Arthroscopy Pump Tubing Sets Intended for Multiple Patient Use-Premarket Notification (510(k)) Submissions; Guidance for Industry and Food and Drug Administration Staff; Availability, 72976-72978 [2021-27823]
Download as PDF
72976
Federal Register / Vol. 86, No. 244 / Thursday, December 23, 2021 / Notices
TABLE 2—GUIDANCES AND COLLECTIONS
Topic
807, subpart E ..............................................................
814, subparts A through E ...........................................
814, subpart H ..............................................................
‘‘De Novo Classification Process (Evaluation of Automatic Class III Designation)’’.
‘‘Requests for Feedback and Meetings for Medical
Device Submissions: The Q-Submission Program’’.
803 ................................................................................
Premarket notification ...............................................................................
Premarket approval ..................................................................................
Humanitarian Device Exemption ..............................................................
De Novo classification process ................................................................
0910–0120
0910–0231
0910–0332
0910–0844
Q-submissions ..........................................................................................
0910–0756
Medical Devices; Medical Device Reporting; Manufacturer reporting,
importer reporting, user facility reporting, distributor reporting.
Current Good Manufacturing Practice (CGMP); Quality System (QS)
Regulation.
Electronic Submission of Medical Device Registration and Listing .........
Corrections and Removals .......................................................................
Unique Device Identification .....................................................................
Medical Device Labeling ..........................................................................
Emergency Use Authorization ..................................................................
0910–0437
820 ................................................................................
807, subparts A through D ...........................................
806 ................................................................................
830 and 801.20 ............................................................
800, 801, and 809 ........................................................
‘‘Emergency Use Authorization of Medical Products
and Related Authorities’’.
IV. Other Issues for Consideration
As discussed in the draft guidance,
FDA understands that it will take time
for device manufacturers, healthcare
facilities, healthcare providers, patients,
consumers, and FDA to adjust from
policies adopted and operations
implemented during the declared PHE
to normal operations. FDA encourages
all stakeholders to comment on the
following topics:
1. Whether the 180-day transition
period before FDA withdraws the
guidances identified in List 1 would
sufficiently allow for an appropriate
transition period that avoids
exacerbating product shortages and
supply chain disruptions.
2. Suggestions to add or remove
guidances documents to or from List 1
of the draft guidance.
3. FDA’s proposal to extend the
effectiveness of the guidances in List 1
of the draft guidance either for 180 days
or for at least 225 days, if the PHE
declaration under section 319 of the
Public Health Service Act expires before
the finalization of this guidance.
Dated: December 20, 2021.
Lauren K. Roth,
Associate Commissioner for Policy.
[FR Doc. 2021–27892 Filed 12–22–21; 8:45 am]
BILLING CODE 4164–01–P
jspears on DSK121TN23PROD with NOTICES1
OMB Control
No.
21 CFR part or guidance
VerDate Sep<11>2014
20:50 Dec 22, 2021
Jkt 256001
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2019–D–5606]
Arthroscopy Pump Tubing Sets
Intended for Multiple Patient Use—
Premarket Notification (510(k))
Submissions; 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 a final
guidance entitled ‘‘Arthroscopy Pump
Tubing Sets Intended for Multiple
Patient Use—Premarket Notification
(510(k)) Submissions.’’ FDA has
developed this guidance document to
assist in the preparation of premarket
notification submissions (510(k)) for
arthroscopy pump tubing sets intended
for multiple patient use. This guidance
outlines the device design
considerations, risk mitigation
strategies, and testing recommendations
for arthroscopy pump tubing sets
intended for multiple patient use. This
guidance also clarifies the terminology
used to describe arthroscopy pump
tubing sets intended for multiple patient
use.
DATES: The announcement of the
guidance is published in the Federal
Register on December 23, 2021.
ADDRESSES: You may submit either
electronic or written comments on
Agency guidances at any time as
follows:
SUMMARY:
PO 00000
Frm 00060
Fmt 4703
Sfmt 4703
0910–0073
0910–0625
0910–0359
0910–0720
0910–0485
0910–0595
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
E:\FR\FM\23DEN1.SGM
23DEN1
jspears on DSK121TN23PROD with NOTICES1
Federal Register / Vol. 86, No. 244 / Thursday, December 23, 2021 / Notices
identified, as confidential, if submitted
as detailed in ‘‘Instructions.’’
Instructions: All submissions received
must include the Docket No. FDA–
2019–D–5606 for ‘‘Arthroscopy Pump
Tubing Sets Intended for Multiple
Patient Use—Premarket Notification
(510(k)) Submissions.’’ 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, 240–402–7500.
• 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
‘‘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.govinfo.gov/content/pkg/FR-201509-18/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, 240–402–7500.
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
VerDate Sep<11>2014
20:50 Dec 22, 2021
Jkt 256001
SUPPLEMENTARY INFORMATION section for
information on electronic access to the
guidance. Submit written requests for a
single hard copy of the guidance
document entitled ‘‘Arthroscopy Pump
Tubing Sets Intended for Multiple
Patient Use—Premarket Notification
(510(k)) Submissions’’ to the Office of
Policy, 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 selfaddressed adhesive label to assist that
office in processing your request.
FOR FURTHER INFORMATION CONTACT:
Laurence Coyne, Center for Devices and
Radiological Health, Food and Drug
Administration, 10903 New Hampshire
Ave., Bldg. 66, Rm. 4512, Silver Spring,
MD 20993–0002, 301–796–6450.
SUPPLEMENTARY INFORMATION:
I. Background
FDA is announcing the availability of
a guidance for industry and FDA staff
entitled ‘‘Arthroscopy Pump Tubing
Sets Intended for Multiple Patient Use—
Premarket Notification (510(k))
Submissions.’’ FDA has developed this
guidance document to assist in the
preparation of premarket notification
submissions (510(k)) for arthroscopy
pump tubing sets intended for multiple
patient use. These devices are designed
to deliver irrigation fluid to the surgical
site, such as knee, shoulder, hip, elbow,
ankle, and wrist joint cavities, during
arthroscopic procedures. In arthroscopic
procedures, clinicians often use a single
source of irrigation fluid for multiple
patients without replacing the source of
irrigation fluid or replacing/
reprocessing the irrigation tubing
system between patients. This practice
may increase the risk of crosscontamination between patients and
subsequent iatrogenic infection because
the irrigation system can become
contaminated with patient fluids that
travel back through the irrigation tubing
(‘‘backflow’’). FDA has received reports
of backflow of patient fluids which
raises the question of potential for
disease transmission when using
irrigation and tubing systems in such a
manner on multiple patients.
This guidance is intended to provide
recommendations for information to
include in premarket notifications
(510(k)s) for arthroscopy pump tubing
sets intended for multiple patient use.
This guidance outlines device design
considerations, risk mitigation
strategies, and testing recommendations
for these devices, and clarifies the
terminology used to describe
PO 00000
Frm 00061
Fmt 4703
Sfmt 4703
72977
arthroscopy pump tubing sets intended
for multiple patient use.
A notice of availability of the draft
guidance appeared in the Federal
Register of January 28, 2020 (85 FR
4997). FDA considered a comment
received and revised the guidance to
add a reference to an applicable FDA
guidance, ‘‘Applying Human Factors
and Usability Engineering to Medical
Devices.’’
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 ‘‘Arthroscopy Pump
Tubing Sets Intended for Multiple
Patient Use—Premarket Notification
(510(k)) Submissions.’’ 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.
II. 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
at https://www.fda.gov/medical-devices/
device-advice-comprehensiveregulatory-assistance/guidancedocuments-medical-devices-andradiation-emitting-products. This
guidance document is also available at
https://www.regulations.gov and at
https://www.fda.gov/regulatoryinformation/search-fda-guidancedocuments. Persons unable to download
an electronic copy of ‘‘Arthroscopy
Pump Tubing Sets Intended for Multiple
Patient Use—Premarket Notification
(510(k)) Submissions’’ may send an
email request to CDRH-Guidance@
fda.hhs.gov to receive an electronic
copy of the document. Please use the
document number 1500066 and
complete title to identify the guidance
you are requesting.
III. Paperwork Reduction Act of 1995
While this guidance contains no new
collection of information, it does refer to
previously approved FDA collections of
information. Therefore, clearance by the
Office of Management and Budget
(OMB) under the Paperwork Reduction
Act of 1995 (PRA) (44 U.S.C. 3501–
3521) is not required for this guidance.
The previously approved collections of
information are subject to review by
OMB under the PRA. The collections of
information in the following FDA
regulations have been approved by OMB
as listed in the following table:
E:\FR\FM\23DEN1.SGM
23DEN1
72978
Federal Register / Vol. 86, No. 244 / Thursday, December 23, 2021 / Notices
21 CFR part
Topic
OMB
Control No.
807, subpart E ...............
800, 801, and 809 ..........
820 .................................
Premarket notification .............................................................................................................................
Medical Device Labeling Regulations .....................................................................................................
Current Good Manufacturing Practice (CGMP); Quality System (QS) Regulation ................................
0910–0120
0910–0485
0910–0073
Dated: December 17, 2021.
Lauren K. Roth,
Associate Commissioner for Policy.
Submit either electronic or written
comments on the proposed collection of
information in the draft guidance by
February 22, 2022.
ADDRESSES: You may submit comments
on any guidance at any time as follows:
[FR Doc. 2021–27823 Filed 12–22–21; 8:45 am]
BILLING CODE 4164–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2021–D–1149]
Transition Plan for Medical Devices
Issued Emergency Use Authorizations
During the Coronavirus Disease 2019
Public Health Emergency; Draft
Guidance for Industry and Food and
Drug Administration Staff; Availability;
Agency Information Collection
Activities; Proposed Collection;
Comment Request
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 ‘‘Transition Plan for
Medical Devices Issued Emergency Use
Authorizations (EUAs) During the
Coronavirus Disease 2019 (COVID–19)
Public Health Emergency.’’ FDA
recognizes that it will take time for
device manufacturers, healthcare
facilities, healthcare providers, patients,
consumers, and FDA to adjust from
policies adopted and operations
implemented during the declared public
health emergency (PHE) to normal
operations. To provide a clear policy for
all stakeholders and FDA staff, the
Agency is issuing this guidance to
describe FDA’s general
recommendations for this transition
process with respect to devices issued
EUAs during the COVID–19 PHE,
including recommendations regarding
submitting a marketing submission, as
applicable, and taking other actions
with respect to these devices. 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 March 23, 2022 to ensure that the
Agency considers your comment on this
draft guidance before it begins work on
the final version of the guidance.
jspears on DSK121TN23PROD with NOTICES1
SUMMARY:
VerDate Sep<11>2014
20:50 Dec 22, 2021
Jkt 256001
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–
2021–D–1149 for ‘‘Transition Plan for
Medical Devices Issued Emergency Use
Authorizations (EUAs) During the
Coronavirus Disease 2019 (COVID–19)
Public Health Emergency.’’ Received
PO 00000
Frm 00062
Fmt 4703
Sfmt 4703
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, 240–402–7500.
• 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
‘‘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.govinfo.gov/content/pkg/FR-201509-18/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, 240–402–7500.
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
E:\FR\FM\23DEN1.SGM
23DEN1
Agencies
[Federal Register Volume 86, Number 244 (Thursday, December 23, 2021)]
[Notices]
[Pages 72976-72978]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-27823]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA-2019-D-5606]
Arthroscopy Pump Tubing Sets Intended for Multiple Patient Use--
Premarket Notification (510(k)) Submissions; 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 a final guidance entitled ``Arthroscopy Pump Tubing
Sets Intended for Multiple Patient Use--Premarket Notification (510(k))
Submissions.'' FDA has developed this guidance document to assist in
the preparation of premarket notification submissions (510(k)) for
arthroscopy pump tubing sets intended for multiple patient use. This
guidance outlines the device design considerations, risk mitigation
strategies, and testing recommendations for arthroscopy pump tubing
sets intended for multiple patient use. This guidance also clarifies
the terminology used to describe arthroscopy pump tubing sets intended
for multiple patient use.
DATES: The announcement of the guidance is published in the Federal
Register on December 23, 2021.
ADDRESSES: You may submit either electronic or written comments on
Agency guidances 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
[[Page 72977]]
identified, as confidential, if submitted as detailed in
``Instructions.''
Instructions: All submissions received must include the Docket No.
FDA-2019-D-5606 for ``Arthroscopy Pump Tubing Sets Intended for
Multiple Patient Use--Premarket Notification (510(k)) Submissions.''
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, 240-402-7500.
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
``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.govinfo.gov/content/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, 240-402-7500.
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
``Arthroscopy Pump Tubing Sets Intended for Multiple Patient Use--
Premarket Notification (510(k)) Submissions'' to the Office of Policy,
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-addressed adhesive label to assist
that office in processing your request.
FOR FURTHER INFORMATION CONTACT: Laurence Coyne, Center for Devices and
Radiological Health, Food and Drug Administration, 10903 New Hampshire
Ave., Bldg. 66, Rm. 4512, Silver Spring, MD 20993-0002, 301-796-6450.
SUPPLEMENTARY INFORMATION:
I. Background
FDA is announcing the availability of a guidance for industry and
FDA staff entitled ``Arthroscopy Pump Tubing Sets Intended for Multiple
Patient Use--Premarket Notification (510(k)) Submissions.'' FDA has
developed this guidance document to assist in the preparation of
premarket notification submissions (510(k)) for arthroscopy pump tubing
sets intended for multiple patient use. These devices are designed to
deliver irrigation fluid to the surgical site, such as knee, shoulder,
hip, elbow, ankle, and wrist joint cavities, during arthroscopic
procedures. In arthroscopic procedures, clinicians often use a single
source of irrigation fluid for multiple patients without replacing the
source of irrigation fluid or replacing/reprocessing the irrigation
tubing system between patients. This practice may increase the risk of
cross-contamination between patients and subsequent iatrogenic
infection because the irrigation system can become contaminated with
patient fluids that travel back through the irrigation tubing
(``backflow''). FDA has received reports of backflow of patient fluids
which raises the question of potential for disease transmission when
using irrigation and tubing systems in such a manner on multiple
patients.
This guidance is intended to provide recommendations for
information to include in premarket notifications (510(k)s) for
arthroscopy pump tubing sets intended for multiple patient use. This
guidance outlines device design considerations, risk mitigation
strategies, and testing recommendations for these devices, and
clarifies the terminology used to describe arthroscopy pump tubing sets
intended for multiple patient use.
A notice of availability of the draft guidance appeared in the
Federal Register of January 28, 2020 (85 FR 4997). FDA considered a
comment received and revised the guidance to add a reference to an
applicable FDA guidance, ``Applying Human Factors and Usability
Engineering to Medical Devices.''
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 ``Arthroscopy Pump Tubing Sets Intended for
Multiple Patient Use--Premarket Notification (510(k)) Submissions.'' 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.
II. 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 at https://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-assistance/guidance-documents-medical-devices-and-radiation-emitting-products. This guidance document is also
available at https://www.regulations.gov and at https://www.fda.gov/regulatory-information/search-fda-guidance-documents. Persons unable to
download an electronic copy of ``Arthroscopy Pump Tubing Sets Intended
for Multiple Patient Use--Premarket Notification (510(k)) Submissions''
may send an email request to [email protected] to receive an
electronic copy of the document. Please use the document number 1500066
and complete title to identify the guidance you are requesting.
III. Paperwork Reduction Act of 1995
While this guidance contains no new collection of information, it
does refer to previously approved FDA collections of information.
Therefore, clearance by the Office of Management and Budget (OMB) under
the Paperwork Reduction Act of 1995 (PRA) (44 U.S.C. 3501-3521) is not
required for this guidance. The previously approved collections of
information are subject to review by OMB under the PRA. The collections
of information in the following FDA regulations have been approved by
OMB as listed in the following table:
[[Page 72978]]
------------------------------------------------------------------------
OMB Control
21 CFR part Topic No.
------------------------------------------------------------------------
807, subpart E................. Premarket notification 0910-0120
800, 801, and 809.............. Medical Device 0910-0485
Labeling Regulations.
820............................ Current Good 0910-0073
Manufacturing
Practice (CGMP);
Quality System (QS)
Regulation.
------------------------------------------------------------------------
Dated: December 17, 2021.
Lauren K. Roth,
Associate Commissioner for Policy.
[FR Doc. 2021-27823 Filed 12-22-21; 8:45 am]
BILLING CODE 4164-01-P