Uncertainty in Making Device Benefit-Risk Determinations Guide
CDRH has released a draft guidance entitled “Consideration of Uncertainty in Making Benefit-Risk Determinations in Medical Device Premarket Approvals, De Novo Classifications, and Humanitarian Device Exemptions.” The document describes FDA’s current approach to this topic.
FDA says its approach is tailored to the type and intended use of the device and the type of decision we are making. As a general matter, high-risk and innovative moderate-risk devices will “typically need clinical evidence to show reasonable assurance of safety and effectiveness, including that the benefits of the device outweigh its risks,” it says. “However, non-clinical performance data, such as bench studies, studies in animals, and/or computational modeling studies can also provide essential onformation on the safety and effectiveness of a device (including its principles of operation, as well as potential failure or malfunction modes). That information can inform the design and extent of premarket clinical evidence generation.”