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Human Factors Eng/Usability in 510k submission

  • 1.  Human Factors Eng/Usability in 510k submission

    Posted 21-Jun-2019 11:53
    Greetings,
    In which section of a traditional 510k content should the HFE/Usability studies be discussed? They are not really fitting into the Performance-Bench testing section but I cannot think of anywhere else. I appreciate your input.
    Thanks,
    Jo

    ------------------------------
    Jo Huang RAC
    Sr. Regulatory Affairs Specialist
    Athens TX
    ------------------------------


  • 2.  RE: Human Factors Eng/Usability in 510k submission

    Posted 22-Jun-2019 09:01
    Hi Jo:

    if you don't think it fits in the bench, animal, or clinical performance sections, you could always put in in section 21 "other". You will also want to ensure information included in your 510(k) summary (briefly) and in your substantial equivalence discussion if relevant. 

    Good luck!

    ------------------------------
    Andrea Pilon Artman, MS, CQE
    President & Principal Consultant
    SpectRA Compliance, LLC
    Frederick, MD
    USA
    andrea.artman@spectracompliancellc.com
    ------------------------------



  • 3.  RE: Human Factors Eng/Usability in 510k submission

    Posted 23-Jun-2019 08:05
    If it is not required in the submission, I would not advise submitting, rather just leave it in your design file.  Same with cleaning validation work.  I also know of a company who submits their EU CER in their 510(k) (found it when I requested their 510(k) after they filed a 510(k) statement). Unfortunately for them, they had laid out their whole commercial strategy in it, which I was able to relay to my employer.

    Submit adequately for a successful submission, don't oversubmit and leave yourself open to extra questions, delays and competitive discoveries.  By law, FDA is obligated to review everything submitted. 

    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: Human Factors Eng/Usability in 510k submission

    Posted 23-Jun-2019 09:45
    Hi Jo:

    I would be extremely cautious about leaving out material evidence from your 510(k), especially if it was completed to determine that the device functions as intended.  You, or someone in your company, will be signing off on the truthful and accurate statement that no material facts have been omitted.

    You can protect yourself from discovery through the FOI process by submitting a 510(k) summary (instead of a statement) and then providing redactions, in the designated timeframe, as requested from FDA. All test reports can be fully redacted. 

    Best of luck on this submission!

    ------------------------------
    Andrea Pilon Artman, MS, CQE
    President & Principal Consultant
    SpectRA Compliance, LLC
    Frederick, MD
    USA
    andrea.artman@spectracompliancellc.com
    ------------------------------



  • 5.  RE: Human Factors Eng/Usability in 510k submission

    Posted 23-Jun-2019 22:41
    Thank you both for your insightful suggestions. Deeply appreciated your taking the time to explore the pros and cons of submitting the validation studies such as the HFE!
    Sincerely,
    Jo

    ------------------------------
    Jo Huang RAC
    Sr. Regulatory Affairs Specialist
    Athens TX
    United States
    ------------------------------



  • 6.  RE: Human Factors Eng/Usability in 510k submission

    Posted 24-Jun-2019 08:56
    When I have submitted Usability studies, these have been put in Section 18 - Bench Performance Testing.  This is an appropriate section in my opinion since dealing with validation, usability, engineering type of work and related to performance of the device.  Often usability testing is required by the Agency for products used by lay-person, but yes just make sure according to your device type the Usability study is appropriate to place in the submission.  There is a fine line between providing what is required and what would raise more questions.

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    Richard Vincins RAC
    Vice President Global Regulatory Affairs
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  • 7.  RE: Human Factors Eng/Usability in 510k submission

    Posted 24-Jun-2019 08:57
    Oh and yes ... never put a Clinical Evaluation Report (CER) written for Europe in a 510(k) submission.

    ------------------------------
    Richard Vincins RAC
    Vice President Global Regulatory Affairs
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  • 8.  RE: Human Factors Eng/Usability in 510k submission

    Posted 24-Jun-2019 13:11
    Thanks, Richard. I was debating on whether or not necessary to include them in the submission. After reading your comments and taking into account some consideration,  I guess I'd walk away from it mainly because the study was not intended to show SE to the predicate, rather, a Marketing approach of user evaluation. My rationale is that validation/feasibility is not on the RTA checklist. If the Agency requests one, I will be glad to supplement it, how does this sound?
    Best,
    Jo

    ------------------------------
    Jo Huang RAC
    Sr. Regulatory Affairs Specialist
    Athens TX
    United States
    ------------------------------



  • 9.  RE: Human Factors Eng/Usability in 510k submission

    Posted 24-Jun-2019 13:13
    Just a quick two cents...

    I would not rely on what a study was intended to show, but on what the results actually showed.  "Intent" is a regulatory landmine, IMO.

    ------------------------------
    Julie Omohundro, ex-RAC (US, GS), still an MBA
    Principal Consultant
    Class Three, LLC
    Mebane, North Carolina, USA
    919-544-3366 (T)
    434-964-1614 (C)
    julie@class3devices.com
    ------------------------------



  • 10.  RE: Human Factors Eng/Usability in 510k submission

    Posted 24-Jun-2019 13:58
    Hi Jo,

    Unless it is required on RTA or in a Special Controls Guidance, I wouldn't submit unless asked.  But have it if requested, and certainly for your Design History File.

    Best regards,




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



  • 11.  RE: Human Factors Eng/Usability in 510k submission

    Posted 24-Jun-2019 13:11
    Edited by Julie Omohundro 24-Jun-2019 13:13
    If you submit any kind of documentation to a regulatory agency or third-party reviewer, you can be sure they are going to review it, and potentially ask questions about it, whether it was "required" or not.  So if it's not needed, I would keep it at home.

    On the other hand, I'd be inclined to think you'd be legally required to include any data that address substantial equivalence, including safety and effectiveness in the event of technological differences, regardless of whether any FDA regulation or guidance specifies them as "required."  But I'm not a lawyer.

    Assuming that your HFE/Usability studies collected data from patients/users, I would consider them to be clinical data. (I am having a hard time imagining HFE/Usability being tested on a bench, but I guess stranger things have happened.)   I don't think they are performance data, more like the flip side of that coin, but that's getting into subtleties that probably don't need to be gotten into.  On the other hand, because that's how I see them, I'd probably discuss them separately from Performance/Bench testing.

    As for where they "should" be discussed, I would think under the comparison of substantial equivalence, if you are following this guidance for the format and content of a traditional 510(k):

    https://www.fda.gov/medical-devices/premarket-notification-510k/how-prepare-traditional-510k#link_4

    Note that the guidance makes no reference to "performance," "bench," or "clinical" data.  I think this is appropriate, because I think the inclusion of the data should be driven by the comparisons you need to make to demonstrate substantial equivalence, not where or how the data were collected.

    ------------------------------
    Julie Omohundro, ex-RAC (US, GS), still an MBA
    Principal Consultant
    Class Three, LLC
    Mebane, North Carolina, USA
    919-544-3366 (T)
    434-964-1614 (C)
    julie@class3devices.com
    ------------------------------



  • 12.  RE: Human Factors Eng/Usability in 510k submission

    Posted 24-Jun-2019 18:40
    Dear Ginger and Julie,
    I deeply appreciate your thorough explanation. I'm learning more from you than from hands-on experiences!
    Respectfully,
    Jo

    ------------------------------
    Jo Huang RAC
    Sr. Regulatory Affairs Specialist
    Athens TX
    United States
    ------------------------------



  • 13.  RE: Human Factors Eng/Usability in 510k submission

    Posted 26-Jun-2019 13:26
    So glad to see this discussion thread on this forum. The SF Bay Area Chapter is offering a webinar on Friday, July 26 the Regulatory Requirements and Trends in Human Factors for Medical Device Development. Hope you can join us for this event! I'll also share this discussion thread with our speakers from Outset Medical so they can be sure to touch on this topic as well during the webinar.

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    Susan Carino, RAC
    Principal Consultant, Integrated Project Management Company, Inc.
    susan.carino.raps@gmail.com
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  • 14.  RE: Human Factors Eng/Usability in 510k submission

    Posted 30-Jun-2019 17:19
    Thank you all who let me know the original link led you to the event announcement but did not allow you to register. Posting a direct link to be able to register for this webinar and earn 1.5 RAC credits for attending.
    San Francisco Chapter Webcast: Regulatory Requirements and Trends in Human Factors for Medical Device Development and the User-Device Interface

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    Susan Carino, RAC
    Principal Consultant
    Integrated Project Management Company, Inc.
    susan.carino.raps@gmail.com
    ------------------------------



  • 15.  RE: Human Factors Eng/Usability in 510k submission

    Posted 26-Jun-2019 17:16
    I have a related question and this seems like the right group to answer it.

    As far as I can tell, the MDR Technical Documentation does not make any reference to HFE/Usability data.  The MDR itself makes only two references to usability...Article 83 (PMS) and Annex VI Part C (UDI).

    Is usability unlikely to be a focus under the MDR, or am I missing something here?

    ------------------------------
    Julie Omohundro, ex-RAC (US, GS), still an MBA
    Principal Consultant
    Class Three, LLC
    Mebane, North Carolina, USA
    919-544-3366 (T)
    434-964-1614 (C)
    julie@class3devices.com
    ------------------------------



  • 16.  RE: Human Factors Eng/Usability in 510k submission

    Posted 26-Jun-2019 18:18
    I'm with you on this Julie. I also get the impression that MDR only mentions the usability in PMS and UDI sections.

    ------------------------------
    Jo Huang RAC
    Sr. Regulatory Affairs Specialist
    Athens TX
    United States
    ------------------------------



  • 17.  RE: Human Factors Eng/Usability in 510k submission

    Posted 27-Jun-2019 06:31

    I think it is still in the same place in Annex 1, in GSPR 5; risk related to use.

     

    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

     






  • 18.  RE: Human Factors Eng/Usability in 510k submission

    Posted 27-Jun-2019 10:13
    Edited by Julie Omohundro 27-Jun-2019 15:01
    Lee, yes, I was wondering if anyone had expanded, or might eventually expand, on this requirement. 

    As it it is written, I wouldn't go so far as to say HFE/usability is in GSPR 5, but that GSPR 5 is a potential path to it, if someone wants to go there.  It's a requirement that doesn't seem to be expected to generate any technical documentation and, as we say, if it's not in writing, it didn't happen.

    ------------------------------
    Julie Omohundro, ex-RAC (US, GS), still an MBA
    Principal Consultant
    Class Three, LLC
    Mebane, North Carolina, USA
    919-544-3366 (T)
    434-964-1614 (C)
    julie@class3devices.com
    ------------------------------



  • 19.  RE: Human Factors Eng/Usability in 510k submission

    Posted 27-Jun-2019 10:28
    In my view, the Human Factors section should be standalone and should follow the section on Safety/Biocompatibility. This is a main focus of FDA's device review, especially but not solely for software. I agree the analysis and the validation testing have to be in the DHF, However, the summary, results and conclusion must also be in the 510k in order to demonstrate the device's use safety and effectiveness in actual use. In fact, FDA Guidance specifically encourages manufacturers to discuss study design in a pre-sub meeting to avoid having to repeat the testing because FDA does not find the methods acceptable.

    ------------------------------
    Jennifer R. Martin
    Director - Regulatory Affairs
    United States
    ------------------------------