Device Shortages Need More Transparency: FDA
CDRH researchers say the medical device shortage early reporting requirements included in the CARES Act facilitated early identification and mitigation of device shortages during the Covid-19 pandemic. Writing in Health Affairs, they say (purchase required) that outside of public health emergencies, the agency does not have the regulatory authority to require such information from manufacturers.
Moreover, they add, the notifications required under the CARES Act are less comprehensive than those for pharmaceuticals, which require a risk management plan and the number of drugs involved in a shortage. The researchers say that having the kind of information required for drugs enhances FDA’s ability to prevent or mitigate shortages.
“Understanding the characteristics of medical device shortages is a first step toward mitigating their potential impact,” the study says.
The authors say that shortages of critical medical devices during the pandemic exposed vulnerabilities in device markets. From 2010 to 2019, they write, there were about five shortages annually, but that number increased fourfold in the first half of 2020. “Although most 2020 shortages were triggered by the pandemic,” they say, “pre-2020 shortages stemmed from regulatory and enforcement actions related to product quality and manufacturing.”