80_FR_10161 80 FR 10124 - Robotically-Assisted Surgical Devices: Challenges and Opportunities; Public Workshop; Request for Comments

80 FR 10124 - Robotically-Assisted Surgical Devices: Challenges and Opportunities; Public Workshop; Request for Comments

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 80, Issue 37 (February 25, 2015)

Page Range10124-10125
FR Document2015-03769

Federal Register, Volume 80 Issue 37 (Wednesday, February 25, 2015)
[Federal Register Volume 80, Number 37 (Wednesday, February 25, 2015)]
[Notices]
[Pages 10124-10125]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-03769]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2015-N-0303]


Robotically-Assisted Surgical Devices: Challenges and 
Opportunities; Public Workshop; Request for Comments

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice of public workshop; request for comments.

-----------------------------------------------------------------------

    The Food and Drug Administration (FDA) is announcing the public 
workshop entitled ``Robotically-Assisted Surgical (RAS) Devices: 
Challenges and Opportunities.'' FDA is holding this public workshop to 
obtain information on the current challenges and opportunities related 
to robotically-assisted surgical medical devices, which are classified 
as Class II medical devices. The purpose of this workshop is to obtain 
public feedback on scientific, clinical, and regulatory considerations 
associated with RAS devices. Comments and suggestions generated through 
this workshop will facilitate further development of regulatory science 
for RAS technologies.
    Dates and Times: The public workshop will be held on July 27 and 
July 28, 2015, from 8 a.m. to 5 p.m.
    Location: The public workshop will be held at FDA's White Oak 
Campus, 10903 New Hampshire Ave., Bldg. 31 Conference Center, the Great 
Room (Rm. 1503A), Silver Spring, MD 20993. Entrance for the public 
meeting participants (non-FDA employees) is through Building 1 where 
routine security check procedures will be performed. For parking and 
security information, please refer to http://www.fda.gov/AboutFDA/WorkingatFDA/BuildingsandFacilities/WhiteOakCampusInformation/ucm241740.htm.
    Contact Person: Mark Trumbore, Center for Devices and Radiological 
Health, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 
66, Rm. 5402, Silver Spring, MD 20993, 301-796-5436, 
[email protected].
    Registration: Registration is free and available on a first-come, 
first-served basis. Persons interested in attending this public 
workshop must register online by July 17, 2015, at 4 p.m. Early 
registration is recommended because facilities are limited and, 
therefore, FDA may limit the number of participants from each 
organization. If time and space permits, onsite registration on the day 
of the meeting/public workshop will be provided beginning at 7 a.m.
    If you need special accommodations due to a disability, please 
contact Susan Monahan, Center for Devices and Radiological Health, Food 
and Drug Administration, 10903 New Hampshire Ave., Bldg. 66, Rm. 4321, 
Silver Spring, MD 20993-0002, 301-796-5661, email: 
[email protected] no later than July 14, 2015.
    To register for the public workshop, please visit FDA's Medical 
Devices News & Events--Workshops & Conferences calendar at http://www.fda.gov/MedicalDevices/NewsEvents/WorkshopsConferences/default.htm. 
(Select this meeting/public workshop from the posted events list.) 
Please provide complete contact information for each attendee, 
including name, title, affiliation, address, email, and telephone 
number. Those without Internet access should contact Mark Trumbore to 
register (see Contact Person). Registrants will receive confirmation 
after they have been accepted. You will be notified if you are on a 
waiting list.

[[Page 10125]]

    Streaming Webcast of the Public Workshop: This public workshop will 
also be Webcast. Persons interested in viewing the Webcast must 
register online by Friday, July 17, 2015. Early registration is 
recommended because Webcast connections are limited. Organizations are 
requested to register all participants, but to view using one 
connection per location. Webcast participants will be sent technical 
system requirements after registration and will be sent connection 
access information after July 20, 2015. If you have never attended a 
Connect Pro event before, test your connection at https://collaboration.fda.gov/common/help/en/support/meeting_test.htm. To get a 
quick overview of the Connect Pro program, visit http://www.adobe.com/go/connectpro_overview. (FDA has verified the Web site addresses in 
this document, but FDA is not responsible for any subsequent changes to 
the Web sites after this document publishes in the Federal Register.)
    Comments: FDA is holding this public workshop to obtain information 
on the specific topics outlined in section II. In order to permit the 
widest possible opportunity to obtain public comment, FDA is soliciting 
either electronic or written comment on all aspects of the public 
workshop topics. The deadline for submitting comments related to this 
public workshop is August 26, 2015.
    Regardless of attendance at the public workshop, interested persons 
may submit either electronic comments to http://www.regulations.gov or 
written comments to the Division of Dockets Management (HFA-305), Food 
and Drug Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 
20852. It is only necessary to send one set of comments. Please 
identify comment with the docket number found in brackets in the 
heading of this document. In addition, when responding to specific 
topics as outlined in section II, please identify the topic(s) you are 
addressing. Received comments may be seen in the Division of Dockets 
Management between 9 a.m. and 4 p.m., Monday through Friday, and will 
be posted to the docket at http://www.regulations.gov.
    Transcripts: Please be advised that as soon as a transcript is 
available, it will be accessible at http://www.regulations.gov. It may 
be viewed at the Division of Dockets Management (see Comments). A 
transcript will also be available in either hardcopy or on CD-ROM, 
after submission of a Freedom of Information request. Written requests 
are to be sent to the Division of Freedom of Information (ELEM-1029), 
Food and Drug Administration, 12420 Parklawn Dr., Element Bldg., 
Rockville, MD 20857. A link to the transcripts will also be available 
approximately 45 days after the public workshop on the Internet at 
http://www.fda.gov/MedicalDevices/NewsEvents/WorkshopsConferences/default.htm. (Select this public workshop from the posted events list).

SUPPLEMENTARY INFORMATION: 

I. Background

    RAS devices, also known as computer-assisted surgical devices, are 
used by trained physicians in an operating room environment for 
laparoscopic surgical procedures in general surgery, cardiac, 
colorectal, gynecologic, head and neck, thoracic, and urologic surgical 
procedures. These medical devices enable the surgeon to use computer, 
software, and robotic technologies to control and move surgical 
instruments through the mouth or through one or more small incisions in 
the patient's body for a variety of surgical procedures. Some common 
procedures that may involve RAS devices include gallbladder, uterus, or 
prostate removal.
    As discussed further in section II, there are several clinical and 
scientific challenges associated with regulation of RAS devices, such 
as appropriate nonclinical and clinical evaluation of RAS devices, use 
of third-party surgical instruments with legally marketed RAS devices, 
and clinical training programs. This workshop seeks to involve industry 
and academia in addressing these challenges in the development of RAS 
devices to ensure that there is a reasonable assurance of safety and 
effectiveness for RAS devices while promoting innovation in a rapidly-
developing field. By bringing together relevant stakeholders including 
scientists, patient advocates, clinicians, researchers, industry 
representatives, and regulators, we hope to facilitate the improvement 
of this evolving product area.

II. Topics for Discussion at the Public Workshop

    Topics to be discussed at the public workshop include, but are not 
limited to, the following:
    1. The current landscape of RAS devices and the respective Offices, 
Divisions, and Branches within FDA involved in the review of pre- and 
postmarket data associated with these devices.
    2. Challenges, needs, and benefit/risk profiles for indications in 
various surgical areas; e.g. cardio/thoracic, gynecological, 
otolaryngological, urological, general.
    3. Unique benefits of RAS devices versus traditional surgical 
procedures.
    4. Scientific and technical considerations for third-party 
manufacturers seeking to claim that their surgical instruments can be 
used with legally marketed RAS devices.
    5. Design, administration, and certification of training programs 
and FDA's role in this process.
    6. The future landscape of RAS and robotic surgery devices.
    7. Considerations regarding appropriate selection of preclinical 
(bench and animal) test methods and patient-centered outcome metrics in 
clinical use for different stages of device development.
    These topics will be presented by experts in the associated area, 
followed by more in-depth discussions and Q&A from all participants.

    Dated: February 19, 2015.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2015-03769 Filed 2-24-15; 8:45 am]
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                                                    10124                     Federal Register / Vol. 80, No. 37 / Wednesday, February 25, 2015 / Notices

                                                    741–8138 (301–443–0572 in the                           scheduled open public hearing session,                devices. Comments and suggestions
                                                    Washington, DC area). A notice in the                   FDA may conduct a lottery to determine                generated through this workshop will
                                                    Federal Register about last minute                      the speakers for the scheduled open                   facilitate further development of
                                                    modifications that impact a previously                  public hearing session. The contact                   regulatory science for RAS technologies.
                                                    announced advisory committee meeting                    person will notify interested persons                    Dates and Times: The public
                                                    cannot always be published quickly                      regarding their request to speak by                   workshop will be held on July 27 and
                                                    enough to provide timely notice.                        March 2, 2015.                                        July 28, 2015, from 8 a.m. to 5 p.m.
                                                    Therefore, you should always check the                    Persons attending FDA’s advisory                       Location: The public workshop will
                                                    Agency’s Web site at http://                            committee meetings are advised that the               be held at FDA’s White Oak Campus,
                                                    www.fda.gov/AdvisoryCommittees/                         Agency is not responsible for providing               10903 New Hampshire Ave., Bldg. 31
                                                    default.htm and scroll down to the                      access to electrical outlets.                         Conference Center, the Great Room (Rm.
                                                    appropriate advisory committee meeting                    FDA welcomes the attendance of the                  1503A), Silver Spring, MD 20993.
                                                    link, or call the advisory committee                    public at its advisory committee                      Entrance for the public meeting
                                                    information line to learn about possible                meetings and will make every effort to                participants (non-FDA employees) is
                                                    modifications before coming to the                      accommodate persons with physical                     through Building 1 where routine
                                                    meeting.                                                disabilities or special needs. If you                 security check procedures will be
                                                       Agenda: The Pediatric Ethics                         require special accommodations due to                 performed. For parking and security
                                                    Subcommittee of the Pediatric Advisory                  a disability, please contact Walter                   information, please refer to http://
                                                    Committee will meet to discuss the                      Ellenberg at least 7 days in advance of               www.fda.gov/AboutFDA/
                                                    general topic of how procedural                         the meeting.                                          WorkingatFDA/BuildingsandFacilities/
                                                    sedation for nontherapeutic (research)                    FDA is committed to the orderly                     WhiteOakCampusInformation/
                                                    interventions or procedures in the                      conduct of its advisory committee                     ucm241740.htm.
                                                    pediatric population should be                          meetings. Please visit our Web site at                   Contact Person: Mark Trumbore,
                                                    considered under the Additional                         http://www.fda.gov/                                   Center for Devices and Radiological
                                                    Safeguards for Children in Clinical                     AdvisoryCommittees/                                   Health, Food and Drug Administration,
                                                    Investigations at 21 CFR 50 subpart D.                  AboutAdvisoryCommittees/                              10903 New Hampshire Ave., Bldg. 66,
                                                    A brief summary of the subcommittee’s                   ucm111462.htm for procedures on                       Rm. 5402, Silver Spring, MD 20993,
                                                    discussion will then be presented to the                public conduct during advisory                        301–796–5436, Mark.Trumbore@
                                                    FDA Pediatric Advisory Committee on                     committee meetings.                                   fda.hhs.gov.
                                                    Tuesday, March 24, 2015.                                  Notice of this meeting is given under
                                                       FDA intends to make background                                                                                Registration: Registration is free and
                                                                                                            the Federal Advisory Committee Act (5                 available on a first-come, first-served
                                                    material available to the public no later               U.S.C. app. 2).
                                                    than 2 business days before the meeting.                                                                      basis. Persons interested in attending
                                                    If FDA is unable to post the background                   Dated: February 20, 2015.                           this public workshop must register
                                                    material on its Web site prior to the                   Leslie Kux,                                           online by July 17, 2015, at 4 p.m. Early
                                                    meeting, the background material will                   Associate Commissioner for Policy.                    registration is recommended because
                                                    be made publicly available at the                                                                             facilities are limited and, therefore, FDA
                                                                                                            [FR Doc. 2015–03900 Filed 2–24–15; 8:45 am]
                                                    location of the advisory committee                                                                            may limit the number of participants
                                                                                                            BILLING CODE 4164–01–P
                                                    meeting, and the background material                                                                          from each organization. If time and
                                                    will be posted on FDA’s Web site after                                                                        space permits, onsite registration on the
                                                    the meeting. Background material is                     DEPARTMENT OF HEALTH AND                              day of the meeting/public workshop
                                                    available at http://www.fda.gov/                        HUMAN SERVICES                                        will be provided beginning at 7 a.m.
                                                    AdvisoryCommittees/Calendar/                                                                                     If you need special accommodations
                                                    default.htm. Scroll down to the                         Food and Drug Administration                          due to a disability, please contact Susan
                                                    appropriate advisory committee meeting                                                                        Monahan, Center for Devices and
                                                                                                            [Docket No. FDA–2015–N–0303]                          Radiological Health, Food and Drug
                                                    link.
                                                       Procedure: Interested persons may                                                                          Administration, 10903 New Hampshire
                                                                                                            Robotically-Assisted Surgical Devices:
                                                    present data, information, or views,                                                                          Ave., Bldg. 66, Rm. 4321, Silver Spring,
                                                                                                            Challenges and Opportunities; Public
                                                    orally or in writing, on issues pending                                                                       MD 20993–0002, 301–796–5661, email:
                                                                                                            Workshop; Request for Comments
                                                    before the committee. Written                                                                                 susan.monahan@fda.hhs.gov no later
                                                    submissions may be made to the contact                  AGENCY:    Food and Drug Administration,              than July 14, 2015.
                                                    person on or before March 9, 2014. Oral                 HHS.                                                    To register for the public workshop,
                                                    presentations from the public will be                   ACTION: Notice of public workshop;                    please visit FDA’s Medical Devices
                                                    scheduled between 11:30 a.m. and 12:30                  request for comments.                                 News & Events—Workshops &
                                                    p.m. on March 23, 2015. Those                                                                                 Conferences calendar at http://
                                                    individuals interested in making formal                    The Food and Drug Administration                   www.fda.gov/MedicalDevices/
                                                    oral presentations should notify the                    (FDA) is announcing the public                        NewsEvents/WorkshopsConferences/
                                                    contact person and submit a brief                       workshop entitled ‘‘Robotically-Assisted              default.htm. (Select this meeting/public
                                                    statement of the general nature of the                  Surgical (RAS) Devices: Challenges and                workshop from the posted events list.)
                                                    evidence or arguments they wish to                      Opportunities.’’ FDA is holding this                  Please provide complete contact
                                                    present, the names and addresses of                     public workshop to obtain information                 information for each attendee, including
asabaliauskas on DSK5VPTVN1PROD with NOTICES




                                                    proposed participants, and an                           on the current challenges and                         name, title, affiliation, address, email,
                                                    indication of the approximate time                      opportunities related to robotically-                 and telephone number. Those without
                                                    requested to make their presentation on                 assisted surgical medical devices, which              Internet access should contact Mark
                                                    or before February 26, 2015. Time                       are classified as Class II medical                    Trumbore to register (see Contact
                                                    allotted for each presentation may be                   devices. The purpose of this workshop                 Person). Registrants will receive
                                                    limited. If the number of registrants                   is to obtain public feedback on                       confirmation after they have been
                                                    requesting to speak is greater than can                 scientific, clinical, and regulatory                  accepted. You will be notified if you are
                                                    be reasonably accommodated during the                   considerations associated with RAS                    on a waiting list.


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                                                                              Federal Register / Vol. 80, No. 37 / Wednesday, February 25, 2015 / Notices                                                 10125

                                                       Streaming Webcast of the Public                      Rockville, MD 20857. A link to the                       3. Unique benefits of RAS devices
                                                    Workshop: This public workshop will                     transcripts will also be available                    versus traditional surgical procedures.
                                                    also be Webcast. Persons interested in                  approximately 45 days after the public                   4. Scientific and technical
                                                    viewing the Webcast must register                       workshop on the Internet at http://                   considerations for third-party
                                                    online by Friday, July 17, 2015. Early                  www.fda.gov/MedicalDevices/                           manufacturers seeking to claim that
                                                    registration is recommended because                     NewsEvents/WorkshopsConferences/                      their surgical instruments can be used
                                                    Webcast connections are limited.                        default.htm. (Select this public                      with legally marketed RAS devices.
                                                    Organizations are requested to register                 workshop from the posted events list).                   5. Design, administration, and
                                                    all participants, but to view using one                 SUPPLEMENTARY INFORMATION:                            certification of training programs and
                                                    connection per location. Webcast                                                                              FDA’s role in this process.
                                                    participants will be sent technical                     I. Background                                            6. The future landscape of RAS and
                                                    system requirements after registration                     RAS devices, also known as                         robotic surgery devices.
                                                    and will be sent connection access                      computer-assisted surgical devices, are                  7. Considerations regarding
                                                    information after July 20, 2015. If you                 used by trained physicians in an                      appropriate selection of preclinical
                                                    have never attended a Connect Pro                       operating room environment for                        (bench and animal) test methods and
                                                    event before, test your connection at                   laparoscopic surgical procedures in                   patient-centered outcome metrics in
                                                    https://collaboration.fda.gov/common/                   general surgery, cardiac, colorectal,                 clinical use for different stages of device
                                                    help/en/support/meeting_test.htm. To                    gynecologic, head and neck, thoracic,                 development.
                                                    get a quick overview of the Connect Pro                 and urologic surgical procedures. These                  These topics will be presented by
                                                    program, visit http://www.adobe.com/                    medical devices enable the surgeon to                 experts in the associated area, followed
                                                    go/connectpro_overview. (FDA has                        use computer, software, and robotic                   by more in-depth discussions and Q&A
                                                    verified the Web site addresses in this                 technologies to control and move                      from all participants.
                                                    document, but FDA is not responsible                    surgical instruments through the mouth                  Dated: February 19, 2015.
                                                    for any subsequent changes to the Web                   or through one or more small incisions                Leslie Kux,
                                                    sites after this document publishes in                  in the patient’s body for a variety of                Associate Commissioner for Policy.
                                                    the Federal Register.)                                  surgical procedures. Some common
                                                       Comments: FDA is holding this public                                                                       [FR Doc. 2015–03769 Filed 2–24–15; 8:45 am]
                                                                                                            procedures that may involve RAS
                                                    workshop to obtain information on the                                                                         BILLING CODE 4164–01–P
                                                                                                            devices include gallbladder, uterus, or
                                                    specific topics outlined in section II. In
                                                                                                            prostate removal.
                                                    order to permit the widest possible
                                                    opportunity to obtain public comment,                      As discussed further in section II,                DEPARTMENT OF HEALTH AND
                                                    FDA is soliciting either electronic or                  there are several clinical and scientific             HUMAN SERVICES
                                                    written comment on all aspects of the                   challenges associated with regulation of
                                                    public workshop topics. The deadline                    RAS devices, such as appropriate                      Food and Drug Administration
                                                    for submitting comments related to this                 nonclinical and clinical evaluation of                [Docket No. FDA–2012–N–0359]
                                                    public workshop is August 26, 2015.                     RAS devices, use of third-party surgical
                                                       Regardless of attendance at the public               instruments with legally marketed RAS                 National Medical Device Postmarket
                                                    workshop, interested persons may                        devices, and clinical training programs.              Surveillance System Planning Board
                                                    submit either electronic comments to                    This workshop seeks to involve industry               Report; Availability, Web Site Location
                                                    http://www.regulations.gov or written                   and academia in addressing these                      and Request for Comments
                                                    comments to the Division of Dockets                     challenges in the development of RAS
                                                                                                            devices to ensure that there is a                     AGENCY:    Food and Drug Administration,
                                                    Management (HFA–305), Food and Drug
                                                    Administration, 5630 Fishers Lane, Rm.                  reasonable assurance of safety and                    HHS.
                                                    1061, Rockville, MD 20852. It is only                   effectiveness for RAS devices while                   ACTION:   Notice; request for comments.
                                                    necessary to send one set of comments.                  promoting innovation in a rapidly-
                                                                                                            developing field. By bringing together                SUMMARY:   The Food and Drug
                                                    Please identify comment with the
                                                                                                            relevant stakeholders including                       Administration (FDA) is announcing the
                                                    docket number found in brackets in the
                                                                                                            scientists, patient advocates, clinicians,            availability of the report and Web site
                                                    heading of this document. In addition,
                                                                                                            researchers, industry representatives,                location where the Agency has posted
                                                    when responding to specific topics as
                                                                                                            and regulators, we hope to facilitate the             the report entitled ‘‘Strengthening
                                                    outlined in section II, please identify the
                                                                                                            improvement of this evolving product                  Patient Care: Building an Effective
                                                    topic(s) you are addressing. Received
                                                                                                            area.                                                 National Medical Device Surveillance
                                                    comments may be seen in the Division
                                                                                                                                                                  System,’’ developed by the National
                                                    of Dockets Management between 9 a.m.                    II. Topics for Discussion at the Public               Medical Device Postmarket Surveillance
                                                    and 4 p.m., Monday through Friday, and                  Workshop                                              System Planning Board. In addition,
                                                    will be posted to the docket at http://
                                                                                                              Topics to be discussed at the public                FDA has established a docket where
                                                    www.regulations.gov.
                                                       Transcripts: Please be advised that as               workshop include, but are not limited                 stakeholders may provide comments.
                                                    soon as a transcript is available, it will              to, the following:                                    DATES: Submit either electronic or
                                                    be accessible at http://                                  1. The current landscape of RAS                     written comments by April 27, 2015.
                                                    www.regulations.gov. It may be viewed                   devices and the respective Offices,                   ADDRESSES: Submit electronic
                                                    at the Division of Dockets Management                   Divisions, and Branches within FDA                    comments on this document to http://
asabaliauskas on DSK5VPTVN1PROD with NOTICES




                                                    (see Comments). A transcript will also                  involved in the review of pre- and                    www.regulations.gov. Submit written
                                                    be available in either hardcopy or on                   postmarket data associated with these                 comments to the Division of Dockets
                                                    CD–ROM, after submission of a                           devices.                                              Management (HFA–305), Food and Drug
                                                    Freedom of Information request. Written                   2. Challenges, needs, and benefit/risk              Administration, 5630 Fishers Lane, rm.
                                                    requests are to be sent to the Division                 profiles for indications in various                   1061, Rockville, MD 20852. Identify
                                                    of Freedom of Information (ELEM–                        surgical areas; e.g. cardio/thoracic,                 comments with the docket number
                                                    1029), Food and Drug Administration,                    gynecological, otolaryngological,                     found in brackets in the heading of this
                                                    12420 Parklawn Dr., Element Bldg.,                      urological, general.                                  document.


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Document Created: 2015-12-18 13:09:10
Document Modified: 2015-12-18 13:09:10
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice of public workshop; request for comments.
FR Citation80 FR 10124 

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