Regulatory Open Forum

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  • 1.  Indications

    This message was posted by a user wishing to remain anonymous
    Posted 20-Feb-2023 08:22
    This message was posted by a user wishing to remain anonymous

    Hi All,

    I have a device which is Class II SaMD - FDA and while I write the intended use/indications, the main indications has been studied in a clinical study using primary endpoints and powered, I have also evaluated a feature of the device using a secondary endpoint not powered. I understand the feature studied as a secondary endpoint cannot become part of the indication. But have the following doubts:

    • While I market the device can we market saying that the device has also been tested in so and so features (secondary endpoint features)?
    • Can the end user use it for the additional feature in clinical practise?

    I would greatly appreciate any advice on this regard.

    Thanks!



  • 2.  RE: Indications

    Posted 20-Feb-2023 11:51
    Edited by Kevin Randall 20-Feb-2023 11:53

    In a nutshell, ALL of a manufacturer's advertising/promotional statements must be within the boundaries established by the FDA-cleared/approved intended use and indications. Consequently, if a manufacturer makes claims that the subject device has been tested for, or can be used for, features not directly within the boundaries established by the FDA-cleared/approved intended use and indications, then that generally misbrands the device by way of marketing for uncleared/unapproved indications.

    The FDA doesn't generally prohibit clinicians from using their clinical judgment/expertise in the use of medical devices outside of the manufacturer's labeled intended use / indications.  Clinicians are allowed to decide whether such "off-label" use is in their patient's best interest.



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    Kevin Randall, ASQ CQA, RAC (U.S., Europe, Canada)
    Principal Consultant
    Ridgway, CO
    United States
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