Practical Advice for Medical Devices Firms | Page 3
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Investigational device exemption
If an investigational device study presents a significant risk to subjects, a
sponsor must obtain FDA approval of an investigational device exemption
(IDE) from the Office of Device Evaluation (ODE). An IDE allows the
investigational device to be used in a clinical study of safety and
effectiveness required to support a Premarket Approval application or a
Premarket Notification 510(k) submission to FDA. The IDE must contain
information concerning the study’s investigational plan, report of prior
investigations, device manufacture, Institutional Review Board actions,
investigator agreements, subject informed consent form, device labeling,
cost of the device, and other matters related to the study. The FDA has
30 calendar days after receiving the application to approve or disapprove
an IDE submission.
The FDA encourages sponsors to meet with the ODE reviewing division
before the IDE application is submitted for review (FDA, IDE Approval
Process). The reviewing division provides advice for developing
supporting pre-clinical data or the investigational plan. These meetings
may take the form of telephone conference calls, video conferences, or
face-to-face discussions. Formal guidance meetings, such as a
determination meeting or an agreement meeting, may be arranged to
review scientific evidence needed to demonstrate efficacy and
investigational plans such as clinical protocols. If an agreement is reached
between FDA and the sponsor or applicant regarding the parameters of
an investigational plan (including a clinical protocol), the terms of the
agreement are put in writing and made part of the administrative record
by the FDA.
Importance of seeking feedback
Working with the FDA early in the process of developing a medical device
can save time, money, and frustration. Getting to know the individual
review division and working with them to determine efficacy and safety
criteria can prevent your study from having “red flags” down the road.
The FDA looks favorably on carefully designed studies that include
accurate observations made by competent personnel. Studies with
unclear objectives, poorly defined or analyzed outcomes, improperly
documented sample size, unexplained missing patients, unexplained
unblinded analytic changes, or serious adverse events that are dismissed
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