FDA Orders Stronger Data Requirements for Surgical Mesh
FDA has reclassified from Class 2 to Class 3 surgical mesh to repair pelvic organ prolapse (POP) transvaginally, or through the vagina. The agency is also requiring these product manufacturers to now submit a PMA to support their device’s safety and effectiveness. “The orders will require manufacturers to address safety concerns, including severe pelvic pain and organ perforation, through a rigorous PMA pathway to demonstrate safety and effectiveness,” an agency notice says. The actions do not apply to surgical mesh for other indications, like stress urinary incontinence or abdominal repair of POP, it says.
FDA says surgical mesh makers will have 30 months to submit a PMA for devices that are already on the market. Manufacturers of new devices must submit a PMA before those devices can be approved for marketing.
The new requirements address an increase over the past several years in adverse events associated with the use of surgical mesh for transvaginal POP repair. They follow recommendations made by a 2011 advisory panel that called for more data to establish the safety of such devices.