ridgway, CO
    United States
    © Copyright 2021 by ComplianceAcuity, Inc. All rights reserved.
    ------------------------------



  • 7.  RE: Special 510k Review

    Posted 25-Aug-2021 03:58
    Hello,

    Also an important point, these are goals - they are not deadlines.  I have seen RTA response on Day +4 (from when the 510(k) number was assigned by DCC) and RTA response on Day +23.  Depending on the quality of the submission and quality of the response this time can be shortened as the reviewer can clearly understand what is being presented.  Another important point is FDA's goal of 30 days and 90 days for reviews is their time and does not constitute the hold period, so many think a Special 510(k) can be done in 30 days or less, but may take up to 90 days real time, depending on how long the company takes to respond.

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    Richard Vincins RAC
    Vice President Global Regulatory Affairs
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  • 8.  RE: Special 510k Review

    This message was posted by a user wishing to remain anonymous
    Posted 26-Aug-2021 09:46
    This message was posted by a user wishing to remain anonymous

    Hello-at FDA the 510(k) deadlines definitely were "deadlines" that, if missed, knocked a division's performance statistics.

    At least when I was there, the 15 day RTA deadline was a true deadline-if an RTA decision was not made by FDA day 15, the decision was automatically RTAA, a letter was automatically sent out, and the branch chief (now called "Assistant Director") got upset.

    As a reviewer I had up to 14 510(k)'s on my desk at a time.  The amount of time I took to make an RTA decision depended much more on when I actually got around to opening a file than what was in the file.

    As an interesting side note, when RTA was initially rolled out, a lot of submissions got rejected over stupid issues, like condom manufacturers not having provided adequate software documentation with a submission.

    At that point, the RTA criteria were made much tighter.




  • 9.  RE: Special 510k Review

    Posted 26-Aug-2021 09:53
    Anon - Very interesting perspective. I have found the RTA deadlines are pretty consistent. What is your experience with special 510ks? If an RTA is received, are the initial 15 days included in the total review time (30 days) or not? There seems to be mixed reviews on when the time clock starts/stops and how this is factored into total review time.

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    Charnelle Thomas RAC
    Director, Regulatory Affairs
    Canton GA
    United States
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  • 10.  RE: Special 510k Review

    Posted 26-Aug-2021 13:41
    We submitted a special and as it was being reviewed kept working towards a traditional in case of rejection. Thats a good idea to  have in mind. For us, it worked out and we were able to communicate this to the FDA and they allowed us to NOT RESET the clock on the submission.

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    Edward Panek
    VP, QA/RA
    Med Device
    USN Veteran
    Research into Neural Nets - https://www.twitch.tv/edosani
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  • 11.  RE: Special 510k Review

    This message was posted by a user wishing to remain anonymous
    Posted 27-Aug-2021 08:05
    This message was posted by a user wishing to remain anonymous

    To my recollection the Specials were not treated differently than the Traditionals as far as RTA.  I believe that if the decision was RTAA the 30 day clock continued and the elapsed time was counted from the date of receipt.   For the final word you should check with either your reviewer; they do tons of these submissions and they live by the FDA clock, so they are more versed on the most current deadlines than most folks outside FDA.  You could also check with FDA DICE.

    I do remember that as reviewers our managers told us that 30 FDA days was often not enough to resolve deficiencies, and the Special timelines were not taken as seriously as Traditional ones.