Slide 1 of 26 Why is your new product launch behind schedule? A frozen bubble created at -9F by Angela Kelly using homemade bubble solution near her home in Arlington, Washington. http://bit.ly/Anatomy-of-DesignPlan February 12, 2014 Robert Packard, Consultant www.MedicalDeviceAcademy.com rob@13485cert.com Slide 2 of 26 4 Biggest Mistakes 1. Procrastination of Tasks 2. Flexible Phases of Design 3. Incorrectly Defining Inputs 4. Repeating Past Mistakes February 12, 2014 Robert Packard, Consultant www.MedicalDeviceAcademy.com rob@13485cert.com Slide 3 of 26 Writing Your 510(k) Section # 4 5 6 7 8 9 11 12 13 14 15 18 19 20 February 12, 2014 Guidance Document for 510(k) Indications for Use Statement 510(k) Summary or 510(k) Statement Truthful and Accuracy Statement Class III Summary and Certification Financial Certification or Disclosure Statement Declarations of Conformity and Summary Reports Device Description Substantial Equivalence Discussion Proposed Labeling Sterilization and Shelf Life Biocompatibility Performance Testing – Bench Performance Testing – Animal Performance Testing – Clinical Robert Packard, Consultant www.MedicalDeviceAcademy.com rob@13485cert.com Slide 4 of 26 Regulatory Affairs “The Anti-Sales Team” Marketing Me February 12, 2014 Regulatory Me Robert Packard, Consultant www.MedicalDeviceAcademy.com rob@13485cert.com Slide 5 of 26 What’s Left? Section # 1 2 3 10 16 17 21 February 12, 2014 Guidance Document for 510(k) Medical Device User Fee Cover Sheet (Form FDA CDRH Premarket Review Submission Cover Sheet 510(k) Cover Letter Executive Summary Software Electromagnetic Compatibility and Electrical Safety Other Robert Packard, Consultant www.MedicalDeviceAcademy.com rob@13485cert.com Slide 6 of 26 Design Controls Clause 7.3 – “Waterfall Diagram” User Needs Equivalent to 21 CFR 820.30 REVIEW Design Input Design Process VERIFICATION Design Output Medical Device VALIDATION February 12, 2014 Robert Packard, Consultant www.MedicalDeviceAcademy.com rob@13485cert.com Slide 7 of 26 Examples • User Need = Implant must fit expected range of adult patient anatomy • Input = ISO/IEC 62366:2007, Application of usability engineering to medical devices • Output = Tabulated drawing showing 10 different sizes • Verification = In silico analysis of fit between patient anatomy and different sizes • Validation = cadaver studies and clinical studies February 12, 2014 Robert Packard, Consultant www.MedicalDeviceAcademy.com rob@13485cert.com Slide 8 of 26 Typical Phases of Design R Concept Phase DHF Begins February 12, 2014 Feasibility Phase D Development Phase Pilot Phase Release Phase Design Transfer Robert Packard, Consultant www.MedicalDeviceAcademy.com 8 rob@13485cert.com Product Launch 510(k) Slide 9 of 26 Phase / Gate Design Process Gate February 12, 2014 Gate Gate Robert Packard, Consultant www.MedicalDeviceAcademy.com rob@13485cert.com Gate Slide 10 of 26 6 Recommended Gates • 7.3.1 – Design Plan Approval Each Gate is a Design Review Meeting • 7.3.2 – Design Inputs Approval • 7.3.3 – Design Outputs Approval • 7.3.5 & 7.3.6 / 1st in Humans Study Approval • Pilot Launch Approval • Commercial Launch Approval February 12, 2014 Robert Packard, Consultant www.MedicalDeviceAcademy.com rob@13485cert.com Slide 11 of 26 When to Start Your DHF? • After the design plan has been developed • Upon approval of the design project • It’s not uncommon to start a DHF late and to retroactively assemble the file from documents that were already created in team meetings. February 12, 2014 Robert Packard, Consultant www.MedicalDeviceAcademy.com rob@13485cert.com Slide 12 of 26 Design Inputs User Need Typical Design Input Better Design Input Biocompatible Material = Teflon ISO 10993-1 Easy to Use Pictorial User Interface IEC 62366-1 Won't Puncture Nylon Reinforced Pouch ISTA 2A Connects with Monitor RS232 Connection Protocol P123 February 12, 2014 Robert Packard, Consultant www.MedicalDeviceAcademy.com rob@13485cert.com Slide 13 of 26 Design Planning Requirements • Clause 7.3.1 • The plan shall… Concept Phase – Define stages of design & development – Define the review, verification, validation & transfer activities for each stage – Define responsibilities & authorities • Management shall manage interfaces • Document planning output and update as needed February 12, 2014 Robert Packard, Consultant www.MedicalDeviceAcademy.com rob@13485cert.com Slide 14 of 26 Design Plan Contents • Team Charter • Strategic Marketing Plan • Business Justification • Reimbursement Strategy • Gantt Chart • Regulatory Pathway February 12, 2014 Robert Packard, Consultant www.MedicalDeviceAcademy.com rob@13485cert.com Slide 15 of 26 Team Charter Role in project Name, Role Project Leader Approval of Commercial File documents This is most applicable for contract design work. Approval of Design Plan Approve of Risk documents Refer to Risk Plan for this project Approval of all other documents May require further breakdown, or may refer to another document that lists such approval authorities generically Participants in Design Review (minimum): Break this down further if required, e.g. to capture a requirement that the R&D Manager shall always be present at the final review before product release Independent participant at Design Reviews: May be different for different types of review February 12, 2014 Robert Packard, Consultant www.MedicalDeviceAcademy.com rob@13485cert.com Slide 16 of 26 Strategic Marketing Plan • • • • • Which markets have unmet needs? What is the market size? Is the market growing or shrinking? Who are the competitors? Do we have a sustainable competitive advantage? (e.g., patents) February 12, 2014 Robert Packard, Consultant www.MedicalDeviceAcademy.com rob@13485cert.com Slide 17 of 26 Business Justification • Competitive Analysis – Regulatory Can Help with TPLC database searches • • • • Recent 510(k) Product Malfunctions Adverse Events Recalls • Pricing (outright purchase, per use, etc.) • Distribution Models (stocking, consigned, etc.) February 12, 2014 Robert Packard, Consultant www.MedicalDeviceAcademy.com rob@13485cert.com Slide 18 of 26 Reimbursement Strategy • • • • CMS – Medicare / Medicaid Private Payers Global Purchasing Organizations (GPOs) Large Hospital Chains (e.g., Kaiser) February 12, 2014 Robert Packard, Consultant www.MedicalDeviceAcademy.com rob@13485cert.com Slide 19 of 26 Gantt Chart • • • • • Identify each stage / gate in the project Identify cost of each stage Identify resources Identify the critical path Create buffers “Theory of Constraints” February 12, 2014 Robert Packard, Consultant www.MedicalDeviceAcademy.com rob@13485cert.com Slide 20 of 26 Regulatory Pathway • • • • • • • Classification Rationales Guidance Documents Harmonized Standards Predicate Device Languages Country of Origin Performance Testing February 12, 2014 Each is Country Specific Robert Packard, Consultant www.MedicalDeviceAcademy.com rob@13485cert.com Slide 21 of 26 Auditing Design with Adjacent Link / Turtle Diagrams With What Equipment Facilities & Materials? Who? Process Inputs Process Outputs Describe the Process How Done? February 12, 2014 Metrics Robert Packard, Consultant www.MedicalDeviceAcademy.com rob@13485cert.com Slide 22 of 26 Audit Agenda Conclude with Sampling of DHF & TF/DD February 12, 2014 Robert Packard, Consultant www.MedicalDeviceAcademy.com rob@13485cert.com Slide 23 of 26 Standardize Work & Trend Analysis • Standardize your format for: – Every section of a regulatory submission – Every protocol – Every report – Every design plan • Measure task variability and duration February 12, 2014 Robert Packard, Consultant www.MedicalDeviceAcademy.com rob@13485cert.com Slide 24 of 26 Lessons Learned • Just because management wants it completed by March doesn’t it mean it can be. • How long did it take last time? • What is the variability of tasks? • What is the longest task? • Which tasks are critical path items? – e.g., how long will it be before we have molded parts? February 12, 2014 Robert Packard, Consultant www.MedicalDeviceAcademy.com rob@13485cert.com Slide 25 of 26 Q&A February 12, 2014 Robert Packard, Consultant www.MedicalDeviceAcademy.com rob@13485cert.com Slide 26 of 26 Need help with your Regulatory Strategy? rob13485 rob@13485cert.com +1.802.258.1881 Rob Packard February 12, 2014 Robert Packard, Consultant www.MedicalDeviceAcademy.com rob@13485cert.com