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This is an example of a "model" 510(k)
submission for a Blood Gas/Blood pH Analyzer that is intended
for use in a point-of-care or bedside environment. The 510(k)
included the following elements:
Content and Format of a 510(k) Submission as specified
under 21 CFR 807.90:
Device Name: | XXXXXX | |
Proprietary/Trade name: | XXXXXX | |
Common Name: | Blood gas analyzer | |
Classification Name: | Blood gases and (PCO2, PO2) and blood pH test system | |
Device Classification: | II | |
Regulation Number: | 21 CFR § 862.1120 | |
Panel: | Chemistry (75) | |
Product Code: | CHL |
A discussion of how the device is substantially
equivalent to the claimed predicate device. Relevant topics include
a descriptive comparison of the following items: methodology,
test principle, sample requirements, physical dimensions, throughput,
analysis time, software support, calibration requirements, etc.
Technological Characteristics of the Device
A discussion of information concerning the operation,
function, methodology, and principles of the subject device.
Performance Characteristics and Data
A discussion of the performance data that was generated
in support of the device including protocols, raw data points,
graphical representation, and analyses or conclusions for the
following parameters as applicable:
Specific Performance Characteristics and Data | |
Method Comparison - a method comparison for each sample or matrix claimed for analysis, e.g., whole blood, capillary whole blood, serum, plasma, urine, etc. | ¨ slope
¨ intercept ¨ range of samples ¨ correlation ¨ standard error est. ¨ bias plot ¨ number (n=) ¨ sample comparability |
Precision - precision information using quality control materials or patient pools for each matrix claimed for analysis. | ¨ within-run (assay), and
¨ between-run (assay), or ¨ total ¨ calculated CV's & SD's ¨ mean ¨ number (n=) |
Linearity | ¨ recovery/dilution/parallelism, other, etc.
¨ linear range study |
Sensitivity | ¨ min. detection limit, or
¨ analytical sensitivity |
Interferences | ¨ bilirubin
¨ hemoglobin ¨ lipids (triglycerides) ¨ other, drugs, anticoagulants, etc. |
Clinical Studies for Near Patient or Bedside Use | ¨ location of studies (3 sites)
¨ investigators ¨ site precision ¨ site comparison |
Software | ¨ validation/certification information |
Expected Values | ¨ literature references, or
¨ population study |
Labeling/Promotional Materials
Provide a copy of the labeling in draft. Labeling should be conformance to the format and order of 21 CFR 809.10(b) (see below). An explanation should be provided for each element that is either absent or not applicable.
21 CFR § 809.10 Labeling for In Vitro DiagnosticDevices
21 CFR § 809.10(b) - labeling accompanying each product (package insert) shall bear...in the format and order specified below except where not applicable: | |||
(1) | Proprietary & Established Names | ||
(2) | Intended Use(s)
Conditions for Use* 21 CFR § 801.5 (a) | - state the analyte to be measured - state if the test is quantitative or qualitative - state the specimen type(s) - state any special instrument requirements - state a concise claim of clinical utility - "For Professional Use Only" - state any special condition for use statement(s) | |
(3) | Summary & Explanation | ||
(4) | Test Principle | ||
(5) | Reagents | - quantity, proportion, or concentration
- biological material (source/measure of activity) - precautions, warnings - "For In Vitro Diagnostic Use" - instructions for reconstitution, mixing, or dilution - storage instructions (opened/unopened) | |
(6) | For Instruments: | Operation Manual
- name - use/function - installation requirements - principles of operation - performance characteristics/specifications - operating instructions - calibration procedures - precautions/limitations - hazards - service/maintenance requirements | |
(7) | Specimen Collection & Preparation | - any special precautions or patient preparation
- any specimen additives, preservatives - any known interferences - storage, handling requirements | |
(8) | Procedure | - a list of materials provided
- a list of materials required but not provided - step by step instructions - a description of the stability of the final reaction - details of calibration - details of quality control | |
(9) | Results | - sample calculation or formula
- description of the results | |
(10) | Limitations | - interferences
- additional testing requirements | |
(11) | Expected Values | - stated range(s)
- literature references - population characterization | |
(12) | Specific Performance Characteristics | - accuracy (method comparison)
- precision - specificity (cross-reactivity, etc.) - sensitivity (lower detection limit) - dilution/recovery/linearity - sample comparability - high dose hook effect | |
(13) | Bibliography | ||
(14) | Name/place of manufacturer, packer, or distributor | ||
(15) | Date of last labeling revision |
Other: For a multi-purpose instrument used for diagnostic purposes...may bear the information in (b)
(1), (2), (6), (14), and (15).
Sample 1 - Substantially Equivalent
CLIA-SE
CLASSIFIED AND NOT CLASSIFIED
TO BE USED FOR 510(k)s K960001 AND AFTER
[CONTACT PERSON]
[COMPANY]
[ADDRESS]
[CITY, STATE, ZIP CODE]
Re: [510(k) NUMBER]
Trade Name: [ ]
Regulatory Class:
Product Code: [ ]
Dated:
Received:
Dear [ADDRESSEE]:
We have reviewed your Section 510(k) notification
of intent to market the device referenced above and we have determined
the device is substantially equivalent (for the indications for
use stated in the enclosure) to devices marketed in interstate
commerce prior to May 28, 1976, the enactment date of
the Medical Device Amendments or to devices that have been reclassified
in accordance with the provisions of the Federal Food, Drug, and
Cosmetic Act (Act). You may, therefore, market the device, subject
to the general controls provisions of the Act. The general controls
provisions of the Act include requirements for annual registration,
listing of devices, good manufacturing practice, labeling, and
prohibitions against misbranding and adulteration.
If your device is classified (see above) into either
class II (Special Controls) or class III (Premarket Approval),
it may be subject to such additional controls. Existing major
regulations affecting your device can be found in the Code of
Federal Regulations, Title 21, Parts 800 to 895. A substantially
equivalent determination assumes compliance with the Good Manufacturing
Practice for Medical Devices: General (GMP) regulation (21 CFR
Part 820) and that, through periodic GMP inspections, the Food
and Drug Administration (FDA) will verify such assumptions. Failure
to comply with the GMP regulation may result in regulatory action.
In addition, FDA may publish further announcements concerning
your device in the
Federal Register. Please note: this response to your
premarket notification submission does not affect any obligation
you might have under sections 531 through 542 of the Act for devices
under the Electronic Product Radiation Control provisions, or
other Federal Laws or Regulations.
Under the Clinical Laboratory Improvement Amendments
of 1988 (CLIA-88), this device may require a CLIA complexity categorization.
To determine if it does, you should contact the Centers for Disease
Control and Prevention (CDC) at (770) 488-7655.
This letter will allow you to begin marketing your
device as described in your 510(k) premarket notification. The
FDA finding of substantial equivalence of your device to a legally
marketed predicate device results in a classification for your
device and thus, permits your device to proceed to the market.
If you desire specific advice on FDA's labeling regulations
(21 CFR Part 801 and §809.10 for in vitro diagnostic devices),
please contact the Office of Compliance at (301) 594-4591. Additionally,
for questions on the promotion and advertising of your device,
please contact the Office of Compliance at (301) 594-4639. Also,
please note the regulation entitled, "Misbranding by reference
to premarket notification" (21 CFR 807.97). Other general
information on your responsibilities under the Act may be obtained
by contacting the Division of Small Manufacturers Assistance by
phone at 800-6382041, 301-4436597, or by fax at 301-443-8818.
Sincerely yours, | |
[DIVISION DIRECTOR] | |
Division of Clinical | |
Laboratory Devices | |
Office of Device Evaluation | |
Center for Devices and | |
Radiological Health |
Enclosure
[510(k) HOLDER, COMPANY NAME]
[C/O COMPANY REPRESENTATIVE, THIRD PARTY, OR CONSULTANT (IF ANY)]
[COMPANY REPRESENTATIVE, THIRD PARTY, OR CONSULTANT ADDRESS]
[CITY, STATE, ZIP CODE]
Re: [510(k) NUMBER]
Trade Name: [ ]
Regulatory Class: III
Dated:
Received:
Dear [ADDRESSEE]:
We have reviewed your Section 510(k) notification
of intent to market the device referenced above. We have determined
the device is not substantially equivalent to devices marketed
in interstate commerce prior to May 28, 1976, the enactment date
of the Medical Device Amendments, or to any device which has been
reclassified into class I (General Controls) or class II (Special
Controls). This decision is based on the fact that [SEE END OF
LETTER FOR SUGGESTED WORDING].
Therefore, this device is classified by statute into
class III (Premarket Approval), under Section 513(f) of the Federal
Food, Drug, and Cosmetic Act (Act).
Section 515(a)(2) of the Act requires a class III
device to have an approved premarket approval application (PMA)
before it can be legally marketed, unless the device is reclassified.
Any commercial distribution of this device prior
to approval of a PMA, or the effective date of any order by the
Food and Drug Administration re-classifying this device into class
I or II, would be a violation of the Act. Clinical investigations
of this device must be conducted in accordance with the investigational
device exemptions (IDE) regulations.
If you wish to pursue the marketing of this device
and need information or assistance for preparing PMA, IDE, or
reclassification submissions, please contact the Division of Small
Manufacturers Assistance by phone at 800-638-2041, 301-443-6597,
or by fax at 301-443-8818.
Sincerely yours, | |
[DIVISION DIRECTOR] | |
Division of Clinical | |
Laboratory Devices | |
Office of Device Evaluation | |
Center for Devices and | |
Radiological Health |
Reasons for Not Substantially Equivalent Decisions
Risks
CDRH encourages prospective manufacturers of home-use IVDs to assist CDRH in assessing risk/benefit factors by addressing the above questions in an appropriate premarketing submission.
CDRH recognizes that, for evaluation purposes, responses to these questions can vary based on the type of product being considered. Hence, an acceptable risk/benefit ratio is not based on uniform answers to the questions posed.
Labeling information must comply with the requirements
of 21 CFR Part 801, subpart C - Labeling requirements for over-the-counter
devices and 21 CFR Part 809, Subpart B, section 809.10 - Labeling
for In Vitro Diagnostic Products unless specifically addressed
by the following:
Section 809.10(a)
Section 809.10(b)
The order and scope of the information specified by this section should be as follows:
The Division of Small Manufacturers Assistance (DSMA)was mandated by the 1976 medical device legislation to provide
technical assistance and regulatory guidance to manufacturers
to help them comply with Food and Drug Administration (FDA) requirements
for medical devices. DSMA is located in the Center for Devices
and Radiological Health (CDRH) within FDA.
To contact DSMA staff for technical or regulatory
assistance; call 800.638.2041 or 301.443.6597, fax 301.443.8818,
E-mail DSMA@CDRH.FDA.GOV or write to the Division of Small Manufacturers
Assistance (HFZ-220), Food and Drug Administration, 1350 Piccard
Drive, Rockville, MD 20850-4307.
Manufacturers and others who are interested in the
regulatory requirements for marketing medical devices and radiation-emitting
electronic products can quickly obtain the latest information
on operating policies and procedures through one of the following
CDRH/DSMA document retrieval systems:
CDRH Facts-On-Demand -
This automated system allows anyone to obtain CDRH information,
24 hours a day, 7 days a week by calling 800.899.0381
or 301.827.0111
from a touch-tone telephone. Using the telephone keypad and following
the voice prompts, the caller can access the DSMA Facts section
of CDRH Facts-On-Demand and request a DSMA Facts index or
enter the three or four digit Shelf number for the document(s)
they want. The DSMA Facts index & documents that are less
than 30 pages are put in queue to be automatically faxed to the
fax number provided by the requester. Documents that are greater
than 29 pages are faxed after normal business hours.
World Wide Web
FDA/CDRH maintains an entry on the World Wide Web for easy access
to information. Information includes text, graphics, and files
that may be downloaded to a PC with access to the Web. Updated
on a regular basis, the CDRH Home Page includes device safety
alerts, Federal Register reprints, information on premarket
submissions (including lists of approved applications and manufacturers'
addresses), small manufactures' assistance, information on video
conferencing and electronic submissions, mammography matters,
and other deviceoriented information. The home page may
be accessed via FDA's home page at http://www.fda.gov or directly
at http://www.fda.gov/cdrh/index.html
A textonly version of the World Wide Web is
also available from a computer or VT100 compatible terminal
by dialing 8002220185 (terminal settings are 8/1/N).
Once the modem answers, press Enter several times and then select
menu choice 1: FDA BULLETIN BOARD SERVICE. From there follow instructions
for logging in, and at the BBS TOPICS PAGE, arrow down to the
FDA Home Page (do not select the first CDRH entry). Then select
Medical Devices and Radiological Health. From there select CENTER
FOR DEVICES AND RADIOLOGICAL HEALTH for general information, or
arrow down for specific topics.
DSMADOCs - Fax a request
for the documents available in paper copy by mail to Gene Allen
at 301.443.8818. Include the Shelf_# of the documents and
your mailing address. Two separate complete indexes
are available; 1. through CDRH Facts-On-Demand, or 2. by Fax order,
as noted in the table below.
Index Sort / Source | ||
Alphabetically on Title | ||
Shelf_# | ||
Document Date | ||
Date logged into DSMADOC |
Revised: 8-20-93
K ____________ Date
DMC Received ____________
Device Trade Name: _____________________________________
Reason for 510(k) _____________________________________
Division/Branch: _____________________________________
Administrative Reviewer Signature: ____________________
Date ___________
Supervisory Signature ____________________
Date ____________________
Did the firm request expedited review? ____________________
Did we grant expedited review: ____________________
_______ _____________
accepted refuse to
accept
Yes Present Omission Justified | Yes Inadequate Omitted |
I. Critical Elements: | ||
| o | o |
| o | o |
| o | o |
| o | o |
| o | o |
| o | o |
| ||
| o | o |
| o | o |
| o | o |
| o | o |
| o | o |
| o | o |
| o | o |
| o |
o |
| o |
o |
|
o |
o |
| o |
o |
| o |
o |
| o |
o |
| o |
o |
III. Additional Information that is necessary under 21 CFR 807.87(h): | ||
| o |
o |
| o |
o |
| o |
o |
| o |
o |
| o |
o |
III. Additional information that may be necessary under 21 CFR 807.87(h): | ||
| o |
o |
| o |
o |
| ||
|
||
|
o |
o |
|
o |
o |
|
o |
o |
|
||
|
o |
o |
|
o |
o |
|
o |
o |
| o |
o |
| o |
o |
| o |
o |
| o |
o |
| o |
o |
If yes, continue review with checklist from any appropriate guidance documents. | o |
o |
If no, is 510(k) sufficiently complete to allow substantive review? | o |
o |
| o |
o |
POINTS TO CONSIDER FOR REVIEW OF CALIBRATION AND
QUALITY CONTROL LABELING FOR IN VITRO DIAGNOSTIC DEVICES DRAFT
2/1/96
Objectives of This Document
This draft document provides FDA's guidance for calibration
and quality control (QC) recommendations and labeling in support
of premarketing notification 510(k) in vitro diagnostic (IVD)
device submissions. The intent is to provide both manufacturers
and Division of Clinical Laboratory Device (DCLD) reviewers with
a basis for improved review consistency. Review criteria for individual
submissions for calibration or quality control materials are not
included in the scope of this document.
Background
Calibration and quality control are key requirements
of FDA review, as noted in the labeling regulations for in vitro
devices [(21 CFR 809.10(b)(8)(v and vi)]. As a result FDA routinely
reviews details of calibration and the kinds of quality control
procedures and materials required as part of its product review.
The other major regulatory program that affects laboratories
is the Clinical Laboratory Improvement Act of 1988 (CLIA 88) which
currently mandates that all clinical laboratories follow quality
control procedures as published in regulations (CFR Part 493,
Subpart K).
FDA's Labeling Regulation
FDA's labeling regulations contain provisions to
deal with both device accuracy and precision.
CFR 809.10(b)(8)(v) reads: "Details of calibration:
Identify reference material. Describe preparation of reference
samples(s), use of blanks, preparation of the standard curve,
etc. The description of the range of calibration should include
the highest and lowest values measurable by the procedure."
FDA currently requires information on calibrationprocedures performed both to support data collection as part of
the submission and to provide users with information on the appropriate
routine operation of the device. Whenever possible we encourage
traceability of device performance to a reference method or material.
Recommended calibration frequencies should be included as part
of each submission with appropriate supporting data.
CFR 809.10(b)(8)(vi) reads: "Details of kinds
of quality control procedures and materials required. If there
is need for both positive and negative controls, this should be
stated. State what are considered satisfactory limits of performance."
FDA currently requires that the package inserts of all devices contain information on the quality control materials appropriate for a test system. In addition any internal, electronic, reagent, or process control which is an integral component of the device must be clearly described and the nature of the information provided by its use explained. Recommended QC specific rules including run frequencies to be followed for assessing quality are left to the discretion of the individual laboratory.
The intent of the above review is to ensure that
users clearly understand the operating characteristics of QC systems
so that they can make informed choices about minimal QC requirements
for a particular system and setting.
Calibration Procedures
Calibration procedures refer to the methods used
to translate a device response measurement into a concentration,
activity, or other outcome measurement. Calibration usually involves
measurement of the device response in relation to special samples
of known values called calibrators. Proper calibration and maintenanceof calibration impacts on both the accuracy and precision of test
results.
Calibration Categories
Calibration is most commonly performed using calibrators
specifically prepared to set up a standard curve or cut-off point
for an assay. In some instances calibration may be based on a
rigid determination of the operating characteristics of a system
and its known performance parameters (e.g. enzymes) and in some
instances selected patient samples or other samples are used to
correlate accuracy between a reference method to a working method.
Requirements for Method Calibration
Requirements for method calibration are outlined
in 21 CFR 809.10(b)(8)(v) and include:
Quality Control Procedures
Quality control procedures are the set of laboratory
materials and analytical processes used to:
All in vitro devices which result in generation of
test results must include information on quality control to comply
with the labeling requirements noted above.
Quality Control Categories
Quality control of in vitro devices may be composed
of two different components:
Appropriate control limits can be established for
both external quality control samples and device quality control
components and these mechanisms can be used together to monitor
and assess devices and components involved and to predict analytical
failure.
Requirements for Quality Control
External samples for use in QC. External
samples for use in QC evaluation of a device may be included as
part of a diagnostic test system or may be purchased as an accessory.
If the QC material is included as a part of the device under review,
performance information and labeling should follow that of the
FDA Points to Consider for Quality Control Materials. Whatever
the recommended source for QC materials, package inserts should
include information on what types of QC material should be obtained,
where they may be obtained, and why they must be used in support
of device performance.
At a minimum, labeling should indicate the types
of QC samples recommended including appropriate levels and matrices
to be used. QC recommendations should be chosen to adequately
assess ongoing test performance at key performance intervals or
medical decision points. For qualitative tests it is recommended
that positive and negative cut-offs be carefully identified and
that controls be provided which adequately challenge performance
at these levels.
Device quality control components (procedural
controls). All device quality control
components which contribute to evaluation of testing should be
clearly identified and the actions and limitations of each of
these components should be addressed. For example, devices which
include a color control line as part of a visual read-out should
clearly indicate what development of the colored line means; does
it assess for proper fluid uptake alone; does it test reactivity
of antibody; does it evaluate addition of reagents in a proper
order, etc? The procedural instructions for the assay should specify
the acceptability of: temperature and time variation, instrument
maintenance, and functionality. Well established ranges for these
areas of the procedure reflect on the adequacy of the assay's
QC.
In most instances the frequency of quality control
testing will depend on a variety of laboratory specific factors
including testing volume, testing frequency, and the nature of
the laboratory's operational quality control and quality assurance
programs. In some instances minimal quality control specifications
may be required by FDA. These are directed at control of the medical
device alone and are not intended to establish parameters for
laboratory practice or accreditation. Consequently, these recommendations
should be accompanied by a clear disclaimer indicating that quality
control requirements should be performed in conformance with local,
state, and/or Federal regulations or accreditation requirments.
LETTER TO ALL MANUFACTURERS OF IN-VITRO DIAGNOSTIC
(IVD) DEVICES SIGNED BY DR. STEVE GUTMAN, DIRECTOR, DCLD - 5/31/96
This letter describes revisions in the Tier/Triage
Program for premarket submissions that are about to be implemented
by the Division of Clinical Laboratory Devices (DCLD) in the Office
of Device Evaluation (ODE).
The tier/triage program is an ODE initiative introduced
in 1993 as part of a comprehensive management action plan for
improving the efficiency of its administrative work process. This
program is designed to allow levels of review of premarket submissions
to be adjusted according to device risk. The lowest risk devices
are assigned the lowest intensity of review, tier 1 review, and
the highest risk devices the highest level of review, tier 3 review.
Products of moderate risk are assigned tier 2 review.
When implemented by ODE in 1993, DCLD made the
decision to limit assignment of tier 1 category to those devices
for which review of standard performance characteristics (accuracy,
precision, analytical sensitivity and specificity, etc.) would
not be necessary. As a result only a handful of devices were reassigned
to this low level review category and the workload impact of the
program was minimal. In 1995 the Health Industry Manufacturers
Association (HIMA) provided the agency with a proposal to expand
the menu of devices assigned to the tier 1 category using a series
of flowcharts incorporating a variety of device features including
classification, analyte, matrix, methodology, technology, familiarity,
and intended use. This flowchart approach was evaluated by DCLD
and a simplified version taken to an FDA sponsored Tier/Triage
workshop on October 1995. FDA staff, representatives of the IVD
industry, academia, the clinical laboratory community, clinicians,
and other HHS agencies all provided useful comments during this
open public meeting.
The revised DCLD Tier/Triage Program consists
of the following elements:
We believe that this revised program will thus streamline the review of premarket submissions and will bring more consistency and predictability to the IVD review process. If you have questions related to the content of this letter, please contact me or Clara A. Sliva at (301) 594-3084.
Sincerely yours, | |
Steve Gutman, MD, MBA | |
Director | |
Division of Clinical Laboratory Devices | |
Office of Device Evaluation |
Enclosures
INTERPRETATION OF THE DCLD'S TIER TRIAGE DECISION CHART AND DEFINITION OF TERMS
Enclosure 2 - TIER/TRIAGE CHECKLIST
YES _____
NO _____
YES _____
NO _____
YES _____
NO _____
YES _____
NO _____
YES _____
NO _____
YES _____
NO _____
YES _____
NO _____
RATIONALE FOR THE DCLD DECISION CHART
The decision chart is based on an assessment of
risk to the patient associated with the use of the device. If
the risk of device use is low and predictable, a low level of
premarket review may be required for clearance. If the risk is
high or unknown, more data is required and a more intense review
of the data is necessary.
The first four criteria in the decision chart
deal with WHAT is the device, i.e., what it measures, what matrix
it uses, what methodology it utilizes, and what technology it
employs, and with WHY is the device indicated for use in the clinical
setting. If we do not have a clear understanding of what is the
device, its clinical relevance and its role in clinical practice,
the risk to the patient associated with the use of the device
is unknown.
Next, the DCLD decision chart deals with WHO will
use the device. The risk to the patient associated with the use
of the device will be directly related to the amount of clinical
laboratory training and experience of the person performing the
test. As user training and experience increases, device risk tends
to become lower and more predictable allowing for a lower level
of premarket review. Special attention is needed for products
intended for use in lay hands; in these settings premarket review
may require evaluation of both technical use of the product and
use and interpretation of the information generated from over-the
-counter testing.
The repeated exposure of FDA reviewers to a specific
type of device will lead to a better understanding of the risks
to the patient associated with the use of the device. The better
understanding of risks will result from the larger number of known
studies available with a particular device and from the higher
probability of learning about possible device failures through
the medical device adverse event reporting program.
Finally, of importance is HOW will the device
be used in clinical practice. This question takes into account
the importance of the results of the test in patient management.
IVD devices that are a major determinant of diagnosis, treatment,
or prognosis are associated with high risk to the patient from
using the device and require a more stringent level of data review.
Several workshop panelists commented that this
item should be placed earlier on in the decision chart. In reality,
what impacts on the tier decision is not where in the chart this
element is placed, but how major determinant is defiend. If major
determinant is defined as the test that is the major determinant
or the sole determinant of diagnosis more IVD products will be
placed in tier 1 review. If we define major determinant as proposed,
i.e., a major deteminant in diagnosis, therapy, or prognosis,
then fewer IVD products will receive tier 1 review.
IVD DEVICES SUBJECT TO TIER 1 REVIEW
Panel | Product Code | Common Name | Class | Regulation | ||||||
IM | DCF | ALBUMIN, ANTIGEN, ANTISERUM, CONTROL | II | 866.5040 | ||||||
IM | JZJ | PREALBUMIN, ANTIGEN, ANTISERUM, CONTROL | I | 866.5060 | ||||||
IM | DDE | CARBONIC ANHYDRASE C, ANTIGEN, ANTISERUM, CONTROL | I | 866.5200 | ||||||
IM | DDH | CARBONIC ANHYDRASE B, ANTIGEN, ANTISERUM, CONTROL | I | 866.5200 | ||||||
IM | KTK | REAGENT, IMMUNOASSAY, CARBONIC ANHYDRASE B AND C | I | 866.5200 | ||||||
IM | DCK | C-REACTIVE PROTEIN, ANTIGEN, ANTISERUM, AND CONTROL | II | 866.5270 | ||||||
IM | JZH | FACTOR B, ANTIGEN, ANTISERUM, CONTROL | II | 866.5320 | ||||||
IM | DBF | FERRITIN, ANTIGEN, ANTISERUM, CONTROL | II | 866.5340 | ||||||
IM | DCO | ALPHA-GLOBULIN, ANTIGEN, ANTISERUM, CONTROL | I | 866.5400 | ||||||
IM | DAW | ALPHA-2-AP-GLYCOPROTEIN, ANTIGEN, ANTISERUM, CONTROL | I | 866.5425 | ||||||
IM | DBC | ALPHA 2, 2N-GLYCOPROTEIN, ANTIGEN, ANTISERUM, CONTROL | I | 866.5425 | ||||||
IM | DEF | ALPHA-2-HS-GLYCOPROTEIN, ANTIGEN, ANTISERUM, CONTROL | I | 866.5425 |
| |||||
IM | DEJ | ALPHA-2-GLYCOPROTEINS, ANTIGEN, ANTISERUM, CONTROL | I | 866.5425 | ||||||
IM | DDN | BETA-2-GLYCOPROTEIN I, ANTIGEN, ANTISERUM, CONTROL | I | 866.5430 | ||||||
IM | DDK | BETA-2-GLYCOPROTEIN III, ANTIGEN, ANTISERUM, CONTROL | I | 866.5440 | ||||||
IM | DAD | HAPTOGLOBIN, ANTIGEN, ANTISERUM, CONTROL | II | 866.5460 | ||||||
IM | DDG | TRANSFERRIN, ANTIGEN, ANTISERUM, CONTROL | II | 866.5880 | ||||||
IM | CZO | INTER-ALPHA TRYPSIN INHIBITOR, ANTIGEN, ANTISERUM, CONTROL | I | 866.5890 | ||||||
CH | CIX | BROMCRESOL GREEN DYEBINDING, ALBUMIN | II | 862.1035 | ||||||
CH | CJW | BROMCRESOL PURPLE DYEBINDING, ALBUMIN | II | 862.1035 | ||||||
CH | CJZ | ACID, HYDROXYAZOBENZENEBENZOIC, ALBUMIN | II | 862.1035 | ||||||
CH | CJF | TETRABROMOPHENOLPHTHALEIN, ALBUMIN | II | 862.1035 | ||||||
CH | CJQ | RADIAL IMMUNODIFFUSION, ALBUMIN | II | 862.1035 | ||||||
CH | CJG | TETRABROMOMCRESOLSULFONPHTHALEIN, ALBUMIN | II | 862.1035 | ||||||
CH | CJC | FRUCTOSE1, 6DIPHOSPHATE AND NADH (U.V.), ALDOLASE | I | 862.1040 | ||||||
CH | CJT | HYDRAZONE COLORIMETRY, ALDOLASE | I | 862.1040 | ||||||
CH | JKL | ACID, DELTAAMINOLEVULINIC, IONEXCHANGE COLUMNS WITH COLORIMETRY | I | 862.1060 | ||||||
CH | JID | PHOTOMETRIC METHOD, AMMONIA | I | 862.1065 | ||||||
CH | JIF | ENZYMATIC METHOD, AMMONIA | I | 862.1065 | ||||||
CH | JIG | ELECTRODE, IONSPECIFIC METHOD, AMMONIA | I | 862.1065 | ||||||
CH | JIE | METHOD, IONEXCHANGE, AMMONIA | I | 862.1065 | ||||||
CH | CIZ | RADIOIMMUNOASSAY, ANDROSTENEDIONE | I | 862.1075 | ||||||
CH | CIY | RADIOIMMUNOASSAY, ANDROSTERONE | I | 862.1080 | ||||||
CH | JMA | ACID, ASCORBIC, 2,4DINITROPHENYLHYDRAZINE (SPECTROPHOTOMETRIC) | I | 862.1095 | ||||||
CH | CIS | HYDRAZONE COLORIMETRY, AST/SGOT | II | 862.1100 | ||||||
CH | CIT | NADH OXIDATION/NAD REDUCTION, AST/SGOT | II | 862.1100 | ||||||
CH | CIQ | DIAZO, AST/SGOT | II | 862.1100 | ||||||
CH | CIF | VANILLIN PYRUVATE, AST/SGOT | II | 862.1100 | ||||||
CH | JJB | AZODYES, COLORIMETRIC, BILIRUBIN & ITS CONJUGATES (URINARY, NONQUANT.) | I | 862.1115 | ||||||
CH | JKW | NACETYLLTYROSINE ETHYL ESTER (U.V.), CHYMOTRYPSIN | I | 862.1180 | ||||||
CH | JKX | NBENZOYLLTYROSINE ETHYL ESTER (U.V.), CHYMOTRYPSIN | I | 862.1180 |
| |||||
CH | CHE | RADIOIMMUNOASSAY, CORTICOIDS | I | 862.1195 | ||||||
CH | JKC | RADIOIMMUNOASSAY, DEHYDROEPIANDROSTERONE (FREE AND SULFATE) | I | 862.1245 | ||||||
CH | CGN | ACID, FOLIC, RADIOIMMUNOASSAY | II | 862.1295 | ||||||
CH | JGE | TURBIDIMETRIC METHOD, GLOBULIN | I | 862.1330 | ||||||
CH | JGD | NEPHELOMETRIC METHOD, GLOBULIN | I | 862.1330 | ||||||
CH | JGC | TRYPTOPHAN MEASUREMENT (COLORIMETRIC), GLOBULIN | I | 862.1330 | ||||||
CH | CGH | ELECTROPHORETIC, GLOBULIN | I | 862.1330 | ||||||
CH | JPZ | COLORIMETRIC METHOD, GAMMAGLUTAMYL TRANSPEPTIDASE | I | 862.1360 | ||||||
CH | JQA | ELECTROPHORETIC, GAMMAGLUTAMYL TRANSPEPTIDASE ISOENZYMES | I | 862.1360 | ||||||
CH | JQB | KINETIC METHOD, GAMMAGLUTAMYL TRANSPEPTIDASE | I | 862.1360 | ||||||
CH | CCZ | ZIMMERMAN/NORYMBERSKI, 17KETOGENIC STEROIDS | I | 862.1385 | ||||||
CH | JHE | RADIOASSAY, 17HYDROXYCORTICOSTEROIDS | I | 862.1385 | ||||||
CH | CDB | PORTER SILBER HYDRAZONE, 17HYDROXYCORTICOSTEROIDS | I | 862.1385 | ||||||
CH | JHD | FLUOROMETRIC METHOD, 17HYDROXYCORTICOSTEROIDS | I | 862.1385 | ||||||
CH | JIZ | ATOMIC ABSORPTION, IRON (NONHEME) | I | 862.1410 | ||||||
CH | JJA | RADIOLABELED IRON METHOD, IRON (NONHEME) | I | 862.1410 | ||||||
CH | JIY | PHOTOMETRIC METHOD, IRON (NONHEME) | I | 862.1410 | ||||||
CH | CFM | BATHOPHENANTHROLINE, COLORIMETRY, IRON (NONHEME) | I | 862.1410 | ||||||
CH | JQF | BATHOPHENANTHROLINE, IRON BINDING CAPACITY | I | 862.1415 | ||||||
CH | JMO | FERROZINE (COLORIMETRIC) IRON BINDING CAPACITY | I | 862.1415 | ||||||
CH | JQD | RESIN, IONEXCHANGE, THIOGLYCOLIC ACID, COLORIMETRY, IRON BINDING CAPACITY | I | 862.1415 | ||||||
CH | JQE | RESIN, IONEXCHANGE, ASCORBIC ACID, COLORIMETRY, IRON BINDING CAPACITY | I | 862.1415 | ||||||
CH | JQG | RADIOMETRIC, FE59, IRON BINDING CAPACITY | I | 862.1415 | ||||||
CH | CCY | ZIMMERMAN (SPECTROPHOTOMETRIC), 17KETOSTEROIDS | I | 862.1430 | ||||||
CH | CFH | TETRAZOLIUM INT DYEDIAPHORASE, LACTATE DEHYDROGENASE | II | 862.1440 | ||||||
CH | CER | 2,4DINITROPHENYLHYDRAZINE, LACTATE DEHYDROGENASE | II | 862.1440 | ||||||
CH | CFJ | NAD REDUCTION/NADH OXIDATION, LACTATE DEHYDROGENASE | II | 862.1440 | ||||||
CH | JGG | LLEUCINE4NITROANILIDE (COLORIMETRIC), LEUCINE ARYLAMIDASE | I | 862.1460 | ||||||
CH | CDC | LLEUCYL BNAPHTHYLAMIDE, LEUCINE AMINOPEPTIDASE | I | 862.1460 | ||||||
CH | JMS | ACID, OXALACETIC AND NADH OXIDATION (U.V.), MALIC DEHYDROGENASE | I | 862.1500 | ||||||
CH | JQN | COLORIMETRIC, MUCOPOLYSACCHARIDES | I | 862.1505 | ||||||
CH | LPW | SYSTEM, TEST, OXALATE | I | 862.1542 | ||||||
CH | CEO | PHOSPHOMOLYBDATE (COLORIMETRIC), INORGANIC PHOSPHORUS | I | 862.1580 | ||||||
CH | JGR | REFRACTOMETRIC, TOTAL PROTEIN | II | 862.1635 | ||||||
CH | JGQ | TURBIDIMETRIC, TOTAL PROTEIN | II | 862.1635 | ||||||
CH | JGP | LOWRY (COLORIMETRIC), TOTAL PROTEIN | II | 862.1635 | ||||||
CH | CEK | BIURET (COLORIMETRIC), TOTAL PROTEIN | II | 862.1635 | ||||||
CH | JIR | INDICATOR METHOD, PROTEIN OR ALBUMIN (URINARY, NONQUANT.) | I | 862.1645 | ||||||
CH | JIQ | TURBIDIMETRIC METHOD, PROTEIN OR ALBUMIN (URINARY, NONQUANT.) | I | 862.1645 | ||||||
CH | JJS | CONTROLS FOR BLOODGASES, (ASSAYED AND UNASSAYED) | I | 862.1660 | ||||||
CH | JJW | URINALYSIS CONTROLS (ASSAYED AND UNASSAYED) | I | 862.1660 | ||||||
CH | JJT | ENZYME CONTROLS (ASSAYED AND UNASSAYED) | I | 862.1660 | ||||||
CH | JJX | SINGLE (SPECIFIED) ANALYTE CONTROLS (ASSAYED AND UNASSAYED) | I | 862.1660 | ||||||
CH | JJR | ELECTROLYTE CONTROLS (ASSAYED AND UNASSAYED) | I | 862.1660 | ||||||
CH | JJY | MULTIANALYTE CONTROLS, ALL KINDS (ASSAYED AND UNASSAYED) | I | 862.1660 | ||||||
CH | JNO | NBENZOYLLARGININE ETHYL ESTER (U.V.), TRYPSIN | I | 862.1725 | ||||||
CH | JNN | PTOLUENESULPHONYLLARGININE METHYL ESTER (U.V.), TRYPSIN | I | 862.1725 | ||||||
CH | JNP | INFRARED SPECTROSCOPY MEASUREMENT, URINARY CALCULI (STONE) | I | 862.1780 | ||||||
CH | JNQ | QUALITATIVE CHEMICAL REACTIONS, URINARY CALCULI (STONE) | I | 862.1780 | ||||||
TX | DKO | ADSORBENTS, IONEXCHANGE | I | 862.2230 | ||||||
TX | DMG | PAPERS, ION | I | 862.2230 | ||||||
TX | KEA | RESINS, IONEXCHANGE | I | 862.2230 | ||||||
TX | DMS | GASES, GLC | I | 862.2250 | ||||||
TX | DJA | COLUMN SUPPORTS, GLC | I | 862.2250 | ||||||
TX | DLG | COATING, LIQUID, GLC | I | 862.2250 | ||||||
TX | LEQ | DETECTORS, ELECTROCHEMICAL, LIQUID CHROMATOGRAPHY | I | 862.2260 | ||||||
TX | DMZ | LIQUID CHROMATOGRAPHY, ADSORBENT | I | 862.2260 | ||||||
TX | DNH | RESINS, IONEXCHANGE, LIQUID CHROMATOGRAPHY | I | 862.2260 | ||||||
TX | DPA | APPARATUS, GENERAL USE, THIN LAYER CHROMATOGRAPHY | I | 862.2270 | ||||||
TX | DLY | PLATE, ALUMINA, TLC | I | 862.2270 | ||||||
TX | DLC | ATOMIZER, TLC | I | 862.2270 | ||||||
TX | DLO | INDICATOR, SILICA GEL FLUORESCENT, TLC | I | 862.2270 | ||||||
TX | DJO | INDICATOR, CELLULOSE FLUORESCENT, TLC | I | 862.2270 | ||||||
TX | DJS | U.V. LIGHT, TLC | I | 862.2270 | ||||||
TX | DKG | PLATE, CELLULOSE, TLC | I | 862.2270 | ||||||
TX | DKK | TANKS, DEVELOPING, TLC | I | 862.2270 | ||||||
TX | DKS | PLATE, SILICA GEL, TLC | I | 862.2270 | ||||||
TX | DKY | INDICATOR, ALUMINA FLUORESCENT, TLC | I | 862.2270 | ||||||
TX | DIF | DRUG MIXTURE CONTROL MATERIALS | I | 862.3280 | ||||||
TX | DIE | HEAVY METALS CONTROL MATERIALS | I | 862.3280 | ||||||
TX | LAX | LIDOCAINE CONTROL MATERIALS | I | 862.3280 | ||||||
TX | LAW | THEOPHYLLINE CONTROL MATERIALS | I | 862.3280 | ||||||
TX | LAZ | NACETYLPROCAINAMIDE CONTROL MATERIALS | I | 862.3280 | ||||||
TX | LAY | METHOTREXATE CONTROL MATERIALS | I | 862.3280 | ||||||
TX | LAS | DRUG SPECIFIC CONTROL MATERIALS | I | 862.3280 | ||||||
TX | DMP | DIGOXIN CONTROL SERUM, RIA | I | 862.3280 | ||||||
TX | DKC | ALCOHOL CONTROL MATERIALS | I | 862.3280 | ||||||
TX | DJK | DIGITOXIN CONTROL SERUM, RIA | I | 862.3280 | ||||||
TX | LBA | PROCAINAMIDE CONTROL MATERIALS | I | 862.3280 | ||||||
HE | GHK | CENTRIFUGE, MICROSEDIMENTATION | I | 864.5350 | ||||||
HE | GIO | TUBE, COLLECTION, CAPILLARY BLOOD | I | 864.6150 | ||||||
HE | JIO | BLOOD, OCCULT, COLORIMETRIC, IN URINE | II | 864.6550 | ||||||
HE | JIP | BLOOD, OCCULT, ENZYMATIC METHOD, IN URINE | II | 864.6550 | ||||||
MI | JTY | CULTURE MEDIA, FOR ISOLATION OF PATHOGENIC NEISSERIA | II | 866.2410 | ||||||
MI | JSP | KIT, ANAEROBIC IDENTIFICATION | I | 866.2660 | ||||||
MI | JSR | KIT, IDENTIFICATION, DERMATOPHYTE | I | 866.2660 | ||||||
MI | JSS | KIT, IDENTIFICATION, ENTEROBACTERIACEAE | I | 866.2660 | ||||||
MI | JSW | KIT, IDENTIFICATION, GLUCOSE NONFERMENTER | I | 866.2660 | ||||||
MI | JSZ | KIT, IDENTIFICATION, PSEUDOMONAS | I | 866.2660 | ||||||
MI | JTO | DISCS, STRIPS AND REAGENTS, MICROORGANISM DIFFERENTIATION | I | 866.2660 | ||||||
MI | LIB | DEVICE, GENERAL PURPOSE, MICROBIOLOGY, DIAGNOSTIC | I | 866.2660 | ||||||
MI | LJG | QUALITY CONTROL SLIDES | I | 866.2660 | ||||||
MI | LQL | GRAM POSITIVE IDENTIFICATION PANEL | I | 866.2660 | ||||||
MI | LQM | GRAM NEGATIVE IDENTIFICATION PANEL | I | 866.2660 | ||||||
MI | LKS | DEVICE, PARASITE CONCENTRATION | I | 866.2900 | ||||||
MI | JWT | ANTIGEN, CF, ASPERGILLUS SPP. | I | 866.3040 | ||||||
MI | GSN | ANTISERUM, POSITIVE AND NEGATIVE FEBRILE ANTIGEN CONTROL SERUM | II | 866.3085 | ||||||
MI | GSO | ANTIGENS (FEBRILE), AGGLUTINATION, BRUCELLA SPP. | II | 866.3085 | ||||||
MI | GMG | ANTIGEN, LATEX AGGLUTINATION, COCCIDIOIDES IMMITIS | II | 866.3135 | ||||||
MI | GMI | ANTIGEN, CF AND/OR ID, COCCIDIOIDES IMMITIS | II | 866.3135 | ||||||
MI | GOP | ANTISERA, C. ACNES (553, 605) | I | 866.3140 | ||||||
MI | KLH | ANTISERA, C. ACNES | I | 866.3140 | ||||||
MI | GNG | ANTIGENS, CF (INCLUDING CF CONTROL), COXSACKIEVIRUS A 124, B 16 | I | 866.3145 |
| |||||
MI | GNN | ANTISERA, NEUTRALIZATION, COXSACKIEVIRUS A 124, B 16 | I | 866.3145 | ||||||
MI | GNO | ANTISERA, CF, COXSACKIEVIRUS A 124, B 16 | I | 866.3145 | ||||||
MI | GQH | ANTIGEN, CF (INCLUDING CF CONTROL), CYTOMEGALOVIRUS | II | 866.3175 | ||||||
MI | GQI | ANTISERUM, CF, CYTOMEGALOVIRUS | II | 866.3175 | ||||||
MI | LJO | ANTIGEN, IHA, CYTOMEGALOVIRUS | II | 866.3175 | ||||||
MI | GNQ | ANTIGEN, CF (INCLUDING CF CONTROL), EPSTEINBARR VIRUS | I | 866.3235 | ||||||
MI | GQC | ANTISERA, CF, EQUINE ENCEPHALITIS VIRUS, EEE, WEE | I | 866.3240 | ||||||
MI | GQD | ANTIGENS, CF (INCLUDING CF CONTROL), EQUINE ENCEPHALITIS VIRUS, EEE, WEE | I | 866.3240 | ||||||
MI | GQN | ANTIGEN, CF (INCLUDING CF CONTROL), HERPESVIRUS HOMINIS 1,2 | III | 866.3305 | ||||||
MI | GQO | ANTISERA, CF, HERPESVIRUS HOMINIS 1,2 | III | 866.3305 | ||||||
MI | LKC | ANTIGENS, INDIRECT HEMAGGLUTINATION (IHA) HERPES SIMPLEX VIRUS | III | 866.3305 | ||||||
MI | GQJ | ANTISERUM, CF, LYMPHOCYTIC CHORIOMENINGITIS VIRUS | I | 866.3360 | ||||||
MI | GQK | ANTIGEN, CF, LYMPHOCYTIC CHORIOMENINGITIS VIRUS | I | 866.3360 | ||||||
MI | GSB | ANTIGENS, CF, ALL, MYCOPLASMA SPP. | I | 866.3375 | ||||||
MI | GQY | ANTIGEN, HA (INCLUDING HA CONTROL), MUMPS VIRUS | I | 866.3380 | ||||||
MI | GQZ | ANTISERUM, NEUTRALIZATION, MUMPS VIRUS | I | 866.3380 | ||||||
MI | GRB | ANTISERUM, CF, MUMPS VIRUS | I | 866.3380 | ||||||
MI | GRC | ANTIGEN, CF (INCLUDING CF CONTROL), MUMPS VIRUS | I | 866.3380 | ||||||
MI | GRD | ANTISERUM, HAI, MUMPS VIRUS | I | 866.3380 | ||||||
MI | GOG | ANTISERA, CF, POLIOVIRUS 13 | I | 866.3405 | ||||||
MI | GOH | ANTIGENS, CF (INCLUDING CF CONTROL), POLIOVIRUS 13 | I | 866.3405 | ||||||
MI | GQG | ANTIGEN, CF (INCLUDING CF CONTROLS), RESPIRATORY SYNCYTIAL VIRUS | I | 866.3480 | ||||||
MI | GPO | ANTIGEN, CF, TYPHUS FEVER GROUP | I | 866.3500 | ||||||
MI | GPQ | ANTIGEN, CF, SPOTTED FEVER GROUP | I | 866.3500 | ||||||
MI | GPR | ANTISERUM, CF, Q FEVER | I | 866.3500 | ||||||
MI | GPS | ANTIGEN, CF, Q FEVER | I | 866.3500 | ||||||
MI | GOK | ANTISERA, HAI (INCLUDING HAI CONTROL), RUBELLA | III | 866.3510 | ||||||
MI | GOL | ANTIGEN, HA (INCLUDING HA CONTROL), RUBELLA | III | 866.3510 | ||||||
MI | GOM | ANTISERA, CF, RUBELLA | III | 866.3510 | ||||||
MI | GON | ANTIGEN, CF (INCLUDING CF CONTROL), RUBELLA | III | 866.3510 | ||||||
MI | GNC | ANTIGENS, FEBRILE, SLIDE AND TUBE, ALL GROUPS, SLAMONELLA SPP. | II | 866.3550 | ||||||
MI | GOO | ANTISERA, FLUORESCENT, ALL GLOBULINS, SALMONELLA SPP. | II | 866.3550 | ||||||
MI | GRL | ANTIGENS, ALL GROUPS, SALMONELLA SPP. | II | 866.3550 | ||||||
MI | GRM | ANTISERA, ALL GROUPS, SALMONELLA SPP. | II | 866.3550 | ||||||
MI | GLZ | ANTIGENS, IF, TOXOPLASMA GONDII | II | 866.3780 | ||||||
MI | GMM | ANTIGENS, IHA, TOXOPLASMA GONDII | II | 866.3780 | ||||||
MI | GMN | ANTIGENS, CF, TOXOPLASMA GONDII | II | 866.3780 | ||||||
MI | GND | ANTIGEN, IHA, T. CRUZI | I | 866.3870 | ||||||
MI | GNF | ANTIGEN, CF, T. CRUZI | I | 866.3870 | ||||||
MI | GQW | ANTIGEN, CF, (INCLUDING CF CONTROL), VARICELLAZOSTER | II | 866.3900 | ||||||
MI | GQX | ANTISERUM, CF, VARICELLAZOSTER | II | 866.3900 | ||||||
21 CFR PART 807 SUBPART E
Subpart E--Premarket Notification Procedures
§ 807.81 When a premarket notification submission is required.
(a) Except as provided in paragraph (b) of this section, each person who is required to register his establishment pursuant to § 807.20 must submit a premarket notification submission to the Food and Drug Administration at least 90 days before he proposes to begin the introduction or delivery for introduction into interstate commerce for commercial distribution of a device intended for human use which meets any of the following criteria:
(1) The device is being introduced into commercial distribution for the first time; that is, the device is not of the same type as, or is not substantially equivalent to, (i) a device in commercial distribution before May 28, 1976, or (ii) a device introduced for commercial distribution after May 28, 1976, that has subsequently been reclassified into class I or II.
(2) The device is being introduced into commercial distribution for the first time by a person required to register, whether or not the device meets the criteria in paragraph (a)(1) of this section.
(3) The device is one that the person currently has in commercial distribution or is reintroducing into commercial distribution, but that is about to be significantly changed or modified in design, components, method of manufacture, or intended use. The following constitute significant changes or modifications that require a premarket notification:
(i) A change or modification in the device that could significantly affect the safety or effectiveness of the device, e.g., a significant change or modification in design,material, chemical composition, energy source, or manufacturing process.
(ii) A major change or modification in the intended use of the device.
(b) A premarket notification under this subpart is not required for a device for which a premarket approval application under section 515 of the act, or for which a petition to reclassify under section 513(f)(2) of the act, is pending before the Food and Drug Administration.
(c) In addition to complying with the requirements of this part, owners or operators of device establishments that manufacture radiation-emitting electronic products, as defined in § 1000.3 of this chapter, shall comply with the reporting requirements of Part 1002 of this chapter.
§ 807.85 Exemption from premarket notification.
(a) A device is exempt from the premarket notification requirements of this subpart if the device intended for introduction into commercial distribution is not generally available in finished form for purchase and is not offered through labeling or advertising by the manufacturer, importer, or distributor thereof for commercial distribution, and the device meets one of the following conditions:
(1) It is intended for use by a patient named in the order of the physician or dentist (or other specially qualified person); or
(2) It is intended solely for use by a physician or dentist (or other specially qualified person) and is not generally available to, or generally used by, other physicians or dentists (or other specially qualified persons).
(b) A distributor who places a device into commercial distribution for the first time under his own name and a repackager who places his own name on a device and does not change any other labeling or otherwise affect the device shall be exempted from the premarket notification requirements of this subpart if:
(1) The device was in commercial distribution before May 28, 1976; or
(2) A premarket notification submission was filed by another person.
§ 807.87 Information required in a premarket notification submission.
Each premarket notification submission shall contain the following information:
(a) The device name, including both the trade or proprietary name and the common or usual name or classification name of the device.
(b) The establishment registration number, if applicable, of the owner or operator submitting the premarket notification submission.
(c) The class in which the device has been put under section 513 of the act and, if known, its appropriate panel; or, if the owner or operator determines that the device has not been classified under such section, a statement of that determination and the basis for the person's determination that the device is not so classified.
(d) Action taken by the person required to register to comply with the requirements of the act under section 514 for performance standards.
(e) Proposed labels, labeling, and advertisements sufficient to describe the device, its intended use, and the directions for its use. Where applicable, photographs or engineering drawings should be supplied.
(f) A statement indicating the device is similar to and/or different from other products of comparable type in commercial distribution, accompanied by data to support the statement. This information may include an identification of similar products, materials, design considerations, energy expected to be used or delivered by the device, and a description of the operational principles of the device.
(g) Where a person required to register intends to introduce into commercial distribution a device that has undergone a significant change or modification that could significantly affect the safety or effectiveness of the device, or the device is to be marketed for a new or different indication for use, the premarket notification submission must include appropriate supporting data to show that the manufacturer has considered what consequences and effects the change or modification or new use might have on the safety and effectiveness of the device.
(h) A 510(k) summary as described in § 807.92 or a 510(k) statement as described in § 807.93.
(i) For submissions claiming substantial equivalence to a device which has been classified into class III under section 513(b) of the act:
(1) Which was introduced or delivered for introduction into interstate commerce for commercial distribution before December 1, 1990; and
(2) For which no final regulation requiring premarket approval has been issued under section 515(b) of the act, a summary of the types of safety and effectiveness problems associated with the type of devices being compared and a citation to the information upon which the summary is based (class III summary). The 510(k) submitter shall also certify that a reasonable search of all information known or otherwise available about the class III device and other similar legally marketed devices has been conducted (class III certification), as described in § 807.94. This information does not refer to information that already has been submitted to the Food and Drug Administration (FDA) under section 519 of the act. FDA may require the submission of the adverse safety and effectiveness data described in the class III summary or citation.
(j) A statement that the submitter believes, to the best of his or her knowledge, that all data and information submitted in the premarket notification are truthful and accurate and that no material fact has been omitted.
(k) Any additional information regarding the device requested by the Commissioner that is necessary for the Commissioner to make a finding as to whether or not the device is substantially equivalent to a device in commercial distribution A request for additional information will advise the owner or operator that there is insufficient information contained in the original premarket notification submission for the Commissioner to make this determination and that the owner or operator may either submit the requested data or a new premarket notification containing the requested information at least 90 days before the owner or operator intends to market the device, or submit a premarket approval application in accordance with section 515 of the act. If the additional information is not submitted within 30 days following the date of the request, the Commissioner will consider the premarket notification to be withdrawn.
(Information collection requirements in this section were approved by the Office of Management and Budget (OMB) and assigned OMB control number 0910-0281)
§ 807.90 Format of a premarket notification submission.
Each premarket notification submission pursuant to this part shall be submitted in accordance with this section. Each submission shall:
(a)(1) For devices regulated by the Center for Devices and Radiological Health, be addressed to the Food and Drug Administration, Center for Devices and Radiological Health (HFZ-401), 1390* Piccard Dr., Rockville, MD 20850.
(2) For devices regulated by the Center for Biologics Evaluation and Research, be addressed to the Food and Drug Administration, Center for Biologics Evaluation and Research, Division of Product Certification (HFB-240), 8800 Rockville Pike, Bethesda, MD 20892.
(3) All inquiries regarding a premarket notification submission should be in writing and sent to one of the addresses above.
(b) Be bound into a volume or volumes, where necessary.
(c) Be submitted in duplicate on standard size paper, including the original and two copies of the cover letter.
(d) Be submitted separately for each product the manufacturer intends to market.
(e) Designated "510(k) Notification" in the cover letter.
§ 807.92 Content and format of a 510(k) summary.
(a) A 510(k) summary shall be in sufficient detail to provide an understanding of the basis for a determination of substantial equivalence. FDA will accept summaries as well as amendments thereto until such time as FDA issues a determination of substantial equivalence. All 510(k) summaries shall contain the following information:
* Correct address is: 9200 Corporate Blvd.
(1) The submitter's name, address, telephone number, a contact person, and the date the summary was prepared;
(2) The name of the device, including the trade or proprietary name if applicable, the common or usual name, and the classification name, if known;
(3) An identification of the legally marketed device to which the submitter claims equivalence. A legally marketed device to which a new device may be compared for a determination regarding substantial equivalence is a device that was legally marketed prior to May 28, 1976, or a device which has been reclassified from class III to class II or I (the predicate), or a device which has been found to be substantially equivalent through the 510(k) premarket notification process;
(4) A description of the device that is the subject of the premarket notification submission, such as might be found in the labeling or promotional material for the device, including an explanation of how the device functions, the scientificconcepts that form the basis for the device, and the significant physical and performance characteristics of the device, such as device design, material used, and physical properties;
(5) A statement of the intended use of the device that is the subject of the premarket notification submission, including a general description of the diseases or conditions that the device will diagnose, treat, prevent, cure, or mitigate, including a description, where appropriate, of the patient population for which the device is intended. If the indication statements are different from those of the legally marketed device identified in paragraph (a)(3) of this section, the 510(k) summary shall contain an explanation as to why the differences are not critical to the intended therapeutic, diagnostic, prosthetic, or surgical use of the device, and why the differences do not affect the safety and effectiveness of the device when used as labeled; and
(6) If the device has the same technological characteristics (i.e., design, material, chemical composition, energy source) as the predicate device identified in paragraph (a)(3) of this section, a summary of the technological characteristics of the new device in comparison to those of the predicate device. If the device has different technological characteristics from the predicate device, a summary of how the technological characteristics of the device compare to a legally marketed device identified in paragraph (a)(3) of this section.
(b) 510(k) summaries for those premarket submissions in which a determination of substantial equivalence is also based on an assessment of performance data shall contain the following information:
(1) A brief discussion of the nonclinical tests submitted, referenced, or relied on in the premarket notification submission for a determination of substantial equivalence;
(2) A brief discussion of the clinical tests submitted, referenced, or relied on in the premarket notification submission for a determination of substantial equivalence. This discussion shall include, where applicable, a description of the subjects upon whom the device was tested, a discussion of the safety or effectiveness data obtained from the testing, with specific reference to adverse effects and complications, and any other information from the clinical testing relevant to a determination of substantial equivalence; and
(3) The conclusions drawn from the nonclinical and clinical tests that demonstrate that the device is as safe, as effective, and performs as well as or better than the legally marketed device identified in paragraph (a)(3) of this section.
(c) The summary should be in a separate section of the submission, beginning on a new page and ending on a page not shared with any other section of the premarket notification submission, and should be clearly identified as a "510(k) summary."
(d) Any other information reasonably deemed necessary by the agency.
§ 807.93 Content and format of a 510(k) statement.
(a)(1) A 510(k) statement submitted as part of a premarket notification shall state as follows:
I certify that, in my capacity as (the position held in company by person required to submit the premarket notification, preferably the official correspondent in the firm), of (company name), I will make available all information included in this premarket notification on safety and effectiveness within 30 days of request by any person if the device described in the premarket notification submission is determined to be substantially equivalent. The information I agree to make available will be a duplicate of the premarket notification submission, including any adverse safety and effectiveness information, but excluding all patient identifiers, and trade secret and confidential commercial information, as defined in 21 CFR 20.61.
(2) The statement in paragraph (a)(1) of this section should be signed by the certifier, made on a separate page of the premarket notification submission, and clearly identified as "510(k) statement."
(b) All requests for information included in paragraph (a) of this section shall be made in writing to the certifier, whose name will be published by FDA on the list of premarket notification submissions for which substantial equivalence of determinations have been made.
(c) The information provided to requestors will be a duplicate of the premarket notification submission, including any adverse information, but excluding all patient identifiers, and trade secret and confidential commercial information as defined in §20.61 of this chapter.
§ 807.94 Format of a class III certification.
(a) A class III certification submitted as part of a premarket notification shall state as follows:
I certify, in my capacity as (position held in company), of (company name), that I have conducted a reasonable search of all information known or otherwise available about the types and causes of safety or effectiveness problems that have been reported for the (type of device). I further certify that I am aware of the types of problems to which the (type of device) is susceptible and that, to the best of my knowledge, the following summary of the types and causes of safety or effectiveness problems about the (type of device) is complete and accurate.
(b) The statement in paragraph (a) of this section should be signed by the certifier, clearly identified as "class III certification," and included at the beginning of the section of the premarket notification submission that sets forth the class III summary.
§ 807.95 Confidentiality of information.
(a) The Food and Drug Administration will disclose publicly whether there exists a premarket notification submission under this part:
(1) Where the device is on the market, i.e., introduced or delivered for introduction into interstate commerce for commercial distribution;
(2) Where the person submitting the premarket notification submission has disclosed, through advertising or any other manner, his intent to market the device to scientists, market analysts, exporters, or other individuals who are not employees of, or paid consultants to, the establishment and who are not in an advertising or law firm pursuant to commercial arrangements with appropriate safeguards for secrecy; or
(3) Where the device is not on the market and the intent to market the device has not been so disclosed, except where the submission is subject to an exception under paragraph (b) or (c) of this section.
(b) The Food and Drug Administration will not disclose publicly the existence of a premarket notification submission for a device that is not on the market and where the intent to market the device has not been disclosed for 90 days from the date of receipt of the submission, if:
(1) The person submitting the premarket notification submission requests in the submission that the Food and Drug Administration hold as confidential commercial information the intent to market the device and submits a written certification to the Commissioner:
(i) That the person considers his intent to market the device to be confidential commercial information;
(ii) That neither the person nor, to the best of his knowledge, anyone else, has disclosed through advertising or any other manner, his intent to market the device to scientists, market analysts, exporters, or other individuals, except employees of, or paid consultants to, the establishment or individuals in an advertising or law firm pursuant to commercial arrangements with appropriate safeguards for secrecy;
(iii) That the person will immediately notify the Food and Drug Administration if he discloses the intent to market the device to anyone, except employees of, or paid consultants to, the establishment or individuals in an advertising or law firm pursuant to commercial arrangements for appropriate safeguards for secrecy;
(iv) That the person has taken precautions to protect the confidentiality of the intent to market the device; and
(v) That the person understands that the submission to the government of false information is prohibited by 18 U.S.C. 1001 and 21 U.S.C. 331(q); and
(2) The Commissioner agrees that the intent to market the device is confidential commercial information.
(c) Where the Commissioner determines that the person has complied with the procedures described in paragraph (b) of this section with respect to a device that is not on the market and where the intent to market the device has not been disclosed, and the Commissioner agrees that the intent to market the device is confidential commercial information, the Commissioner will not disclose the existence of the submission for 90 days from the date of its receipt by the agency. In addition, the Commissioner will continue not to disclose the existence of such a submission for the device for an additional time when any of the following occurs:
(1) The Commissioner requests in writing additional information regarding the device pursuant to § 807.87(h), in which case the Commissioner will not disclose the existence of the submission until 90 days after the Food and Drug Administration's receipt of a complete premarket notification submission;
(2) The Commissioner determines that the device intended to be introduced is a class III device and cannot be marketed without premarket approval or reclassification, in which case the Commissioner will not disclose the existence of the submission unless a petition for reclassification is submitted under section 513(f)(2) of the act and its existence can be disclosed under § 860.5(d) of this chapter; or
(3) The person has requested in the premarket notification submission that the Commissioner protect the confidentiality of the intent to market a device for more than 90 days from the date of receipt of the premarket notification submission by the Food and Drug Administration, and the Commissioner determines that the person has reason to believe that the actual introduction of the device to the market may take longer than 90 days, and the person agrees in a written certification to provide the Commissioner with written notification immediately if the device is put on the market or the intent to market is disclosed. In this case the Commissioner will not disclose the existence of the submission until the Food and Drug Administration's receipt of notification by the person that the device has been put on the market or that the intent to market the device has been disclosed.
(d) FDA will make a 510(k) summary of the safety and effectiveness data available to the public within 30 days of the issuance of a determination that the device is substantially equivalent to another device. Accordingly, even when a 510(k) submitter has complied with the conditions set forth in paragraphs (b) and (c) of this section, confidentiality for a premarket notification submission cannot be granted beyond 30 days after FDA issues a determination of equivalency.
§ 807.97 Misbranding by reference to premarket notification.
Submission of a premarket notification in accordance with this subpart, and a subsequent determination by the Commissioner that the device intended for introduction into commercial distribution is substantially equivalent to a device in commercial distribution before May 28, 1976, or is substantially equivalent to a device introduced into commercial distribution after May 28, 1976, that has subsequently been reclassified into class I or II, does not in any way denote official approval of the device. Any representation that creates an impression of official approval of a device because of complying with the premarket notification regulations is misleading and constitutes misbranding.
§ 807.100 FDA action on a premarket notification.
(a) After review of a premarket notification, FDA will:
(1) Issue an order declaring the device to be substantially equivalent to a legally marketed predicate device;
(2) Issue an order declaring the device to be not substantially equivalent to any legally marketed predicate device;
(3) Request additional information; or
(4) Advise the applicant that the premarket notification is not required. Until the applicant receives an order declaring a device substantially equivalent, the applicant may not proceed to market the device.
(b) FDA will determine that a device is substantially equivalent to a predicate device using the following criteria:
(1) The device has the same intended use as the predicate device; and
(2) The device:
(i) Has the same technological characteristics as the predicate device; or
(ii)(A) Has different technological characteristics, such as a significant change in the materials, design, energy source, or other features of the device from those of the predicate device;
(B) The data submitted establishes that the device is substantially equivalent to the predicate device and contains information, including clinical data if deemed necessary by the Commissioner, that demonstrates that the device is as safe and effective as a legally marketed device; and
(C) Does not raise different questions of safety and effectiveness than the predicate device.
(3) The predicate device has not been removed from the market at the initiative of the Commissioner of Food and Drugs or has not been determined to be misbranded or adulterated by a judicial order.
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