TITLE: “ESTAR FOR THE 510K “CLUELESS” US FDA NEW 510K PREMARKET SUBMISSION TEMPLATE – AN INTRODUCTION FOR NON-INVITRO MEDICAL DEVICES 510KS • Hosted by : • VIRTUE INSIGHT PRESENTED BY: RAM BALANI FDASMART INC. EMAIL: RBALANI@FDASMART.COM WHATSAPP MOBILE: + 1 201 913 0558 TWITTER: @RJBALANI LINKEDIN TO CONNECT: HTTPS://WWW.LINKEDIN.COM/IN/RAMBALANI/ • MARCH 18th-2021 I. AGENDA US FDA Medical Device 101 in a Nutshell □ Medical devices defined-Definition of 510k – Legal Statute purpose □ Classes (I,II or III) , Product Classification code, intended use, safety and efficacy, indications, substantial equivalence for Class II to existing device (predicate device) II. 510k Premarket Notification Review Process □ RTA – US FDA Reviewer’s Refuse to Accept , Some Stats □ Substantial Equivalence Flowchart □ Section List of Comprehensive Traditional 510k Submission III. A new star is born…eStar – defined, sample screens, garbage-in/garbage-out ….still holds □ Benefits & Limitation of 510 construction with eStar □ US FDA on eStar-Deployment, caveats etc. IV. Q & A FDASmart - US FDA (“smart”) Consultants • US FDA Agent to Foreign pharma • US FDA new drug establishment registration • NDC Labeler Code (OTC) plus • OTC Product Listings US FDA; • Covid-19 PPEs-Hand Sanitizer-US FDA EUA (Emergency Use Authorization for Covid-19) • 510ks for Medical Devices Class II, UDI, GUDID • MedWatch/MAUDE Adverse Event Reporting • US FDA XML/SPL Specialists • MICROSOFT PARTNER /GxP Sharepoint (Office 365 Cloud) Medical Device definition by US FDA: To determine if your product meets the definition of a medical device, you should define the intended use and indications for use of your product. Once you have defined the intended use and indications for use of your product, you can determine if the product meets the definition of a medical device. Medical Device Amendments and Device Classification The Medical Device Amendments (MDA) (Pub. L. 94-295) to the Federal Food, Drug, and Cosmetic(FD&C) Act were enacted on May 28, 1976. The MDA directed FDA to issue regulations that classify all devices that were in commercial distribution at that time into one of three regulatory control categories: Class I, II, or III. • Class I: Devices are subject to a comprehensive set of regulatory authorities called general controls that are applicable to all classes of devices. Examples: • Electric Toothbrush •Tongue Depressor • Bandages • • Class II: Devices for which general controls, by themselves, are insufficient to provide reasonable assurance of the safety and effectiveness of the device, and for which there is sufficient information to establish special controls to provide such assurance Examples: Catheters Blood Pressure Cuffs Syringes • Class III: Devices for which general controls, by themselves, are insufficient and for which here is insufficient information to establish special controls to provide reasonable assuranceof the safety and effectiveness of the device. Class III devices typically require premarket approval. Examples: Defibrillators High-frequency ventilators Cochlear implants Essence of 510k ? ● 510k Premarket notification is the process by which a new device , i.e., a post-amendments device, is classified into one of these three device classes ● Required at least 90 days prior to LEGALLY MARkETING in the USA ● US FDA’s mechanism by which FDA could establish reasonable assurance of safety and effectiveness. ● Medical device submitter submits 510k, US FDA review for RTA (15 days) then Substantive Review ( 90 days return days) ● Medical devices are classified according to the level of regulatory control necessary to provide a reasonable assurance of safety and effectiveness 510k IMPERATIVE CONTENTS • Must-have information for 510k to proceed: • Classification of your device • Predicate device(s) • Final draft labeling • Specifications including engineering drawings, photos, etc. • Performance data such as bench, animal, or clinical testing (if applicable) • Sterilization information (if applicable) • Guidance document(s) specific to your device type, if it exists Sections to include in a Traditional or Abbreviated 510(k) and Related Information Section Title Related Information 1 Medical Device User Fee Medical Device User Fee Cover Sheet Amendments (MDUFA) CoverSheet 2 CDRH Premarket Review Submission Cover Sheet CDRH Premarket Review Submission CoverSheet 3 510(k) Cover Letter Appendix A of this guidance 4 Indications for Use Statement Indications for Use (FDA Form 3881) 5 510(k) Summary or 510(k) Statement Device Advice “Content of a 510(k)” Section E 6 Truthful and Accuracy Statement Device Advice “Content of a 510(k)” Section G43 7 Class III Summary and Certification Class III Summary and Certification format Section Title Related Information 8 Financial Certification or Disclosure Statement Certification: Financial Interests and Arrangements of Clinical Investigators(Form FDA 3454) Disclosure: Financial Interests and Arrangements of Clinical Investigators(Form FDA 3455) “Financial Disclosure by Clinical Investigators” 9 Declarations of Conformity and Summary Reports “Appropriate Use of Voluntary Consensus Standards in Premarket Submissions for Medical Devices” Standards and Conformity AssessmentProgram website 10 Device Description Section (10) of this guidance 11 Executive Summary/Predicate Comparison Section (11) of this guidance 12 Substantial Equivalence Discussion “The 510(k) Program: Evaluating Substantial Equivalence in Premarket Notifications [510(k)]” 13 Proposed Labeling Device Advice “Contentof a 510k) Section H Section Title Related Information 14 Sterilization and Shelf Life “Submission and Review of Sterility Information in Premarket Notification (510(k)) Submissions for Devices Labeled as Sterile” For reuse of single use devices, see “Medical Device User Fee and Modernization Act of 2002 Validation Data in Premarket Notification Submissions (510(k)s) for Reprocessed Single- Use Medical Devices. 15 Biocompatibility “Use of International Standard ISO 10993-1, "Biological evaluation of medical devices - Part 1: Evaluation and testing within a risk management process"” 16 Software “Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices” 17 Electromagnetic Compatibility and “Information to Support a Claim of Electromagnetic Electrical Safety Compatibility (EMC) of Electrically-Powered Medical Devices” See also the FDA-recognized version of ANSI/AAMI ES 60601-1: Medical electrical equipment - Part 1: General requirements for basic safety and essential performance or an equivalent method. 18 Performance Testing - Bench See Section (18) of this guidance SectionP Title Related Information 19 Performance Testing - Animal See Section (19) of this Guidance 20 Performance Testing – Clinical See Section 20 in Chapter II(20) of this guidance. Certification Form: Financial Interests and Arrangements of Clinical Investigators Disclosure Form: Financial Interests and Arrangements of Clinical Investigators eSTAR Pilot Program Electronic Submission Template And Resource (eSTAR) is ** Use of eStar Does Not change 510k STATUTORY REQUIREMENTS ! +* ►PDF electronic submission template , Pilot February 27-2020 ► Will guide premarket notification (510(k)) submitters through the process of preparing a comprehensive medical device 510(k) submission. ● Features of eStar to CONSTRUCT 510k SUBMISSION ● Automation (e.g., interactive form construction, autofilling); ● Content and structure that is complementary to (CDRH) US FDA internal reviewer templates ● Integration of multiple resources (e.g., guidances, databases) ● Guided construction for each submission section ● Automatic verification Download Non-In Vitro Diagnostic eSTAR PDF A Star is born …eStar by the US FDA This Photo by Unknown Author is licensed under CC BY US FDA 21 CFR Part 211 (cGMPs) https://www.accessdata.fda.gov/scripts/cdrh/cfdocs /cfcfr/CFRSearch.cfm?CFRPart=211&showFR=1 GxP Sharepoint –MS Office 365/ Sharepoint https://tinyurl.com/4re265wc Pre-recorded Video Demo of GxP Sharepoint https://tinyurl.com/svdcvbw Ram Balani-CEO-FDASmart Express Pharma Article https://tinyurl.com/3nb83fkr Find 21 CFR Part 211 where container* OR closure* AND laborat Find container* OR closure* AND laborat* Search then from search results-Create task/subtasks on Sharepoint – start /end dates, assign to, % completion, Gantt or Calendar Views • After you complete your eSTAR file correctly, the status message at the top will indicate "eSTAR Complete." • If you submit your eSTAR file while the status message still indicates "eSTAR Incomplete," your eSTAR file will be excluded from the pilot and instead processed as an eCopy file. • Because eSTAR files are by default not eCopy compliant, eCopy validation will likely fail, and your submission will be placed on hold until a valid eSTAR file or eCopy file is received. • Please be advised that the benefits of eSTAR (e.g., no RTA review) are dependent on accurate responses and FDA will verify the accuracy of your responses. • Inaccurate responses, such as inaccurate responses to drop down fields enabling submitters to omit subsequent questions, may lead to an early hold in the review of your submission.