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  • 1.  Evaluating manufacturing/design changes to a Modular PMA under review

    This message was posted by a user wishing to remain anonymous
    Posted 13-Feb-2023 08:32
    This message was posted by a user wishing to remain anonymous

    We have submitted 3 of our 4 PMA modules for a medical device and our last module is the clinical module. We have our manufacturing module which is under review and our PAI scheduled in March 2023. While we have our PMA under review, we do have design and manufacturing changes which could impact the submission under review. These changes are bucketed into following categories: 

    1. Manufacturing changes which can impact the impact the Manufacturing module is still under review at FDA
    2. Design changes which can impact the Device Verification module which is closed
    3. Certain changes which do not need prior approval but can be reported as Annually Reportable changes if the PMA was approved
    • Can someone from the regulatory industry provide on how should we proceed with these types of changes?
    • For the 3rd category of changes, would you recommend we summarize them in the last (Clinical) module and provide them to FDA or it is okay to report them in our first annual report?
    • Also if there are any FDA guidance which we can refer to, that will be great. 



  • 2.  RE: Evaluating manufacturing/design changes to a Modular PMA under review

    Posted 14-Feb-2023 03:38

    Hello Anon,

    You are referring to performing a PMA Amendment if you already have a Modular PMA in review and submitted modules https://www.fda.gov/medical-devices/premarket-approval-pma/pma-supplements-and-amendments#amendments.  These can be done and you should reach out to your reviewer to discuss Amendments and timing of submitted changes.  Just be clear, sometimes Amendments may delay the submission by quite a number of days.  The FDA will "restart the clock" if an Amendment is made even to a Modular PMA and may even have you wait submitting the last Module until the changes have been reviewed and all the Modules "accepted" again.  While it can happen with changes during a submission, it is not a good approach to submit Amendments during a PMA submission because it can create significant delays in an already long review process.  There are quite a few guidance documents which can be referenced https://www.fda.gov/medical-devices/premarket-approval-pma/pma-guidance-documents such as Modular PMA guidance, Modifications to device guidance, Annual Reports guidance, or Acceptance and Review of filings guidance.



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    Richard Vincins ASQ-CQA, MTOPRA, RAC
    Vice President Global Regulatory Affairs
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  • 3.  RE: Evaluating manufacturing/design changes to a Modular PMA under review

    This message was posted by a user wishing to remain anonymous
    Posted 15-Feb-2023 08:21
    This message was posted by a user wishing to remain anonymous

    Richard,

    Thank you for the feedback, much appreciate it. While, we are aware of the amendment approach for significant changes however for minor change like updating a Manufacturing document or using an automated cutter instead of a manual cutter, how would you recommend evaluating those changes while the module is either closed or open but before the PMA is approved? 




  • 4.  RE: Evaluating manufacturing/design changes to a Modular PMA under review

    Posted 21-Feb-2023 02:26

    Anon,

    It really depends on what a "minor change" updating a Manufacturing document or how using a different cutter would affect the product safety and efficacy.  When dealing with a Post Market Approval (PMA) even what may be considered minor changes to other medical devices need notification for PMA devices.  You may still reach out directly to the main reviewer to query, the US FDA are fairly open these days and ask how they would handle the changes.  Also keep in mind if there are cumulative or many changes, each individual change might be minor, but put all together may have an impact.



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    Richard Vincins ASQ-CQA, MTOPRA, RAC
    Vice President Global Regulatory Affairs
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