Acceptance Review for De Novo Classification Requests; Draft Guidance for Industry and Food and Drug Administration Staff; Availability, 50135-50138 [2017-23500]
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Federal Register / Vol. 82, No. 208 / Monday, October 30, 2017 / Notices
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patient or unique to that patient’s
treatment or diagnosis that has been
recorded, stored, processed, retrieved,
and/or derived from a legally marketed
medical device. This information may
include, but is not limited to, recorded
patient data, device usage/output
statistics, health care provider inputs,
incidence of alarms, and/or records of
device malfunctions or failures.
FDA developed this guidance to
convey FDA’s position regarding
manufacturers appropriately and
responsibly sharing patient-specific
information with that patient at that
patient’s request. In general,
manufacturers may do so without
undergoing additional premarket review
in advance. FDA generally would not
consider patient-specific information to
be ‘‘labeling,’’ as defined in section
201(m) of the Federal Food, Drug, and
Cosmetic Act (the FD&C Act) (21 U.S.C.
321(m)). FDA is aware that when
manufacturers share patient-specific
information with patients,
manufacturers also may provide them
with supplemental information or other
materials (e.g., descriptions of intended
use, benefit and risk information,
instructions for use) that may be
considered labeling. Any labeling is
subject to applicable requirements in
the FD&C Act and FDA regulations.
In the Federal Register of June 10,
2016 (81 FR 37603), FDA announced the
availability of the draft guidance
formerly entitled ‘‘Dissemination of
Patient-Specific Information from
Devices by Device Manufacturers’’ and
interested parties were invited to
comment by August 9, 2016. FDA has
considered all of the public comments
received prior to finalizing this
guidance.
II. Significance of Guidance
This guidance is being issued
consistent with FDA’s good guidance
practices regulation (21 CFR 10.115).
The guidance represents the current
thinking of FDA on ‘‘Manufacturers
Sharing Patient-Specific Information
from Medical Devices with Patients
Upon Request.’’ It does not establish any
rights for any person and is not binding
on FDA or the public. You can use an
alternative approach if it satisfies the
requirements of the applicable statutes
and regulations. This guidance is not
subject to Executive Order 12866.
III. Electronic Access
Persons interested in obtaining a copy
of the guidance may do so by
downloading an electronic copy from
the internet. A search capability for all
Center for Devices and Radiological
Health guidance documents is available
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Jkt 244001
at https://www.fda.gov/MedicalDevices/
DeviceRegulationandGuidance/
GuidanceDocuments/default.htm.
Guidance documents are also available
at https://www.regulations.gov. Persons
unable to download an electronic copy
of ‘‘Manufacturers Sharing PatientSpecific Information from Medical
Devices with Patients Upon Request’’
may send an email request to CDRHGuidance@fda.hhs.gov to receive an
electronic copy of the document. Please
use the document number 1500067 to
identify the guidance you are
requesting.
Dated: October 24, 2017.
Lauren Silvis,
Chief of Staff.
[FR Doc. 2017–23517 Filed 10–27–17; 8:45 am]
BILLING CODE 4164–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2017–D–6069]
Acceptance Review for De Novo
Classification Requests; Draft
Guidance for Industry and Food and
Drug Administration Staff; Availability
AGENCY:
Food and Drug Administration,
HHS.
ACTION:
Notice of availability.
The Food and Drug
Administration (FDA or Agency) is
announcing the availability of the draft
guidance entitled ‘‘Acceptance Review
for De Novo Classification Requests.’’
The purpose of this draft guidance is to
explain the procedures and criteria FDA
intends to use in assessing whether a
request for an evaluation of automatic
class III designation (De Novo
classification request or De Novo
request) meets a minimum threshold of
acceptability and should be accepted for
substantive review. This draft guidance
discusses De Novo acceptance review
policies and procedures, ‘‘Refuse to
Accept’’ principles, and the elements of
the De Novo Acceptance Checklist and
the Recommended Content Checklist
and is being issued to be responsive to
an explicit deliverable identified in the
Medical Device User Fee Amendments
of 2017 (MDUFA IV). This draft
guidance is not final nor is it in effect
at this time.
DATES: Submit either electronic or
written comments on the draft guidance
by December 29, 2017 to ensure that the
Agency considers your comment on this
draft guidance before it begins work on
the final version of the guidance.
SUMMARY:
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50135
You may submit comments
on any guidance at any time as follows:
ADDRESSES:
Electronic Submissions
Submit electronic comments in the
following way:
• Federal eRulemaking Portal:
https://www.regulations.gov. Follow the
instructions for submitting comments.
Comments submitted electronically,
including attachments, to https://
www.regulations.gov will be posted to
the docket unchanged. Because your
comment will be made public, you are
solely responsible for ensuring that your
comment does not include any
confidential information that you or a
third party may not wish to be posted,
such as medical information, your or
anyone else’s Social Security number, or
confidential business information, such
as a manufacturing process. Please note
that if you include your name, contact
information, or other information that
identifies you in the body of your
comments, that information will be
posted on https://www.regulations.gov.
• If you want to submit a comment
with confidential information that you
do not wish to be made available to the
public, submit the comment as a
written/paper submission and in the
manner detailed (see ‘‘Written/Paper
Submissions’’ and ‘‘Instructions’’).
Written/Paper Submissions
Submit written/paper submissions as
follows:
• Mail/Hand delivery/Courier (for
written/paper submissions): Dockets
Management Staff (HFA–305), Food and
Drug Administration, 5630 Fishers
Lane, Rm. 1061, Rockville, MD 20852.
• For written/paper comments
submitted to the Dockets Management
Staff, FDA will post your comment, as
well as any attachments, except for
information submitted, marked and
identified, as confidential, if submitted
as detailed in ‘‘Instructions.’’
Instructions: All submissions received
must include the Docket No. FDA–
2017–D–6069 for ‘‘Acceptance Review
for De Novo Classification Requests;
Draft Guidance for Industry and Food
and Drug Administration Staff;
Availability.’’ Received comments will
be placed in the docket and, except for
those submitted as ‘‘Confidential
Submissions,’’ publicly viewable at
https://www.regulations.gov or at the
Dockets Management Staff between 9
a.m. and 4 p.m., Monday through
Friday.
• Confidential Submissions—To
submit a comment with confidential
information that you do not wish to be
made publicly available, submit your
comments only as a written/paper
E:\FR\FM\30OCN1.SGM
30OCN1
sradovich on DSK3GMQ082PROD with NOTICES
50136
Federal Register / Vol. 82, No. 208 / Monday, October 30, 2017 / Notices
submission. You should submit two
copies total. One copy will include the
information you claim to be confidential
with a heading or cover note that states
‘‘THIS DOCUMENT CONTAINS
CONFIDENTIAL INFORMATION.’’ The
Agency will review this copy, including
the claimed confidential information, in
its consideration of comments. The
second copy, which will have the
claimed confidential information
redacted/blacked out, will be available
for public viewing and posted on
https://www.regulations.gov. Submit
both copies to the Dockets Management
Staff. If you do not wish your name and
contact information to be made publicly
available, you can provide this
information on the cover sheet and not
in the body of your comments and you
must identify this information as
‘‘confidential.’’ Any information marked
as ‘‘confidential’’ will not be disclosed
except in accordance with 21 CFR 10.20
and other applicable disclosure law. For
more information about FDA’s posting
of comments to public dockets, see 80
FR 56469, September 18, 2015, or access
the information at: https://www.gpo.gov/
fdsys/pkg/FR-2015-09-18/pdf/201523389.pdf.
Docket: For access to the docket to
read background documents or the
electronic and written/paper comments
received, go to https://
www.regulations.gov and insert the
docket number, found in brackets in the
heading of this document, into the
‘‘Search’’ box and follow the prompts
and/or go to the Dockets Management
Staff, 5630 Fishers Lane, Rm. 1061,
Rockville, MD 20852.
You may submit comments on any
guidance at any time (see 21 CFR
10.115(g)(5)).
An electronic copy of the guidance
document is available for download
from the internet. See the
SUPPLEMENTARY INFORMATION section for
information on electronic access to the
guidance. Submit written requests for a
single hard copy of the draft guidance
document entitled ‘‘Acceptance Review
for De Novo Classification Requests’’ to
the Office of the Center Director,
Guidance and Policy Development,
Center for Devices and Radiological
Health (CDRH), Food and Drug
Administration, 10903 New Hampshire
Ave., Bldg. 66, Rm. 5431, Silver Spring,
MD 20993–0002 or the Office of
Communication, Outreach, and
Development, Center for Biologics
Evaluation and Research (CBER), Food
and Drug Administration, 10903 New
Hampshire Ave., Bldg. 71, Rm. 3128,
Silver Spring, MD 20993–0002. Send
one self-addressed adhesive label to
VerDate Sep<11>2014
17:59 Oct 27, 2017
Jkt 244001
assist that office in processing your
request.
FOR FURTHER INFORMATION CONTACT:
Sergio de del Castillo, Center for
Devices and Radiological Health, Food
and Drug Administration, 10903 New
Hampshire Ave., Bldg. 66, Rm. 1538,
Silver Spring, MD 20993–0002, 301–
796–6419; or Stephen Ripley, Center for
Biologics Evaluation and Research,
Food and Drug Administration, 10903
New Hampshire Ave., Bldg. 71, Rm.
7301, Silver Spring, MD 20993–0002,
240–402–7911.
SUPPLEMENTARY INFORMATION:
I. Background
The automatic class III designation for
devices of a new type occurs by
operation of law and without any action
by FDA, regardless of the level of risk
posed by the device. Any device that is
of a new type that was not in
commercial distribution before May 28,
1976, is automatically classified as, and
remains within, class III and requires
premarket approval unless and until
FDA takes an action to classify or
reclassify the device section 513(f)(1) of
the Federal Food, Drug, and Cosmetic
Act (the FD&C Act) (21 U.S.C.
360c(f)(1)). We refer to these devices as
‘‘postamendments devices’’ because
they were not in commercial
distribution prior to the date of
enactment of the Medical Device
Amendments of 1976.
FDA may classify a device through
the De Novo classification process,
which is the pathway authorized under
section 513(f)(2) of the FD&C Act. A
person may submit a De Novo request
after submitting a premarket notification
under section 510(k) of the FD&C Act
(21 U.S.C. 360(k)) and receiving a not
substantially equivalent (NSE)
determination (section 513(f)(2)(A)(i) of
the FD&C Act). A person may also
submit a De Novo request without first
submitting a premarket notification
under section 510(k), if the person
determines that there is no legally
marketed device upon which to base a
determination of substantial
equivalence (section 513(f)(2)(A)(ii) of
the FD&C Act).
Upon receipt of a De Novo request,
FDA is required to classify the device by
written order (section 513(f)(2)(A)(iii) of
the FD&C Act). The classification will
be according to the criteria under
section 513(a)(1) of the FD&C Act. Per
section 513(f)(2)(B)(i) of the FD&C Act,
the classification is the initial
classification of the device for the
purposes of section 513(f)(1) of the
FD&C Act.
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We believe De Novo classification
enhances patients’ access to beneficial
innovation, in part by reducing
regulatory burdens. When FDA
classifies a device into class I or II via
the De Novo classification process, the
device can serve as a predicate for
future devices of that type, including for
510(k)s (section 513(f)(2)(B)(i)). As a
result, after a De Novo request is
granted, other device sponsors do not
have to submit a De Novo request or
premarket application under section 515
of the FD&C Act (21 U.S.C. 360e)) in
order to market a substantially
equivalent device (see 21 U.S.C. 360c(i),
defining ‘‘substantial equivalence’’).
Instead, other device sponsors can use
the less-burdensome 510(k) process,
when applicable, as a pathway to
market their device.
FDA is issuing this draft guidance to
provide clarity regarding the Agency’s
expectations for information to be
submitted in a De Novo request and
ensure predictability and consistency
for sponsors. Focusing the Agency’s
review resources on complete De Novo
requests will provide a more efficient
approach to ensuring that safe and
effective medical devices reach patients
as quickly as possible. Moreover, with
the enactment of MDUFA IV, FDA
agreed to issuance of draft (and final)
guidance which includes a submission
checklist to facilitate a more efficient
and timely review process to assist with
new performance goals. Acceptance
review therefore takes on additional
importance in both encouraging quality
applications from De Novo requesters
and allowing the Agency to
appropriately concentrate resources on
complete applications.
FDA anticipates that the Agency and
industry may need a period of time to
operationalize the policies within this
guidance, when finalized. Therefore, if
all criteria necessary to meet a
minimum threshold of acceptability for
De Novo requests as outlined in this
guidance, when finalized, are not
included in a De Novo request received
by FDA before or up to 60 days after the
publication of this guidance, when
finalized, CDRH staff does not generally
intend to refuse to accept.
II. Significance of Guidance
This draft guidance is being issued
consistent with FDA’s good guidance
practices regulation (21 CFR 10.115).
The draft guidance, when finalized, will
represent the current thinking of FDA
on ‘‘Acceptance Review for De Novo
Classification Requests.’’ It does not
establish any rights for any person and
is not binding on FDA or the public.
You can use an alternative approach if
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Federal Register / Vol. 82, No. 208 / Monday, October 30, 2017 / Notices
it satisfies the requirements of the
applicable statutes and regulations. This
draft guidance is not subject to
Executive Order 12866.
III. Electronic Access
Persons interested in obtaining a copy
of the draft guidance may do so by
downloading an electronic copy from
the internet. A search capability for all
Center for Devices and Radiological
Health guidance documents is available
at https://www.fda.gov/MedicalDevices/
DeviceRegulationandGuidance/
GuidanceDocuments/default.htm.
Guidance documents are also available
at https://www.fda.gov/BiologicsBlood
Vaccines/GuidanceCompliance
RegulatoryInformation/default.htm or
https://www.regulations.gov. Persons
unable to download an electronic copy
of ‘‘Acceptance Review for De Novo
Classification Requests’’ may send an
email request to CDRH-Guidance@
fda.hhs.gov to receive an electronic
copy of the document. Please use the
document number 16055 to identify the
guidance you are requesting.
IV. Paperwork Reduction Act of 1995
Under the Paperwork Reduction Act
(44 U.S.C. 3501–3502), Federal Agencies
must obtain approval from the Office of
Management and Budget (OMB) for each
collection of information they conduct
or sponsor. ‘‘Collection of information’’
is defined in 44 U.S.C. 3502(3) and 5
CFR 1320.3(c) and includes Agency
requests or requirements that members
of the public submit reports, keep
records, or provide information to a
third party. Section 3506(c) (2)(A) of the
PRA (44 U.S.C. 3506 (c)(2)(A)) requires
Federal Agencies to provide a 60-day
notice in the Federal Register
concerning each proposed collection of
information, including each proposed
revision of an existing collection of
information, before submitting the
We previously estimated the average
burden per response for a De Novo
request under 21 U.S.C. 513(f)(2)(i) to be
100 hours and under 21 U.S.C.
513(f)(2)(ii) to be 180 hours. We
estimate that it will take approximately
1 hour to prepare an Acceptance
Checklist and 1 hour to prepare a
Recommended Content Checklist. Our
estimate assumes that each De Novo
request will include both checklists.
Therefore, we estimate the revised
average burden per response for a De
Novo request under 21 U.S.C.
513(f)(2)(i) to be 102 hours and under 21
U.S.C. 513(f)(2)(ii) to be 182 hours. The
revision results in a 104-hour increase
in the total burden estimate. The
average burden per response is based on
estimates by FDA administrative and
technical staff that are familiar with the
requirements for submission of a De
Novo request (and related materials),
have consulted and advised
manufacturers on submissions, and
have reviewed the documentation
submitted.
Approved operating and maintenance
costs for a De Novo request include
printing, shipping, and eCopy costs. We
believe any increase of the operating
and maintenance cost resulting from the
addition of the Acceptance Checklist
and Recommended Content Checklist to
be de minimis. Therefore, we are not
requesting revision of the operating and
maintenance cost estimate for OMB
control number 0910–0844.
Respondents to the information
collection are medical device
manufacturers seeking to market
medical device products through
submission of a De Novo classification
request under section 513(f)(2) of the
FD&C Act.
FDA estimates the burden of this
collection of information as follows:
collection to OMB for approval. To
comply with this requirement, FDA is
publishing notice of the proposed
collection of information set forth in
this document.
With respect to the following
collection of information, FDA invites
comments on these topics: (1) Whether
the proposed collection of information
is necessary for the proper performance
of FDA’s functions, including whether
the information will have practical
utility; (2) the accuracy of FDA’s
estimate of the burden of the proposed
collection of information, including the
validity of the methodology and
assumptions used; (3) ways to enhance
the quality, utility, and clarity of the
information to be collected; and (4)
ways to minimize the burden of the
collection of information on
respondents, including through the use
of automated collection techniques,
when appropriate, and other forms of
information technology.
De Novo Classification Process
(Evaluation of Automatic Class III
Designation)
OMB Control Number 0910–0844—
Revision
To aid in the acceptance review, the
guidance recommends that requesters
complete and submit with their De
Novo request an Acceptance Checklist
that identifies the location of supporting
information for each acceptance element
and a Recommended Content Checklist
that identifies the location of supporting
information for each recommended
content element. Therefore, we request
revision of OMB control number 0910–
0844, ‘‘De Novo Classification Process
(Evaluation of Automatic Class III
Designation)’’ to include the Acceptance
Checklist and the Recommended
Content Checklist in the hourly burden
estimate for De Novo requests.
TABLE 1—ESTIMATED ANNUAL REPORTING BURDEN 1
Number of
respondents
Activity
Number of
responses per
respondent
Total annual
responses
Average
burden per
response
Total hours
Total
operating and
maintenance
costs 2
De Novo Request Under 21 U.S.C. 513(f)(2)(i)
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CDRH .....................................................
CBER .....................................................
25
1
1
1
25
1
102
102
2,550
102
..........................
..........................
De Novo Request Under 21 U.S.C. 513(f)(2)(ii)
CDRH .....................................................
CBER .....................................................
25
1
1
1
25
1
182
182
4,550
182
..........................
..........................
Total De Novo requests ..................
Request for withdrawal2 .........................
........................
5
........................
1
52
5
........................
10
7,384
50
$6,308
$5
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Federal Register / Vol. 82, No. 208 / Monday, October 30, 2017 / Notices
TABLE 1—ESTIMATED ANNUAL REPORTING BURDEN 1—Continued
Number of
respondents
Number of
responses per
respondent
Total annual
responses
Average
burden per
response
........................
........................
........................
........................
Activity
Total .........................................
1
2
7,434
Total
operating and
maintenance
costs 2
$6,313
There are no capital costs associated with this collection of information.
No change from approved information collection. This information is retained for the convenience of the reader.
Dated: October 24, 2017.
Anna K. Abram,
Deputy Commissioner for Policy, Planning,
Legislation, and Analysis.
[FR Doc. 2017–23500 Filed 10–27–17; 8:45 am]
BILLING CODE 4164–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2016–D–3275]
Product Labeling for Certain Ultrasonic
Surgical Aspirator Devices; Guidance
for Industry and Food and Drug
Administration Staff; Availability
AGENCY:
Food and Drug Administration,
HHS.
ACTION:
Notice of availability.
The Food and Drug
Administration (FDA or Agency) is
announcing the availability of the
guidance entitled ‘‘Product Labeling for
Certain Ultrasonic Surgical Aspirator
Devices.’’ FDA is providing a specific
labeling recommendation in this
guidance to promote the safe and
effective use of ultrasonic surgical
aspirator devices. The labeling
recommendation is being made in light
of the risk of tissue dissemination and
relates to use of these devices in the
removal of uterine fibroids.
DATES: The announcement of the
guidance is published in the Federal
Register on October 30, 2017.
ADDRESSES: You may submit either
electronic or written comments on
Agency guidances at any time as
follows:
SUMMARY:
Electronic Submissions
sradovich on DSK3GMQ082PROD with NOTICES
Total hours
Submit electronic comments in the
following way:
• Federal eRulemaking Portal:
https://www.regulations.gov. Follow the
instructions for submitting comments.
Comments submitted electronically,
including attachments, to https://
www.regulations.gov will be posted to
the docket unchanged. Because your
comment will be made public, you are
solely responsible for ensuring that your
VerDate Sep<11>2014
17:59 Oct 27, 2017
Jkt 244001
comment does not include any
confidential information that you or a
third party may not wish to be posted,
such as medical information, your or
anyone else’s Social Security number, or
confidential business information, such
as a manufacturing process. Please note
that if you include your name, contact
information, or other information that
identifies you in the body of your
comments, that information will be
posted on https://www.regulations.gov.
• If you want to submit a comment
with confidential information that you
do not wish to be made available to the
public, submit the comment as a
written/paper submission and in the
manner detailed (see ‘‘Written/Paper
Submissions’’ and ‘‘Instructions’’).
Written/Paper Submissions
Submit written/paper submissions as
follows:
• Mail/Hand delivery/Courier (for
written/paper submissions): Dockets
Management Staff (HFA–305), Food and
Drug Administration, 5630 Fishers
Lane, Rm. 1061, Rockville, MD 20852.
• For written/paper comments
submitted to Dockets Management Staff,
FDA will post your comment, as well as
any attachments, except for information
submitted, marked and identified, as
confidential, if submitted as detailed in
‘‘Instructions.’’
Instructions: All submissions received
must include the Docket No. FDA–
2016–D–3275 for ‘‘Product Labeling for
Certain Ultrasonic Surgical Aspirator
Devices; Guidance for Industry and
Food and Drug Administration Staff.’’
Received comments will be placed in
the docket and, except for those
submitted as ‘‘Confidential
Submissions,’’ publicly viewable at
https://www.regulations.gov or at
Dockets Management Staff between 9
a.m. and 4 p.m., Monday through
Friday.
• Confidential Submissions—To
submit a comment with confidential
information that you do not wish to be
made publicly available, submit your
comments only as a written/paper
submission. You should submit two
copies total. One copy will include the
information you claim to be confidential
with a heading or cover note that states
PO 00000
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‘‘THIS DOCUMENT CONTAINS
CONFIDENTIAL INFORMATION.’’ The
Agency will review this copy, including
the claimed confidential information, in
its consideration of comments. The
second copy, which will have the
claimed confidential information
redacted/blacked out, will be available
for public viewing and posted on
https://www.regulations.gov. Submit
both copies to Dockets Management
Staff. If you do not wish your name and
contact information to be made publicly
available, you can provide this
information on the cover sheet and not
in the body of your comments and you
must identify this information as
‘‘confidential.’’ Any information marked
as ‘‘confidential’’ will not be disclosed
except in accordance with 21 CFR 10.20
and other applicable disclosure law. For
more information about FDA’s posting
of comments to public dockets, see 80
FR 56469, September 18, 2015, or access
the information at: https://www.gpo.gov/
fdsys/pkg/FR-2015-09-18/pdf/201523389.pdf.
Docket: For access to the docket to
read background documents or the
electronic and written/paper comments
received, go to https://
www.regulations.gov and insert the
docket number, found in brackets in the
heading of this document, into the
‘‘Search’’ box and follow the prompts
and/or go to Dockets Management Staff,
5630 Fishers Lane, Rm. 1061, Rockville,
MD 20852.
You may submit comments on any
guidance at any time (see 21 CFR
10.115(g)(5)).
An electronic copy of the guidance
document is available for download
from the internet. See the
SUPPLEMENTARY INFORMATION section for
information on electronic access to the
guidance. Submit written requests for a
single hard copy of the guidance
document entitled ‘‘Product Labeling for
Certain Ultrasonic Surgical Aspirator
Devices’’ to the Office of the Center
Director, Guidance and Policy
Development, Center for Devices and
Radiological Health, Food and Drug
Administration, 10903 New Hampshire
Ave., Bldg. 66, Rm. 5431, Silver Spring,
MD 20993–0002. Send one self-
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Agencies
[Federal Register Volume 82, Number 208 (Monday, October 30, 2017)]
[Notices]
[Pages 50135-50138]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-23500]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA-2017-D-6069]
Acceptance Review for De Novo Classification Requests; Draft
Guidance for Industry and Food and Drug Administration Staff;
Availability
AGENCY: Food and Drug Administration, HHS.
ACTION: Notice of availability.
-----------------------------------------------------------------------
SUMMARY: The Food and Drug Administration (FDA or Agency) is announcing
the availability of the draft guidance entitled ``Acceptance Review for
De Novo Classification Requests.'' The purpose of this draft guidance
is to explain the procedures and criteria FDA intends to use in
assessing whether a request for an evaluation of automatic class III
designation (De Novo classification request or De Novo request) meets a
minimum threshold of acceptability and should be accepted for
substantive review. This draft guidance discusses De Novo acceptance
review policies and procedures, ``Refuse to Accept'' principles, and
the elements of the De Novo Acceptance Checklist and the Recommended
Content Checklist and is being issued to be responsive to an explicit
deliverable identified in the Medical Device User Fee Amendments of
2017 (MDUFA IV). This draft guidance is not final nor is it in effect
at this time.
DATES: Submit either electronic or written comments on the draft
guidance by December 29, 2017 to ensure that the Agency considers your
comment on this draft guidance before it begins work on the final
version of the guidance.
ADDRESSES: You may submit comments on any guidance at any time as
follows:
Electronic Submissions
Submit electronic comments in the following way:
Federal eRulemaking Portal: https://www.regulations.gov.
Follow the instructions for submitting comments. Comments submitted
electronically, including attachments, to https://www.regulations.gov
will be posted to the docket unchanged. Because your comment will be
made public, you are solely responsible for ensuring that your comment
does not include any confidential information that you or a third party
may not wish to be posted, such as medical information, your or anyone
else's Social Security number, or confidential business information,
such as a manufacturing process. Please note that if you include your
name, contact information, or other information that identifies you in
the body of your comments, that information will be posted on https://www.regulations.gov.
If you want to submit a comment with confidential
information that you do not wish to be made available to the public,
submit the comment as a written/paper submission and in the manner
detailed (see ``Written/Paper Submissions'' and ``Instructions'').
Written/Paper Submissions
Submit written/paper submissions as follows:
Mail/Hand delivery/Courier (for written/paper
submissions): Dockets Management Staff (HFA-305), Food and Drug
Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.
For written/paper comments submitted to the Dockets
Management Staff, FDA will post your comment, as well as any
attachments, except for information submitted, marked and identified,
as confidential, if submitted as detailed in ``Instructions.''
Instructions: All submissions received must include the Docket No.
FDA-2017-D-6069 for ``Acceptance Review for De Novo Classification
Requests; Draft Guidance for Industry and Food and Drug Administration
Staff; Availability.'' Received comments will be placed in the docket
and, except for those submitted as ``Confidential Submissions,''
publicly viewable at https://www.regulations.gov or at the Dockets
Management Staff between 9 a.m. and 4 p.m., Monday through Friday.
Confidential Submissions--To submit a comment with
confidential information that you do not wish to be made publicly
available, submit your comments only as a written/paper
[[Page 50136]]
submission. You should submit two copies total. One copy will include
the information you claim to be confidential with a heading or cover
note that states ``THIS DOCUMENT CONTAINS CONFIDENTIAL INFORMATION.''
The Agency will review this copy, including the claimed confidential
information, in its consideration of comments. The second copy, which
will have the claimed confidential information redacted/blacked out,
will be available for public viewing and posted on https://www.regulations.gov. Submit both copies to the Dockets Management
Staff. If you do not wish your name and contact information to be made
publicly available, you can provide this information on the cover sheet
and not in the body of your comments and you must identify this
information as ``confidential.'' Any information marked as
``confidential'' will not be disclosed except in accordance with 21 CFR
10.20 and other applicable disclosure law. For more information about
FDA's posting of comments to public dockets, see 80 FR 56469, September
18, 2015, or access the information at: https://www.gpo.gov/fdsys/pkg/FR-2015-09-18/pdf/2015-23389.pdf.
Docket: For access to the docket to read background documents or
the electronic and written/paper comments received, go to https://www.regulations.gov and insert the docket number, found in brackets in
the heading of this document, into the ``Search'' box and follow the
prompts and/or go to the Dockets Management Staff, 5630 Fishers Lane,
Rm. 1061, Rockville, MD 20852.
You may submit comments on any guidance at any time (see 21 CFR
10.115(g)(5)).
An electronic copy of the guidance document is available for
download from the internet. See the SUPPLEMENTARY INFORMATION section
for information on electronic access to the guidance. Submit written
requests for a single hard copy of the draft guidance document entitled
``Acceptance Review for De Novo Classification Requests'' to the Office
of the Center Director, Guidance and Policy Development, Center for
Devices and Radiological Health (CDRH), Food and Drug Administration,
10903 New Hampshire Ave., Bldg. 66, Rm. 5431, Silver Spring, MD 20993-
0002 or the Office of Communication, Outreach, and Development, Center
for Biologics Evaluation and Research (CBER), Food and Drug
Administration, 10903 New Hampshire Ave., Bldg. 71, Rm. 3128, Silver
Spring, MD 20993-0002. Send one self-addressed adhesive label to assist
that office in processing your request.
FOR FURTHER INFORMATION CONTACT: Sergio de del Castillo, Center for
Devices and Radiological Health, Food and Drug Administration, 10903
New Hampshire Ave., Bldg. 66, Rm. 1538, Silver Spring, MD 20993-0002,
301-796-6419; or Stephen Ripley, Center for Biologics Evaluation and
Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg.
71, Rm. 7301, Silver Spring, MD 20993-0002, 240-402-7911.
SUPPLEMENTARY INFORMATION:
I. Background
The automatic class III designation for devices of a new type
occurs by operation of law and without any action by FDA, regardless of
the level of risk posed by the device. Any device that is of a new type
that was not in commercial distribution before May 28, 1976, is
automatically classified as, and remains within, class III and requires
premarket approval unless and until FDA takes an action to classify or
reclassify the device section 513(f)(1) of the Federal Food, Drug, and
Cosmetic Act (the FD&C Act) (21 U.S.C. 360c(f)(1)). We refer to these
devices as ``postamendments devices'' because they were not in
commercial distribution prior to the date of enactment of the Medical
Device Amendments of 1976.
FDA may classify a device through the De Novo classification
process, which is the pathway authorized under section 513(f)(2) of the
FD&C Act. A person may submit a De Novo request after submitting a
premarket notification under section 510(k) of the FD&C Act (21 U.S.C.
360(k)) and receiving a not substantially equivalent (NSE)
determination (section 513(f)(2)(A)(i) of the FD&C Act). A person may
also submit a De Novo request without first submitting a premarket
notification under section 510(k), if the person determines that there
is no legally marketed device upon which to base a determination of
substantial equivalence (section 513(f)(2)(A)(ii) of the FD&C Act).
Upon receipt of a De Novo request, FDA is required to classify the
device by written order (section 513(f)(2)(A)(iii) of the FD&C Act).
The classification will be according to the criteria under section
513(a)(1) of the FD&C Act. Per section 513(f)(2)(B)(i) of the FD&C Act,
the classification is the initial classification of the device for the
purposes of section 513(f)(1) of the FD&C Act.
We believe De Novo classification enhances patients' access to
beneficial innovation, in part by reducing regulatory burdens. When FDA
classifies a device into class I or II via the De Novo classification
process, the device can serve as a predicate for future devices of that
type, including for 510(k)s (section 513(f)(2)(B)(i)). As a result,
after a De Novo request is granted, other device sponsors do not have
to submit a De Novo request or premarket application under section 515
of the FD&C Act (21 U.S.C. 360e)) in order to market a substantially
equivalent device (see 21 U.S.C. 360c(i), defining ``substantial
equivalence''). Instead, other device sponsors can use the less-
burdensome 510(k) process, when applicable, as a pathway to market
their device.
FDA is issuing this draft guidance to provide clarity regarding the
Agency's expectations for information to be submitted in a De Novo
request and ensure predictability and consistency for sponsors.
Focusing the Agency's review resources on complete De Novo requests
will provide a more efficient approach to ensuring that safe and
effective medical devices reach patients as quickly as possible.
Moreover, with the enactment of MDUFA IV, FDA agreed to issuance of
draft (and final) guidance which includes a submission checklist to
facilitate a more efficient and timely review process to assist with
new performance goals. Acceptance review therefore takes on additional
importance in both encouraging quality applications from De Novo
requesters and allowing the Agency to appropriately concentrate
resources on complete applications.
FDA anticipates that the Agency and industry may need a period of
time to operationalize the policies within this guidance, when
finalized. Therefore, if all criteria necessary to meet a minimum
threshold of acceptability for De Novo requests as outlined in this
guidance, when finalized, are not included in a De Novo request
received by FDA before or up to 60 days after the publication of this
guidance, when finalized, CDRH staff does not generally intend to
refuse to accept.
II. Significance of Guidance
This draft guidance is being issued consistent with FDA's good
guidance practices regulation (21 CFR 10.115). The draft guidance, when
finalized, will represent the current thinking of FDA on ``Acceptance
Review for De Novo Classification Requests.'' It does not establish any
rights for any person and is not binding on FDA or the public. You can
use an alternative approach if
[[Page 50137]]
it satisfies the requirements of the applicable statutes and
regulations. This draft guidance is not subject to Executive Order
12866.
III. Electronic Access
Persons interested in obtaining a copy of the draft guidance may do
so by downloading an electronic copy from the internet. A search
capability for all Center for Devices and Radiological Health guidance
documents is available at https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/GuidanceDocuments/default.htm. Guidance
documents are also available at https://www.fda.gov/BiologicsBloodVaccines/GuidanceComplianceRegulatoryInformation/default.htm or https://www.regulations.gov. Persons unable to download
an electronic copy of ``Acceptance Review for De Novo Classification
Requests'' may send an email request to [email protected] to
receive an electronic copy of the document. Please use the document
number 16055 to identify the guidance you are requesting.
IV. Paperwork Reduction Act of 1995
Under the Paperwork Reduction Act (44 U.S.C. 3501-3502), Federal
Agencies must obtain approval from the Office of Management and Budget
(OMB) for each collection of information they conduct or sponsor.
``Collection of information'' is defined in 44 U.S.C. 3502(3) and 5 CFR
1320.3(c) and includes Agency requests or requirements that members of
the public submit reports, keep records, or provide information to a
third party. Section 3506(c) (2)(A) of the PRA (44 U.S.C. 3506
(c)(2)(A)) requires Federal Agencies to provide a 60-day notice in the
Federal Register concerning each proposed collection of information,
including each proposed revision of an existing collection of
information, before submitting the collection to OMB for approval. To
comply with this requirement, FDA is publishing notice of the proposed
collection of information set forth in this document.
With respect to the following collection of information, FDA
invites comments on these topics: (1) Whether the proposed collection
of information is necessary for the proper performance of FDA's
functions, including whether the information will have practical
utility; (2) the accuracy of FDA's estimate of the burden of the
proposed collection of information, including the validity of the
methodology and assumptions used; (3) ways to enhance the quality,
utility, and clarity of the information to be collected; and (4) ways
to minimize the burden of the collection of information on respondents,
including through the use of automated collection techniques, when
appropriate, and other forms of information technology.
De Novo Classification Process (Evaluation of Automatic Class III
Designation)
OMB Control Number 0910-0844--Revision
To aid in the acceptance review, the guidance recommends that
requesters complete and submit with their De Novo request an Acceptance
Checklist that identifies the location of supporting information for
each acceptance element and a Recommended Content Checklist that
identifies the location of supporting information for each recommended
content element. Therefore, we request revision of OMB control number
0910-0844, ``De Novo Classification Process (Evaluation of Automatic
Class III Designation)'' to include the Acceptance Checklist and the
Recommended Content Checklist in the hourly burden estimate for De Novo
requests.
We previously estimated the average burden per response for a De
Novo request under 21 U.S.C. 513(f)(2)(i) to be 100 hours and under 21
U.S.C. 513(f)(2)(ii) to be 180 hours. We estimate that it will take
approximately 1 hour to prepare an Acceptance Checklist and 1 hour to
prepare a Recommended Content Checklist. Our estimate assumes that each
De Novo request will include both checklists. Therefore, we estimate
the revised average burden per response for a De Novo request under 21
U.S.C. 513(f)(2)(i) to be 102 hours and under 21 U.S.C. 513(f)(2)(ii)
to be 182 hours. The revision results in a 104-hour increase in the
total burden estimate. The average burden per response is based on
estimates by FDA administrative and technical staff that are familiar
with the requirements for submission of a De Novo request (and related
materials), have consulted and advised manufacturers on submissions,
and have reviewed the documentation submitted.
Approved operating and maintenance costs for a De Novo request
include printing, shipping, and eCopy costs. We believe any increase of
the operating and maintenance cost resulting from the addition of the
Acceptance Checklist and Recommended Content Checklist to be de
minimis. Therefore, we are not requesting revision of the operating and
maintenance cost estimate for OMB control number 0910-0844.
Respondents to the information collection are medical device
manufacturers seeking to market medical device products through
submission of a De Novo classification request under section 513(f)(2)
of the FD&C Act.
FDA estimates the burden of this collection of information as
follows:
Table 1--Estimated Annual Reporting Burden \1\
--------------------------------------------------------------------------------------------------------------------------------------------------------
Total
Number of Number of Total annual Average burden operating and
Activity respondents responses per responses per response Total hours maintenance
respondent costs \2\
--------------------------------------------------------------------------------------------------------------------------------------------------------
De Novo Request Under 21 U.S.C. 513(f)(2)(i)
--------------------------------------------------------------------------------------------------------------------------------------------------------
CDRH................................................... 25 1 25 102 2,550 ...............
CBER................................................... 1 1 1 102 102 ...............
--------------------------------------------------------------------------------------------------------------------------------------------------------
De Novo Request Under 21 U.S.C. 513(f)(2)(ii)
--------------------------------------------------------------------------------------------------------------------------------------------------------
CDRH................................................... 25 1 25 182 4,550 ...............
CBER................................................... 1 1 1 182 182 ...............
------------------------------------------------------------------------------------------------
Total De Novo requests............................. .............. .............. 52 .............. 7,384 $6,308
Request for withdrawal\2\.............................. 5 1 5 10 50 $5
------------------------------------------------------------------------------------------------
[[Page 50138]]
Total.......................................... .............. .............. .............. .............. 7,434 $6,313
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ There are no capital costs associated with this collection of information.
\2\ No change from approved information collection. This information is retained for the convenience of the reader.
Dated: October 24, 2017.
Anna K. Abram,
Deputy Commissioner for Policy, Planning, Legislation, and Analysis.
[FR Doc. 2017-23500 Filed 10-27-17; 8:45 am]
BILLING CODE 4164-01-P