Revocation of Authorization of Emergency Use of an In Vitro Diagnostic Device for Detection and/or Diagnosis of COVID-19; Availability, 28841-28849 [2021-11385]

Download as PDF Federal Register / Vol. 86, No. 102 / Friday, May 28, 2021 / Notices DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA–2021–N–0412] Revocation of Authorization of Emergency Use of an In Vitro Diagnostic Device for Detection and/or Diagnosis of COVID–19; Availability AGENCY: Food and Drug Administration, HHS. ACTION: Notice. The Food and Drug Administration (FDA) is announcing the revocation of the Emergency Use Authorization (EUA) (the Authorization) issued to BioFire Diagnostics, LLC for the BioFire Respiratory Panel 2.1 (RP2.1). FDA revoked this Authorization on March 17, 2021, under the Federal Food, Drug, and Cosmetic Act (FD&C Act), in consideration of the De Novo classification order for the BioFire Respiratory Panel 2.1 (RP2.1) as a Class II (Special Controls) device under the generic name ‘‘Device to detect and identify nucleic acid targets in respiratory specimens from microbial agents that cause the SARS–CoV–2 respiratory infection and other microbial agents when in a multi-target test.’’ The revocation, which includes an explanation of the reasons for revocation, is reprinted in this document. DATES: The Authorization is revoked as of March 17, 2021. ADDRESSES: Submit written requests for single copies of the revocation to the Office of Counterterrorism and Emerging Threats, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 1, Rm. 4338, Silver Spring, MD 20993–0002. Send one selfaddressed adhesive label to assist that SUMMARY: VerDate Sep<11>2014 17:28 May 27, 2021 Jkt 253001 office in processing your request or include a fax number to which the revocation may be sent. See the SUPPLEMENTARY INFORMATION section for electronic access to the revocation. FOR FURTHER INFORMATION CONTACT: Jennifer J. Ross, Office of Counterterrorism and Emerging Threats, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 1, Rm. 4332, Silver Spring, MD 20993–0002, 240–402–8155 (this is not a toll-free number). SUPPLEMENTARY INFORMATION: I. Background Section 564 of the FD&C Act (21 U.S.C. 360bbb–3) as amended by the Project BioShield Act of 2004 (Pub L. 108–276) and the Pandemic and AllHazards Preparedness Reauthorization Act of 2013 (Pub L. 113–5) allows FDA to strengthen the public health protections against biological, chemical, nuclear, and radiological agents. Among other things, section 564 of the FD&C Act allows FDA to authorize the use of an unapproved medical product or an unapproved use of an approved medical product in certain situations. On May 1, 2020, FDA issued an EUA to BioFire Diagnostics, LLC for the BioFire Respiratory Panel 2.1 (RP2.1), subject to the terms of the Authorization. Notice of the issuance of the Authorization was published in the Federal Register on July 14, 2020 (85 FR 42407), as required by section 564(h)(1) of the FD&C Act. In response to requests from BioFire Diagnostics, LLC, the EUA was amended on December 22, 2020. II. EUA Criteria for Issuance No Longer Met Under section 564(g)(2) of the FD&C Act, the Secretary of Health and Human Services may revoke an EUA if, among PO 00000 Frm 00095 Fmt 4703 Sfmt 4703 28841 other things, the criteria for issuance are no longer met. On March 17, 2021, FDA revoked the EUA for the BioFire Respiratory Panel 2.1 (RP2.1) because the criteria for issuance were no longer met. Under section 564(c)(3) of the FD&C Act, an EUA may be issued only if FDA concludes there is no adequate, approved, and available alternative to the product for diagnosing, preventing, or treating the disease or condition. FDA issued a De Novo classification order for the BioFire Respiratory Panel 2.1 (RP2.1) as a Class II (Special Controls) device under the generic name ‘‘Device to detect and identify nucleic acid targets in respiratory specimens from microbial agents that cause the SARS– CoV–2 respiratory infection and other microbial agents when in a multi-target test’’ on March 17, 2021, (https:// www.accessdata.fda.gov/cdrh_docs/ pdf20/DEN200031.pdf). FDA has concluded that this is an adequate, approved, and available alternative to BioFire Diagnostics, LLC’s BioFire Respiratory Panel 2.1 (RP2.1) EUA product for detection and/or diagnosis of the virus that causes COVID–19. III. Electronic Access An electronic version of this document and the full text of the revocation are available on the internet at https://www.regulations.gov/. IV. The Revocation Having concluded that the criteria for revocation of the Authorization under section 564(g) of the FD&C Act are met, FDA has revoked the EUA for the BioFire Respiratory Panel 2.1 (RP2.1). The revocation in its entirety follows and provides an explanation of the reasons for revocation, as required by section 564(h)(1) of the FD&C Act. BILLING CODE 4164–01–P E:\FR\FM\28MYN1.SGM 28MYN1 28842 Federal Register / Vol. 86, No. 102 / Friday, May 28, 2021 / Notices U.S. FO,OD & DRUG ,11,1:11i,i11N!sr~.M!blll !v.1:arch 17,2021 Biofire Diagnostics, LLC Dt Kdstet1 Kanaek Senior Vice l'rcsidcut, Regulatory and Clinfoal Affairs 515 Colorow Drive Salt Lake City, Utah 84108 Re: DI,N:200031 Trade1Device Name: BioFire Respiratory Panel 2.1 (RP2. l) Regulation N1.1mber: 21 CFR 866.3981 Regullt.lion Name: Device to detect and identify nucleic acid targets in respiratory specimens from inicrobial agents that clit'lse the SARS-CoV-2 respiratory infectio1.1 and other microbial agents whim in a multi-target test. Regulatory Class: Cl!lSs IT Product Code:. QOF Dated: May 18, 2<J20 RtlCeiVed: May 19, 2020 Dear Dr: Kristen Kanack: 1110 Center for Devices and Radiological Health (CDRH) of the Food.and Drug Administration (FDA) has 1:lompleted its review of your De Novo request for classification of the Bit1Fire Respiratory Pnnel 2.1 (RP2.l), a prescription device with the following indieatior1s.for use: The DioFire Respirnlmy Panel 2.1 (RP2. I) is a PCR-based .rmtltiplexed nucleic acid test i11tended for use v..ith the Bio Fil'e Fil mArrny 2.0 01' BioFire Fi hnArray Toreh systems for the simultaneous qualitative detection and identification of multiple respitatQry viral and bacterial nucleic acids in 11asopharyngeal swabs (NFS) obtained from individuals s11spected of respiratory tract infectio11s1 including .CO VID-19. The folio·wing organism types itnd subtypes are identified using the BioFire RP2. l: • Adenovirus, • Coronavirus 229E,. • Coro11avirus lIKUl, • Coromivirus NL63, • • Cnronavirus OC43, . Severe Acute Respirntory Syndrnme Corornwirus (SARS-C.;,)V-2), • Human Mctapncumovirus, • Huma11 Rhiuovirus/Enlerovirtm, U.S. Foo<! l'I Drug lidmioistrotiOll 10903 N1ow. H;,mp,hireA,.,... Sliver Spiing, MO ZO!ill3 VerDate Sep<11>2014 17:28 May 27, 2021 Jkt 253001 PO 00000 Frm 00096 Fmt 4703 Sfmt 4725 E:\FR\FM\28MYN1.SGM 28MYN1 EN28MY21.003</GPH> ~~ 28843 Federal Register / Vol. 86, No. 102 / Friday, May 28, 2021 / Notices DEN20003 l -Kristen Kanack Page 2 • fnfl\lenza A, itwluding s\ll;ltypes .ffl; Hl-2Q09;. and.H3, • Influenza B, • Para:inf1uenza Virus l, • Pataint)uenza Vit1:ts.2,, • Parainfhienza Vitus 3, • Pru-aitilluenza Virus 4, • Respitatory Syncytial Virus, • Bordetella parapertussis (IS] 001); • Bordetella pertussis (ptxP), • Chlamydia pnewnoniae, and • A1yc()plasrna pneumoniae Nucleic acids from the respiratory viral and bacterfalorganisms identit1ed bythis test are generally detectable in NPS specimens. during the acute phase of infection. The detection and identification.of specific viral and bacterial nucleic acid..q from i11dividuals exhibiting signs and/pr symptoms of respiratory infecti<lrtJs indicative ofthe presence ofth:e ide11tified 1nicr®rga11ism and aids in the diag1wsis ofrespiratory infection:ifused inconj1mction with other clinical.and epidemiological information. The results ofthis lest should not.be used as the sole basis for diagnosis, treatment, or other patient management decisions. '.Negative .results in the setting ()fa respirittory ilh1ess n1ay be due to infection with pathogens thatare not detected by this test, or lower respiratory tract infe.ction thatmaynot be detected by an NPS specimen. Positive results do not rule out coinfection with other organisms. The agent(s) detected by the. BioFire RP2. l may not be the definite cause· of disease. Additional laboratory testing (e;g; bacterial and viral.culture, immunofluorescence, and r-adiography}may be necessary when evaluating a patient with possible respiratory tractinfection. Although this letter ref~ to Y<!urproduct l!S a device, please be awltre thatsome granted products may instead be combination products. If you bave questions on whether your product is a combinationproduct, contact CDRHPtoductJurisdictfon@toa.h:h:s.gov. FDAconchldes .that this device should be classified into Class IL 'Ibis order; therefore, classifies the Bio Fire. Respiratory Panel 2.1 (RP2.l), and substantially equivalen.t devices o(th:is :generic type, into ClassJlun.der the generic name Pevicetl> detect and identify nucleic acldtargets in respiratQry.specitnens from micwbial agents that cause the :SARSsCoV-2; respiratory infection and other microbial agents when in a multi-target test. FDAidentifies this generic type ()f device as: Device to detect and identify nucleic acid.targets in respiratory specimens from .microbial agents that cause the SARS-CoV-2 respiratory infection and other microbial agents when in a multi-targettest. A VerDate Sep<11>2014 17:28 May 27, 2021 Jkt 253001 PO 00000 Frm 00097 Fmt 4703 Sfmt 4725 E:\FR\FM\28MYN1.SGM 28MYN1 EN28MY21.004</GPH> device to detect and ide11tify nucleic add. targets in respiratory specimen~ fto111 microbial agents that cause the SARS-Co V-2 respiratory infection and..other microbial agents when in a 11:1.ulti-target test is an in vitro dia:g11ostic dev:ice intended for the detection and identification ofSARS-Co V~2 and other microbial aients when in a multi•targettest in human. clinical respiratory specin1ens from patients suspected ofrespiratory infection who are at risk.for exposure. or who may have been. exposed to these agents, The device is intei1ded to aid in the.diagnosis oftespiratoryintection i11.conjunction with other clinical, epidemioll>gic, and laboratory data or other risk factors. 28844 Federal Register / Vol. 86, No. 102 / Friday, May 28, 2021 / Notices Page 3 •ofthe Food,,~•and·Cosmetic,Act{theFD&C·Ac~}was,1Ullel1dedbt~·:iio7.•otthe . .. . . . . ... . ........... •· · .· ........ · · Sllf~W:AA<!Jnn(i.yationi\~ (FD~) !lllJuit~t2tfl2, ~'la~J1i:o~~ optronsforTu:,. mro classifu:ation. Fir$t,. allY'~"1nO~ivesa l'not.~stmilitilly~~t" {NSE} detem'lhiatioom~toa·5l~)·fota·.devirethath«snot·beeiiprevm~dassified:imdettheAct:li:lay ~estFDA•.tollllik:ei:1~~edchuisttlC1:1tio:11ofthedeviceimd.er··secttt,n••~lJ(a}(l)pfthe.Act; On ..... ... . Decemb¢r13;20lfi;•the21st•Centm:yeutesAfitmnoveda~ent•tbataneNow•r~be submitted ~~~.day~of~~iving•~~•de~~~.·J\l~tiv~ty~ any~·~de~~tlliet'eJsllQ l~gidltmatketeddevice¥ti:Wmcli.tobueadeterminafionof~tial$vtileiICemar~~to ~~~~~~~iµ1.:~onof... · · 51:0(k),FDAshall;withm:12 · of.ffleA-ct~Q1),t~t~@i&~ . ede:vice. Thi$classilkationshall ys iifieftlie~~<>fan.m&r~sifymgJhifdevree:, ~.~mitiiil.~I~cauonoftliti ·.· · · .·. ce\ < . . ·wAlllU$tptibli$hJutotice•mtheF~Regi$fer'iltlll01JnCing.thecl~cation, ~.~.··t!t.2i52:<i~·.1:ID'A,.i;ecei~~:pe;.ll(<>:vo~i~sliiclifi9n<>ttheBiqf'~i+toiy~llI 2,l•(RP2;1l.Tlietequestwas~:undersectitlli513.(ij(2)•oftheFD&CA't:t•\hi,·orttertoc~ifyihe J3iqI/ire~espira~Plwel•·~,l (RPA;lJ111t<>cfa;sd~.•ll:,it~n!;\CeSSaJ'Yfh,aitliepropo~•·c,IMs·.~Yesutl.ic:ient •~t~··cootr-0l'sto•J.)l'Qvide®asona'bre.assuraiiCe.o!the·•siue,aildeffuctivenessofihedevice•futits ilit~diidµse, Aftei:.•~yiey,•of~••mfonnatiOll~fui(t~mtlie•Pe·•~ovo:i:e~t,•f'I)i\:Iillsd~Jhaf, fotthe~vio~·•~ta~'ilidkaijtttiSfotllSe,tlie,Iw!~.Respiratoi:rJ~anel2:i.~J?~•~e~itt, ~.•:rI~th~~bli~nlof~~{)~for1.1l~l(IL . • mAli¢li~v~~•~111ss.• ll(~~)•cOnj:rO~' provideteasonabreassutance·of'the~$ldcll'ecttveness◊fllie~vi¢e~;.Th:eidehtilied~and ·wff.gation~•~iate4¥!ith•tli~devicetypeateJ~in:ffiefolfo~gtable: ·.Risk:Of1lllinacctJrate ~. result{fiilse.pQSitive·.orfalse · C:ertainlallelinginf~n,mcltt(iinglimitatiollll; V(fil1linW!, de'Vicedescriptions:;.eKPlanationofpt~utes;.and;perf()mlaJlCe negativetesfilt)·.~.t<> imprtlper f?:llll(mf fufoimationideiltified.fu . special eontrols:(1);(3),·(5}fand•.(6?. lllimagemeiit eonttol (2): I.Jseof~ertain~ncollection()evices•identified,iilspecial Certainde•·•verificaffun·andvalidation,.docutnentatiotlof certafu·i!iiafytical.•sti.'tdiesfflld.·dlliiitllil smdies;ri\ik··~ .~tegi~,•.andde'lieedesctjptioiiSi<\entifierl,.in~iil..control (4); Teslliigof~teriied\iifal•sarilpl~andm'belliig•·~tiott i'dennfieu m!rtleeiaI contrott11. Mi~~~tation.oftest tesillts: leadingto C:ertain4'beling ~ o n , iilclµqing fu,nitations, ~~' device de-lions:,. e,q>lanation o f p t ~ ~ mi~dmg11o~isarnl~iat~ Jntetpiti:n~tionfufoimation, lliidpetf'dm:iatic~•informauon identiJiediililJ)!:lcial~Is·(ll,.(3,),·wd(a): •mk•off!US(ftest:re!llllw certam. de• yerificmirin.andvalidaliQit;•.di:i.:umentation of certaintmat~ s~s and JiinR:ai sirulies,risk~ strategies,•.and··device•descriptfons:ideiilified.fuSpecial•control VerDate Sep<11>2014 17:28 May 27, 2021 Jkt 253001 PO 00000 Frm 00098 Fmt 4703 Sfmt 4725 E:\FR\FM\28MYN1.SGM 28MYN1 EN28MY21.005</GPH> (4)~ Federal Register / Vol. 86, No. 102 / Friday, May 28, 2021 / Notices 28845 :DEN200031--•,-.Ktisten••~- •t:anyoyet1crossoontiiminatimi;:iipecimeii•:smbinty,:preciswri;;~bilify,ami-01mica1_ ·- · VerDate Sep<11>2014 17:28 May 27, 2021 Jkt 253001 PO 00000 Frm 00099 Fmt 4703 Sfmt 4725 E:\FR\FM\28MYN1.SGM 28MYN1 EN28MY21.006</GPH> ---(iii)·•- ;=r::adescrlptlons:otille•testj)tooelliite(s); -the.mteiptetalion•<>fteilftesuititfot~tfuica1- 28846 Federal Register / Vol. 86, No. 102 / Friday, May 28, 2021 / Notices Page 5 DEN200031 - Kristen Kanack VerDate Sep<11>2014 17:28 May 27, 2021 Jkt 253001 PO 00000 Frm 00100 Fmt 4703 Sfmt 4725 E:\FR\FM\28MYN1.SGM 28MYN1 EN28MY21.007</GPH> (B) 'The test results should be interpreted in conjunction with other clinical and laboraiory data available to the clinician; (C) 1bere is a. risk of incorrect results due to the pres.:nce of nucleic acid sequence variants in the targeted pathogens; (D) That positive and negative predictive values ru:e highly dependent on prevalence; (E) Accurate results are dependent on adequate specimen collection, transport, storage, ru1d processing. Failure to observe proper procedures in any one of these steps can lead to incorrect results; md (F) When applicable (e.g., recommended by the Centers for Disease Control and Prevention, by current well-accepted clinical guidelines, or by published peer-reviewed literature), that the clinical performance may be affected by testing a specific clinical subpopulation or for a specific claimed specimen type. 4, Design verification and validation must include: (i) Detailed documentation, including perfonuance results; from a clinical stmiy that includes prospective (sequential) samples for each claimed specimen type and, as appropriate, additional characterized clinical samples. The clinical study must be performed on a study population consistent with the it1te11ded use population and compare the device. perfom1ance to results obtained using a comparator that FDA has determined is appropriate. Detailed documentation must include the clinical study protocol (including a predefined statistical analysis plan), study report, testing results, ru1d results of all statistical analyses. (ii) Risk analysis and documentation demonstrating how risk control measures are implemented to address device system hazards, such as.Failure Modes Effects Analysis and/or Hazard Analysis. This documentation must include a detailed description of a protocol (including all prncedures and methods) for the continuous monitoring, ide1rtification, and handling of genetic mutations and/or novel respiratory pathogen isolates or strains (e.g,, regular review of published litetature Md periodic in silioo analysis of target sequences to detect possible mismatches). All results of this protocol, including any findings, must be documented and must include any additional data analysis that is requested by FDA in response to a11y performance concerns identified underthis section or identifi.ed by FDA during routine evaluation. Additionally, ifrequested by FDA, these evaluations must be submitted to FDA for FDA review within 48 hours of the request. Results that are reasonably interpreted to support the conclusion that novel respiratory pathogen strains or isolates impact the stated expected performance of the device must be sent to FDA immediately. (iii) A detailed description of the identity, phylogenetic relationship, and other recognized characterization of the respiratory pathogen(s) that the device is designed to detect. In addition, detailed documentation describing h<)W to interpret the device results and other measures that might be needed for a laboratory diagnosis of respiratory infection. (iv) A detailed device description, including device components, ancillary reagents required but not provided, and a detailed explanation of the methodology, including molecular target(s) for each analyte, desigtt of target detection reagents, rationale for target selection, lhnitfog factors ,if the device (e.g., saturation level of hybridization and maximum amplification and detection cycle number, etc.), internal and e>-.1ernal controls, and computational path from collected raw data to reported result (e.g., how collected raw signals are converted into a reported signal and result), as applicable. 28847 Federal Register / Vol. 86, No. 102 / Friday, May 28, 2021 / Notices DEN20003 l - Kristen Kanack 6 A detailed description of device softwarn, including software applications and hardware-based devices that incorporate software. 111e detailed description.must include documentation of verification, validation, and hazard analysis and risk assessment activiti<1s, including an assessment of the impact of threats and vulnerabilities on device functionality and end users/patients as part of cybersecurity review. For devices intendedfor the detection and identification of microbial agents for which an (vi) FDA recommended reference panel is available, design verification and validation m1ist include the perfonnance results of an analytical study testing the FDA recommended reference panel of characterized samples. Detailed documentation must be kept of that study and its results, including the study protocol, study report for the proposed intended use, testing results, and results of all statistical analyses. (Vii) For devices with an intended use that includes detection of Inf1uenza A and Influenza B viruses and/ot detection and differentiation between the Influenza A virus subtypes in human clinical specimens, the design verification and validation must include a detailed description of the identity, phylogenetic relationship, or other recognized characterization of the Influenza A and B viruses that the device is designed to detect, a description of how the device rnsults might be used in a diagnostic algorithm and other measures that might be needed for a laboratory identification of Influenza A or B virus and of specific Influenza A vims subtypes, and a description of the clinical and epidemiological parameters that are relevant to a patient case diagnosis of Influenza A or B and of specific Influenza A virus subtypes. An evaluation of the device compared to a currently appropriate and FDA accepted comparator method. Detailetl documentation must be kept of that study and its results, including the study protocol, study report for the proposed intended use, testi11g results, and results of all statistical analyses. 5. When applicable, petformance results of the analytical study testing the FDA recommended reference panel described in paragraph (b)(4)(Vi) of this section must be included in the device's labeling under 21 CFR 809.l0(b). 6. For devices with an intended use that includes. detection ofinfluenza•A and Influenza B viruses and/or detection and differentiation between the Influenza A virus subtypes in human clinical specimens in addition to detection of SARS-Co V-2 and similar microbial agents, the required labeling under 21 CFR 809.lO(b) mnst include the following: (i) Where applicable, a limiting statement that petformance characteristics for Influenza A were. establishedwhen Influenza A/H3 and A/Hl-2009 (or other pertinent Influenza A subtypes) were the predominant Influenza A viruses in circulation. (ii) Where applicable, a warning statement that reads if infection with a novel Influenza A virus is suspected based on current clinical and epidemiological screening criteria recommended by public health authorities, specimens should be collected with appropriate infection control precautions for novel vimlent influenza viruses and sent to state or local health departments for testing. Viral culture should not be attempted in these cases unless a BSL 3+ facility is available to receive and culture specimens. (iii) Where the device results interpretation involves combining the outputs of several targets to get the final results, such as a device that both detects Influenza A and differentiates all !mown Influenza A subtypes that are currently circulating, the device's labeling must include a dear interpretation instruction for all valid and invalid output combinations, and reconunendations for any required follow· up actions or retesting in the case of an unusual or unexpected device result. VerDate Sep<11>2014 17:28 May 27, 2021 Jkt 253001 PO 00000 Frm 00101 Fmt 4703 Sfmt 4725 E:\FR\FM\28MYN1.SGM 28MYN1 EN28MY21.008</GPH> (v) 28848 Federal Register / Vol. 86, No. 102 / Friday, May 28, 2021 / Notices Page 7 DEN200031 • Kristen Kanack A limiting statement that if a specimen yields a positive result for Influenza A, but produces negative test results for all specific influenza A subtypes intended to be differentiated (i.e., Hl-2009 ai14 II$); this result requires notification of appropriate local, state, orfederal public health authorities to detem1ine necessary me.asures for vedfication and to further detennine whether the specin1en represe1its a novel strain oflnflue!1Zll A 7. If one of the actions listed at section 564(b )(l)(A)~(D) ofthe Federal.Food, Drug, and Cosmetic Act occuts with respect to art influenza vira:I stta:.in, .or ifthe Secretary of Health and. Human.Services (IlHS) dete1mines, under section 319(a) ofthe Public Health Service Act, that a disease or disorder present~ a public health emergency, or that &public health emergency otherwise exists; with respeqt to an influenza vital strain: (i) Within 30 days from the date that FDA notifies manufacturers that characterized viral samples are available for test evaluation, the mrumfacturer must.have testing performed on.the device with those influenza viral samples in. accordance with a standai'.dized protocoLconsidered lUld detenninedby FPA to be accept&ble and appropriate, (ii). Within 60 days from the date that FDAnotifies manufacturers that characterized.influenza viral silitlples are available fortest evaluation and.continuing until 3 years from that date, the results of the. i11f1uertza emergency analytical reactivity testing, i1wlu:ding the detailed information for the virus tested as described in the aertificate of'authentfoation, must be included as part of the device's labeling ina tabular fonnat, either by: (A) Placing the results directly in the device's labeling required tmder 21 CFR 809. lO(bJ that accofupllllies the device in a separate section of the labeling where analytical reactivity testing.data can be found, but separate from the annual anatyticalreacti:vity testing results; or (B)In a section of the device's label or in other labeling that accompanies the device, prominently providing a hyperlinkto the manufacturer's public website where-the ana:Iytica:l reactivity testing data:. can be found, Tue manufacturer's website, as weli as the primary part of the manufacturer 'swebsite that discussei'lc the device, must provide a prominently plac;ed hyperHnk to the website containing tliis. information and mustallow unrestricted. viewing a.ccess. (iv) Section 51 O(m) ofthe FD&C Act provides that FDA may exempta class II device from the premarket notification requirements under se"1:ion 510(k) of.the FD&C.Act, if FDAdetennines that premarket notificationis notnecessary to provide teasonabkassurance of tful,sa:fety-lUld effectiveness ofthe. de.vice type. FDA has determined premarkeinotifi:cation ii, necessary to provide reasonable assurlUlce of the safety and effe.::tiveness of the device type and, therefor~, the Mvi.::e is nQt exemptfron1 the premar){etnotification requirements of the FD&C A1.,1:. Tiius; persons who intend to market this device type must stibmita premarket notification. containihg infomiation.on the device to detect and identify nucleic acid targets in respiratory specin1eits from microbialageiits that cause the SARS-CoV-2 respiratory infection and other microbial agents whenin a multi-target test they intend to market prior to marketing the device, VerDate Sep<11>2014 17:28 May 27, 2021 Jkt 253001 PO 00000 Frm 00102 Fmt 4703 Sfmt 4725 E:\FR\FM\28MYN1.SGM 28MYN1 EN28MY21.009</GPH> Plea.'le.be advised that FDA's decision to grru1t this De Novo.request does not mean that FDA has made a determination thatyour device complies with. other requirements ofthe FD&C Act or.any Federal statutes and regulations ad:ntlnistered by other Federal agencies. You.must comply with :allthe FD&C Act's requireme11t~, including; but notlimited to:reglstrationand listing (t1 CFR Part S07); labeling ~21 GfR Parts 801 ru1d 809);medical device reporting (reporting of medical device-related adverse events) (21 CFR 803) for devices orpostmarketingsafety reporting (21 CFR4,. Subpart B) for combinationproducts (see 28849 Federal Register / Vol. 86, No. 102 / Friday, May 28, 2021 / Notices Page .8 DEN20003J - Kristen Kanack bttps://w-wwJaa,gov/combittation-productsfguidance-regulatory-infonnation/postmarketinll:-safety-rep-Ortmgcombination-productskgood manufacfuring praetk.e requirements as set forth in the qualify systems (QS) .regulation (21 CPR.Part 820) funlevices oi-currenf good manufacturing practices (21 CFR4, SubpartA)foi: combination products; and if applicable, the electronic product radiation control provisions (Sections 531. . 542 of1he FD&C Act); 21 CFR louiF1050. A notice announcing ihis classil'ication order will be published m1:he Federal Register. A copy of this order and supporting docinnentation are on file in the Dockets Management Branch (HFA-305), Food and Drug Administration, 5630 Fishers Lane, Room 1061, Rockville, MD 20852 and are available for inspection between 9 a.:m, and4 p.m., Monday through Friday. As a result of1his order, you may innllediately market your device as. described in the De.Novo request subject to the geneml: control provisions of1he FD&C Act and the special controls identified in ihis order: For comprehensive regu}afoiy infmmation about medical devices and radiation-emitting products, please see ·Device.Advice {hqps:/fwww.fda.govfmedical.a.devic.es/device-advic.e-comprehensive-regularory-assiirtance) and CDRH Learn (https:/lw-ww.fda.govlttajmng-and-continuing-education/cdrh-leam). Additionally, you may contact.the Division of Industry and Consumer Education (DICE)toask a question about a specific regulatory topic. See 1he DICE website (hltps://www..fda.gov1medical~deviceyde\.'lrecadvice-commehensiveregulatory-assistanee/contact-ns-division-,industry-and-consumer-education-dice)·for more information or contactDICEbyemail (DIC£'lilfda.hhs.gov)orpbone(HW1Hi38-:2041 ot 30M96-7100). Jf you have anyqnestionsconceming the contents of the. letter; please contact Ricky Soong at 301-348-i894. Sincerely,. Uwe Scherf, M;Sc,, PhD. Director Division ofMiciobiology Devices OHTT: Officeofin Vitro Diagnostics and Radiological Hea11h Office of Product.Evaluation and Quality Centet for Devices and Radiological IIealth [FR Doc. 2021–11385 Filed 5–27–21; 8:45 am] BILLING CODE 4164–01–C DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA–2021–N–0455] Revocation of Authorization of Emergency Use of a Medical Device During COVID–19; Availability AGENCY: Food and Drug Administration, HHS. ACTION: Notice. The Food and Drug Administration (FDA) is announcing the revocation of the Emergency Use Authorization (EUA) (the Authorization) issued to Battelle Memorial Institute for the Battelle Critical Care Decontamination System. FDA revoked the Authorization on April 30, 2021, SUMMARY: VerDate Sep<11>2014 17:28 May 27, 2021 Jkt 253001 under the Federal Food, Drug, and Cosmetic Act (FD&C Act) as requested by Battelle Memorial Institute on April 2, 2021. The revocation, which includes an explanation of the reasons for the revocation, is reprinted in this document. DATES: The Authorization for the Battelle Critical Care Decontamination System is revoked as of April 30, 2021. ADDRESSES: Submit written requests for a single copy of the revocation to the Office of Counterterrorism and Emerging Threats, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 1, Rm. 4338, Silver Spring, MD 20993–0002. Send one selfaddressed adhesive label to assist that office in processing your request or include a Fax number to which the revocation may be sent. See the SUPPLEMENTARY INFORMATION section for electronic access to the revocation. FOR FURTHER INFORMATION CONTACT: Jennifer J. Ross, Office of Counterterrorism and Emerging Threats, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 1, Rm. 4332, Silver Spring, MD 20993–0002, PO 00000 Frm 00103 Fmt 4703 Sfmt 4703 240–402–8155 (this is not a toll-free number). SUPPLEMENTARY INFORMATION: I. Background Section 564 of the FD&C Act (21 U.S.C. 360bbb–3) allows FDA to strengthen the public health protections against biological, chemical, nuclear, and radiological agents. Among other things, section 564 of the FD&C Act allows FDA to authorize the use of an unapproved medical product or an unapproved use of an approved medical product in certain situations. On March 28, 2020, FDA issued the Authorization to Battelle Memorial Institute for the Battelle Critical Care Decontamination System. Notice of the issuance of the Authorization was published in the Federal Register on June 5, 2020 (85 FR 34638), as required by section 564(h)(1) of the FD&C Act. The authorization of a device for emergency use under section 564 of the FD&C Act may, pursuant to section 564(g)(2) of the FD&C Act, be revoked when the criteria under section 564(c) of the FD&C Act for issuance of such authorization are no E:\FR\FM\28MYN1.SGM 28MYN1 EN28MY21.010</GPH> Dated: May 24, 2021. Lauren K. Roth, Acting Principal Associate Commissioner for Policy.

Agencies

[Federal Register Volume 86, Number 102 (Friday, May 28, 2021)]
[Notices]
[Pages 28841-28849]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-11385]



[[Page 28841]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2021-N-0412]


Revocation of Authorization of Emergency Use of an In Vitro 
Diagnostic Device for Detection and/or Diagnosis of COVID-19; 
Availability

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: The Food and Drug Administration (FDA) is announcing the 
revocation of the Emergency Use Authorization (EUA) (the Authorization) 
issued to BioFire Diagnostics, LLC for the BioFire Respiratory Panel 
2.1 (RP2.1). FDA revoked this Authorization on March 17, 2021, under 
the Federal Food, Drug, and Cosmetic Act (FD&C Act), in consideration 
of the De Novo classification order for the BioFire Respiratory Panel 
2.1 (RP2.1) as a Class II (Special Controls) device under the generic 
name ``Device to detect and identify nucleic acid targets in 
respiratory specimens from microbial agents that cause the SARS-CoV-2 
respiratory infection and other microbial agents when in a multi-target 
test.'' The revocation, which includes an explanation of the reasons 
for revocation, is reprinted in this document.

DATES: The Authorization is revoked as of March 17, 2021.

ADDRESSES: Submit written requests for single copies of the revocation 
to the Office of Counterterrorism and Emerging Threats, Food and Drug 
Administration, 10903 New Hampshire Ave., Bldg. 1, Rm. 4338, Silver 
Spring, MD 20993-0002. Send one self-addressed adhesive label to assist 
that office in processing your request or include a fax number to which 
the revocation may be sent. See the SUPPLEMENTARY INFORMATION section 
for electronic access to the revocation.

FOR FURTHER INFORMATION CONTACT: Jennifer J. Ross, Office of 
Counterterrorism and Emerging Threats, Food and Drug Administration, 
10903 New Hampshire Ave., Bldg. 1, Rm. 4332, Silver Spring, MD 20993-
0002, 240-402-8155 (this is not a toll-free number).

SUPPLEMENTARY INFORMATION: 

I. Background

    Section 564 of the FD&C Act (21 U.S.C. 360bbb-3) as amended by the 
Project BioShield Act of 2004 (Pub L. 108-276) and the Pandemic and 
All-Hazards Preparedness Reauthorization Act of 2013 (Pub L. 113-5) 
allows FDA to strengthen the public health protections against 
biological, chemical, nuclear, and radiological agents. Among other 
things, section 564 of the FD&C Act allows FDA to authorize the use of 
an unapproved medical product or an unapproved use of an approved 
medical product in certain situations. On May 1, 2020, FDA issued an 
EUA to BioFire Diagnostics, LLC for the BioFire Respiratory Panel 2.1 
(RP2.1), subject to the terms of the Authorization. Notice of the 
issuance of the Authorization was published in the Federal Register on 
July 14, 2020 (85 FR 42407), as required by section 564(h)(1) of the 
FD&C Act. In response to requests from BioFire Diagnostics, LLC, the 
EUA was amended on December 22, 2020.

II. EUA Criteria for Issuance No Longer Met

    Under section 564(g)(2) of the FD&C Act, the Secretary of Health 
and Human Services may revoke an EUA if, among other things, the 
criteria for issuance are no longer met. On March 17, 2021, FDA revoked 
the EUA for the BioFire Respiratory Panel 2.1 (RP2.1) because the 
criteria for issuance were no longer met. Under section 564(c)(3) of 
the FD&C Act, an EUA may be issued only if FDA concludes there is no 
adequate, approved, and available alternative to the product for 
diagnosing, preventing, or treating the disease or condition. FDA 
issued a De Novo classification order for the BioFire Respiratory Panel 
2.1 (RP2.1) as a Class II (Special Controls) device under the generic 
name ``Device to detect and identify nucleic acid targets in 
respiratory specimens from microbial agents that cause the SARS-CoV-2 
respiratory infection and other microbial agents when in a multi-target 
test'' on March 17, 2021, (https://www.accessdata.fda.gov/cdrh_docs/pdf20/DEN200031.pdf). FDA has concluded that this is an adequate, 
approved, and available alternative to BioFire Diagnostics, LLC's 
BioFire Respiratory Panel 2.1 (RP2.1) EUA product for detection and/or 
diagnosis of the virus that causes COVID-19.

III. Electronic Access

    An electronic version of this document and the full text of the 
revocation are available on the internet at https://www.regulations.gov/.

IV. The Revocation

    Having concluded that the criteria for revocation of the 
Authorization under section 564(g) of the FD&C Act are met, FDA has 
revoked the EUA for the BioFire Respiratory Panel 2.1 (RP2.1). The 
revocation in its entirety follows and provides an explanation of the 
reasons for revocation, as required by section 564(h)(1) of the FD&C 
Act.
BILLING CODE 4164-01-P

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    Dated: May 24, 2021.
Lauren K. Roth,
Acting Principal Associate Commissioner for Policy.
[FR Doc. 2021-11385 Filed 5-27-21; 8:45 am]
BILLING CODE 4164-01-C
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