FDA Heading to ‘Sliding Scale’ of Medical Device Evidence: Lurie
Former FDA associate commissioner Peter Lurie, who now heads the Center for Science in the Public Interest, is expressing concern that with its emphasis on being “first” in medical device approvals and acting on safety signals, FDA is laying the groundwork for a “sliding scale” of medical evidence that will leave patients even more uncertain about device safety and effectiveness. Referring to a draft guidance that would ease pre-market testing standards for some devices in exchange for companies conducting larger follow-up studies, Lurie told the Associated Press that the guidance “is basically a ‘come hither’ to industry, inviting them to ask FDA for lower standards of evidence.”
FDA’s medical device standards are still considered among the highest in the world, AP says. But Lurie said that by trying to outpace other countries with less stringent requirements, the agency has opened the door to lowering its own standards to achieve its goal.
Recently, FDA announced it was looking at ways to modernize the 510(k) process that would allow it to more readily incorporate new technologies that improve the safety and performance of medical devices into new predicates to serve as benchmarks for future clearances. And it said that it wanted to be the world leader in finding medical device safety signals and act upon them.