Court Says FDA Can’t Ban Electrical Stimulation for One Purpose

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The U.S. Court of Appeals for the District of Columbia has vacated an FDA rule that determined that electrical stimulation devices used to treat aggressive or self-injurious behavior present an unreasonable and substantial risk of illness or injury, but only when used to treat aggressive or self-injurious behaviors. The agency rule was challenged in court by the Judge Rotenberg Educational Center and the parents and guardians of its patients. The center is the only treatment venue in the U.S. to use the devices for this indication.

The court held that federal law says that FDA is not to interfere with the practice of medicine. “That means that FDA may not enact the regulation at issue before us,” the court said in a 2-1 opinion. “Because we conclude that FDA lacks the statutory authority to ban a medical device for a particular use, we do not address petitioners’ other arguments, including whether the ban was arbitrary and capricious or whether substantial evidence supported FDA’s factual determinations.”

A dissenting opinion said that while the petitioners presented a permissible legal theory opposing the agency’s ability to ban a device for a specific use, FDA also presented a legally permissible interpretation of the law and should be granted deference.

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