FDA Steps to Promote Medical Device Innovation and Access

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FDA commissioner Scott Gottlieb says the agency’s Medical Device Innovation Access Plan is intended to enable patients and providers to have efficient access to new and innovative medical products that meet the agency’s standard for safety and effectiveness. His statement says FDA is taking new steps to promote beneficial medical device innovation including: 

  •          Completion of the agency’s first qualification of a medical device development tool to provide a more objective platform for developing devices in cardiovascular health. The tool is a 23-item questionnaire that measures health information reported directly by patients with heart failure. Gottlieb says the tool has the potential to help engineers designing heart failure devices to more efficiently and accurately quantify how much their device could actually improve a patient’s quality of life.
  •          Posting a CDRH blog on medical device development tools.
  •          Releasing a draft guidance on the agency’s new Breakthrough Devices Program created under the 21st Century Cures Act. Gottlieb says the new program is intended to help patients more quickly access certain devices that more effectively diagnose or treat life-threatening or irreversibly debilitating diseases or conditions, such as technologies that have no alternative or that offer a significant advantage over FDA-cleared or approved alternatives.
  • ·        Finalizing two guidance to help innovators determine when they need to submit a new 510(k) prior to making a change to a legally-marketed device subject to premarket notification requirements. One guidance discusses when to submit a 510(k) for a change to an existing device, and the other discusses software changes to an existing device. Gottlieb says the guidances do not change the agency review standard, but rather enhance predictability and consistency for innovators deciding when to submit a new 510(k), thus lowering the barriers to innovation and improving patient care by reducing unnecessary submissions to FDA for changes that could not significantly affect device safety or effectiveness.

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