New Way to Submit DeNovo Medical Device Requests

India is the source of many traditional, alternative, and herbal medicines including Ayurveda, Unani, and Homoeopathy. Although these medicines are mostly sold in India, a significant amount is exported to the US; almost 25% of all traditional medicines exported from India are destined to the US. FDA is aware that while none of these medicines … Read more

Devices Pretending to be Medical Devices on Amazon, and FDA is Helpless.

The FDA made a public announcement this week asking consumers to not use anti-chocking devices, saying that they are not effective and that manual anti-choking procedures are much better. Anti-choking devices are popular, particularly with parents trying to be prepared for accidental choking of their children. However, the lack of FDA enforcement highlights the limits … Read more

Is the FDA’s Competent Generics Program Successful?

In 2017, the FDA created its Competent Generic Drugs (CGD) program to encourage the development of generic versions for off-patent drugs with no competition. This was in response to a widespread practice in the industry where a monopoly for a product allowed the manufacturer of such drugs to gouge the prices of their product with … Read more

How the FDA Deals With Unapproved Foreign Traditional Medicines in the US?

India is the source of many traditional, alternative, and herbal medicines including Ayurveda, Unani, and Homoeopathy. Although these medicines are mostly sold in India, a significant amount is exported to the US; almost 25% of all traditional medicines exported from India are destined to the US. FDA is aware that while none of these medicines … Read more

The Short- and Long-Term Impact of Chevron’s Rejection on the FDA

A couple of weeks back I speculated if we need an independent oversight of the FDA to rein in the seemingly unaccountable power its leadership holds over the industry it regulates. The same week, the US Supreme Court reversed a decades-old legal doctrine that gave government agencies, like the FDA, such power. There are divergent … Read more

EU’s Final Rule for AI Devices

While there have been numerous discussions by regulators worldwide, particularly the FDA and European Medicines Agency (EMA), about the regulation of devices based on Artificial Intelligence (AI), there have not been any specific rules, till this week. The EU published the first formal regulation for AI this week to lay down a uniform legal framework … Read more

CMS Reimbursement for Breakthrough Medical Devices

The Centers for Medicare & Medicaid Services (CMS) announced a new program to provide coverage to medical devices approved under the Breakthrough Device program. Most breakthrough devices are approved with limited safety and efficacy data and it would be hard to secure coverage under the conventional review process. The new program is designed to address … Read more

Trends from FDA-Approved AI/ML Devices

In the last 10 years, the FDA has approved about a thousand medical devices containing Artificial Intelligence/Machine Learning (AI/ML) algorithms. Although the devices cover diverse indications and types, there are some interesting regulatory trends to be considered for those developing a new AI/ML device.  The number of AI/ML devices approved by the FDA has steadily … Read more

Health Equity for Medical Devices: FDA Discussion

The Health Equity discussion with the regulated industry has been heavily weighted towards drugs and biologics. However, lack of diversity is an issue for medical device clinical trials as well. The FDA listed several considerations in its discussion paper this week on the topic aiming to collect feedback from the device industry and other stakeholders … Read more

What is FDA Acceptable Real World Evidence? 

There is a significant misunderstanding about what is acceptable Real World Evidence (RWE) to support market approval applications for regulated products by the FDA. Is published literature acceptable, or is it clinical experience with marketed products, what is the weight of patient-reported outcomes, or is it only data from medical records, and so on? Apparently, … Read more