Medical Device 510 k Premarket Notification

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510K Premarket Notification

Medical Device – Premarket Notification 510(k)

The Federal Food and Drug Administration (FDA) regulates medical devices based on risk. Class I devices are considered low risk devices. These devices are subject to general controls. Most, but not all, Class I devices are exempt from the premarket notification process. Class II devices, which are considered moderate risk devices are subject to general and special controls. Most, but not all, Class II devices require a premarket notification. Class III devices are considered high risk devices and these are subject to general controls and premarket approval.

The Federal Food, Drug, and Cosmetic (FD&C) Act defines the three device classes as follows:

  • Class I: Devices are subject to a comprehensive set of regulatory authorities called general controls that are applicable to all classes of devices.
  • Class II: Devices for which general controls, by themselves, are insufficient to provide reasonable assurance of the safety and effectiveness of the device, and for which there is sufficient information to establish special controls to provide such assurance.
  • Class III: Devices for which general controls, by themselves, are insufficient and for which there is insufficient information to establish special controls to provide reasonable assurance of the safety and effectiveness of the device. Class III devices typically require premarket approval.
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In-Depth Coverage: Importing Medical Device 

Premarket notification, also known as 510(k), is a premarket submission made to the FDA to demonstrate that the device to be marketed is safe and effective, and substantially equivalent to a legally-marketed device that is not subject to Premarket Approval.  Submitters must compare their device to one or more similar legally marketed devices and make and support their substantial equivalence claims.

When an imported medical device requires premarket notification, the FDA will verify the declared 510(k) by comparing the submitted information to the data systems of the Center for Devices and Radiological Health (CDRH).  If the 510(k) information and number is not supplied or is incomplete or inaccurate, it may delay the review of your entry.   

Actually the 510(k) is the most common premarket submission for medical devices. Each person who wants to market in the U.S., a Class I, II, and III device intended for human use, for which a Premarket Approval application (PMA) is not required, must submit a 510(k) to FDA unless the device is exempt from 510(k) requirements. Before marketing a device, each submitter must receive an order, in the form of a letter, from FDA which finds the device to be substantially equivalent (SE) and states that the device can be marketed in the U.S. This order “clears” the device for commercial distribution.

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What are legally marketed devices?

A legally marketed device is a device that was legally marketed prior to May 28, 1976 (preamendments device), or a device which has been reclassified from Class III to Class II or I, a device which has been found SE through the 510(k) process, or a device that was granted marketing authorization via the De Novo classification process under section 513(f)(2) of the FD&C Act that is not exempt from premarket notification requirements.

The legally marketed device(s) to which equivalence is drawn is commonly known as the “predicate.” Although devices recently cleared under 510(k) are often selected as the predicate to which equivalence is claimed, any legally marketed device may be used as a predicate. Legally marketed also means that the predicate cannot be one that is in violation of the Act.

What is Substantial Equivalence?

A 510(k) requires a demonstration of substantial equivalence to another legally U.S. marketed device. Substantial equivalence means that the new device is at least as safe and effective as the predicate.

A device is substantially equivalent if, in comparison to a predicate it:

  • has the same intended use as the predicate; and
  • has the same technological characteristics as the predicate; or
  • has the same intended use as the predicate; and
  • has different technological characteristics and does not raise different questions of safety and effectiveness; and
  • the information submitted to the FDA demonstrates that the device is at least as safe and effective as the legally marketed device.

It is important to note that substantial equivalence is the whole point of the 510(k) program and that is what you are trying to demonstrate in your submission.

A claim of substantial equivalence does not mean the new and predicate devices must be identical. Substantial equivalence is established with respect to intended use, design, energy used or delivered, materials, chemical composition, manufacturing process, performance, safety, effectiveness, labeling, biocompatibility, standards, and other characteristics, as applicable.

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Who is required to submit 510(k)?

The FD&C Act and the 510(k) regulation do not specify who must submit a 510(k). Instead, they specify which actions, such as introducing a device to the U.S. market, require a 510(k) submission.

The following four categories of parties must submit a 510(k) to the FDA:

1. Domestic manufacturers introducing a device to the U.S. market;

2. Specification developers introducing a device to the U.S. market;

3. Repackers or relabelers who make labeling changes or whose operations significantly affect the device.

4. Foreign manufacturers/exporters or U.S. representatives of foreign manufacturers/exporters introducing a device to the U.S. market.

When is a 510(k) is required?

A 510(k) is typically required in three scenarios.

  • The first is if you are introducing a new device to the market for the first time.
  • The second could be changing the indications for use of a previously cleared device.
  • The third could be making significant modifications to a previously cleared device.

In these situations, you would require 510(k) clearance before you could market the product. On this slide I provided references.

When is a 510(k) not required?

The following are examples of when a 510(k) is not required.

1. You sell unfinished devices to another firm for further processing or sell components to be used in the assembling of devices by other firms. However, if your components are to be sold directly to end users as replacement parts, a 510(k) is required.

2.  Your device is not being marketed or commercially distributed. You do not need a 510(k) to develop, evaluate, or test a device.

3.  You distribute another firm's domestically manufactured device.

4.  In most cases, if you are a repackager or a relabeler and the existing labeling or condition of the device is not significantly changed.

5.  Your device was legally in commercial distribution before May 28, 1976 and has not been significantly changed or modified in design, components, method of manufacture, or intended use.

6.  The device is made outside the U.S. and you are an importer of the foreign made medical device. A 510(k) is not required if a 510(k) has been submitted by the foreign manufacturer and received marketing clearance. Once the foreign manufacturer has received 510(k) clearance for the device, the foreign manufacturer may export his device to any U.S. importer.

7.  Your device is exempted from 510(k) by regulation (21 CFR 862-892). That is, certain Class I or II devices can be marketed for the first time without having to submit a 510(k). A list of the Class I and II exempted devices can be found on Medical Device Exemptions 510(k) and GMP Requirements. However, if the device exceeds the limitations of exemptions in .9 of the device classification regulation chapters (e.g., 21 CFR 862.9, 21 CFR 864.9), such as the device has a different intended use or operates using a different fundamental scientific technology than a legally marketed device in that generic type of device, or the device is a reprocessed single-use device, then a 510(k) must be submitted to market the new device.

Types of 510(k) Submissions?

There are three types of 510(k) submissions. There is a traditional 510(k), an abbreviated 510(k), and a special 510(k).

Traditional 510(k)

For a traditional 510(k), you must submit the required elements of 21CFR 807.87. These are typically the administrative requirements, such as the business name, the trade name, things like that. The traditional 510(k) relies on the demonstration of Substantial Equivalence. It’s important to note that a traditional 510(k) can be used under any circumstance, while the abbreviated and special 510(k) can only be used if certain criteria are met.

Abbreviated 510(k)

An abbreviated 510(k) must also include the required elements of 21 CFR 807.87. But an abbreviated 510(k) relies on the use of guidance documents, special controls and recognized standards. Under certain conditions, sponsors may not need to submit test data in an abbreviated 510(k) because you are following the FDA recommendations and guidance documents, or recognized consent of standards. So, that is when an abbreviated 510(k) may be appropriate.

Special 510(k)

A special 510(k) must also include the required elements of 21 CFR 807.87. However, a special 510(k) is appropriate when you are making device modifications to a manufacturer's own legally marketed device.  It is important to note, also, for a special 510(k) to be appropriate, the modification may not affect the intended use or the fundamental scientific technology of the device.

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