80_FR_19742 80 FR 19672 - Balancing Premarket and Postmarket Data Collection for Devices Subject to Premarket Approval; Guidance for Industry and Food and Drug Administration Staff; Availability

80 FR 19672 - Balancing Premarket and Postmarket Data Collection for Devices Subject to Premarket Approval; Guidance for Industry and Food and Drug Administration Staff; Availability

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 80, Issue 70 (April 13, 2015)

Page Range19672-19673
FR Document2015-08363

The Food and Drug Administration (FDA) is announcing the availability of the guidance entitled ``Balancing Premarket and Postmarket Data Collection for Devices Subject to Premarket Approval.'' This guidance clarifies FDA's current policy on balancing premarket and postmarket data collection during the Agency's review of premarket approval applications (PMA). Specifically, this guidance outlines how FDA considers the role of postmarket information in determining the appropriate type and amount of data that should be collected in the premarket setting to support premarket approval, while still meeting the statutory standard of safety and effectiveness. FDA believes this guidance will improve patient access to safe and effective medical devices that are important to public health by improving the predictability, consistency, transparency, and efficiency of the premarket process.

Federal Register, Volume 80 Issue 70 (Monday, April 13, 2015)
[Federal Register Volume 80, Number 70 (Monday, April 13, 2015)]
[Notices]
[Pages 19672-19673]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-08363]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2014-D-0090]


Balancing Premarket and Postmarket Data Collection for Devices 
Subject to Premarket Approval; Guidance for Industry and Food and Drug 
Administration Staff; Availability

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice.

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

SUMMARY: The Food and Drug Administration (FDA) is announcing the 
availability of the guidance entitled ``Balancing Premarket and 
Postmarket Data Collection for Devices Subject to Premarket Approval.'' 
This guidance clarifies FDA's current policy on balancing premarket and 
postmarket data collection during the Agency's review of premarket 
approval applications (PMA). Specifically, this guidance outlines how 
FDA considers the role of postmarket information in determining the 
appropriate type and amount of data that should be collected in the 
premarket setting to support premarket approval, while still meeting 
the statutory standard of safety and effectiveness. FDA believes this 
guidance will improve patient access to safe and effective medical 
devices that are important to public health by improving the 
predictability, consistency, transparency, and efficiency of the 
premarket process.

DATES: Submit either electronic or written comments on this guidance at 
any time. General comments on Agency guidance documents are welcome at 
any time.

ADDRESSES: An electronic copy of the guidance document is available for 
download from the Internet. See the SUPPLEMENTARY INFORMATION section 
for information on electronic access to the guidance. Submit written 
requests for a single hard copy of the guidance document entitled 
``Balancing Premarket and Postmarket Data Collection for Devices 
Subject to Premarket Approval'' to the Office of the Center Director, 
Guidance and Policy Development, Center for Devices and Radiological 
Health, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 
66, Rm. 5431, Silver Spring, MD 20993-0002 or to the Office of 
Communication, Outreach and Development, Center for Biologics 
Evaluation and Research, Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 71, Rm. 3128, Silver Spring, MD 20993-0002. Send 
one self-addressed adhesive label to assist that office in processing 
your request.
    Submit electronic comments on the guidance to http://www.regulations.gov. Submit written comments to the Division of Dockets 
Management (HFA-305), Food and Drug Administration, 5630 Fishers Lane, 
Rm. 1061, Rockville, MD 20852. Identify comments with the docket number 
found in brackets in the heading of this document.

FOR FURTHER INFORMATION CONTACT: Aaron Josephson, Center for Devices 
and Radiological Health, Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 66, Rm. 5449, Silver Spring, MD 20993-0002, 301-
796-5178; or Stephen Ripley, Center for Biologics Evaluation and 
Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 
71, Rm. 7301, Silver Spring, MD 20993-0002.

SUPPLEMENTARY INFORMATION:

I. Background

    FDA has long applied postmarket controls as a way to reduce 
premarket data collection, where appropriate, while assuring that the 
statutory standard for approval of reasonable assurance of safety and 
effectiveness is still met. The right balance of premarket and 
postmarket data collection facilitates timely patient access to 
important new technology without undermining patient safety.
    In this guidance, FDA describes existing statutory requirements 
under the Federal Food, Drug, and Cosmetic Act, its implementing 
regulations, and FDA policies that support the policy on balancing 
premarket and postmarket data collection during review of PMAs. In 
addition, FDA clarifies how the Agency considers postmarket data as 
part of the benefit-risk framework described in FDA's guidance 
``Factors to Consider When Making Benefit-Risk Determinations in 
Medical Device Premarket Approval and De Novo Classifications,'' issued 
on March 28, 2012. This guidance provides a resource for industry and 
FDA staff on how FDA determines when it is appropriate for a sponsor of 
a PMA to collect some data (clinical or non-clinical) in the postmarket 
setting, rather than premarket.
    A draft of this guidance was made available in the Federal Register 
on April 23, 2014, and the comment period closed July 22, 2014. Changes 
between the draft and final versions of this guidance include an 
increased focus on patient outcomes and additional examples to help 
industry better understand when it may be appropriate to shift data 
collection from the premarket to postmarket setting. The final guidance 
also recognizes the potential for use of registry data to satisfy post-
approval study requirements.

II. Significance of Guidance

    This guidance is being issued consistent with FDA's good guidance 
practices regulation (21 CFR 10.115). The guidance represents the 
Agency's current thinking on balancing premarket and postmarket data 
collection for devices subject to premarket approval. It does not 
create or confer any rights for or on any person and does not operate 
to bind FDA or the public. An alternative approach may be used if such 
approach satisfies the requirements of the applicable statute and 
regulations.

III. Electronic Access

    Persons interested in obtaining a copy of the guidance may do so by 
downloading an electronic copy from the Internet. A search capability 
for all Center for Devices and Radiological Health guidance documents 
is available at http://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/GuidanceDocuments/default.htm. Guidance 
documents are also available at http://www.regulations.gov or from CBER 
at http://www.fda.gov/BiologicsBloodVaccines/GuidanceComplianceRegulatoryInformation/default.htm. Persons unable to 
download an electronic copy of ``Balancing Premarket and Postmarket 
Data Collection for Devices Subject to Premarket Approval'' may send an 
email request to [email protected] to receive an electronic 
copy of the document. Please use the document number 1833 to

[[Page 19673]]

identify the guidance you are requesting.

IV. Paperwork Reduction Act of 1995

    This guidance refers to previously approved collections of 
information found in FDA regulations. These collections of information 
are subject to review by the Office of Management and Budget (OMB) 
under the Paperwork Reduction Act of 1995 (44 U.S.C. 3501-3520). The 
collections of information in 21 CFR part 801 have been approved under 
OMB control number 0910-0485; the collections of information in 21 CFR 
part 803 have been approved under OMB control number 0910-0437; the 
collections of information in 21 CFR part 812 have been approved under 
OMB control number 0910-0073; the collections of information in 21 CFR 
part 822 have been approved under OMB control number 0910-0449; the 
collection of information in 21 CFR part 860, subpart C have been 
approved under OMB control number 0910-0138; and the collections of 
information in the guidance document regarding requests for feedback on 
medical device submission have been approved under OMB control number 
0910-0756.

V. Comments

    Interested persons may submit either electronic comments regarding 
this document to http://www.regulations.gov or written comments to the 
Division of Dockets Management (see ADDRESSES). It is only necessary to 
send one set of comments. Identify comments with the docket number 
found in brackets in the heading of this document. 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.

    Dated: April 7, 2015.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2015-08363 Filed 4-10-15; 8:45 am]
 BILLING CODE 4164-01-P



                                                  19672                          Federal Register / Vol. 80, No. 70 / Monday, April 13, 2015 / Notices

                                                  petitions. It is only necessary to send                 ADDRESSES:    An electronic copy of the               Agency considers postmarket data as
                                                  one set of comments. Identify comments                  guidance document is available for                    part of the benefit-risk framework
                                                  with the docket number found in                         download from the Internet. See the                   described in FDA’s guidance ‘‘Factors to
                                                  brackets in the heading of this                         SUPPLEMENTARY INFORMATION section for                 Consider When Making Benefit-Risk
                                                  document. If you submit a written                       information on electronic access to the               Determinations in Medical Device
                                                  petition, two copies are required. A                    guidance. Submit written requests for a               Premarket Approval and De Novo
                                                  petition submitted electronically must                  single hard copy of the guidance                      Classifications,’’ issued on March 28,
                                                  be submitted to http://                                 document entitled ‘‘Balancing                         2012. This guidance provides a resource
                                                  www.regulations.gov, Docket No. FDA–                    Premarket and Postmarket Data                         for industry and FDA staff on how FDA
                                                  2013–S–0610. Comments and petitions                     Collection for Devices Subject to                     determines when it is appropriate for a
                                                  that have not been made publicly                        Premarket Approval’’ to the Office of the             sponsor of a PMA to collect some data
                                                  available on http://www.regulations.gov                 Center Director, Guidance and Policy                  (clinical or non-clinical) in the
                                                  may be viewed in the Division of                        Development, Center for Devices and                   postmarket setting, rather than
                                                  Dockets Management between 9 a.m.                       Radiological Health, Food and Drug                    premarket.
                                                  and 4 p.m., Monday through Friday.                      Administration, 10903 New Hampshire                      A draft of this guidance was made
                                                                                                          Ave., Bldg. 66, Rm. 5431, Silver Spring,              available in the Federal Register on
                                                    Dated: April 7, 2015.
                                                                                                          MD 20993–0002 or to the Office of                     April 23, 2014, and the comment period
                                                  Leslie Kux,                                                                                                   closed July 22, 2014. Changes between
                                                                                                          Communication, Outreach and
                                                  Associate Commissioner for Policy.                                                                            the draft and final versions of this
                                                                                                          Development, Center for Biologics
                                                  [FR Doc. 2015–08362 Filed 4–10–15; 8:45 am]
                                                                                                          Evaluation and Research, Food and                     guidance include an increased focus on
                                                  BILLING CODE 4164–01–P                                  Drug Administration, 10903 New                        patient outcomes and additional
                                                                                                          Hampshire Ave., Bldg. 71, Rm. 3128,                   examples to help industry better
                                                                                                          Silver Spring, MD 20993–0002. Send                    understand when it may be appropriate
                                                  DEPARTMENT OF HEALTH AND                                                                                      to shift data collection from the
                                                                                                          one self-addressed adhesive label to
                                                  HUMAN SERVICES                                                                                                premarket to postmarket setting. The
                                                                                                          assist that office in processing your
                                                                                                          request.                                              final guidance also recognizes the
                                                  Food and Drug Administration                                                                                  potential for use of registry data to
                                                                                                            Submit electronic comments on the
                                                  [Docket No. FDA–2014–D–0090]                            guidance to http://www.regulations.gov.               satisfy post-approval study
                                                                                                          Submit written comments to the                        requirements.
                                                  Balancing Premarket and Postmarket                      Division of Dockets Management (HFA–
                                                  Data Collection for Devices Subject to                                                                        II. Significance of Guidance
                                                                                                          305), Food and Drug Administration,
                                                  Premarket Approval; Guidance for                                                                                 This guidance is being issued
                                                                                                          5630 Fishers Lane, Rm. 1061, Rockville,
                                                  Industry and Food and Drug                                                                                    consistent with FDA’s good guidance
                                                                                                          MD 20852. Identify comments with the
                                                  Administration Staff; Availability                                                                            practices regulation (21 CFR 10.115).
                                                                                                          docket number found in brackets in the                The guidance represents the Agency’s
                                                  AGENCY:    Food and Drug Administration,                heading of this document.                             current thinking on balancing premarket
                                                  HHS.                                                    FOR FURTHER INFORMATION CONTACT:                      and postmarket data collection for
                                                  ACTION:   Notice.                                       Aaron Josephson, Center for Devices                   devices subject to premarket approval. It
                                                                                                          and Radiological Health, Food and Drug                does not create or confer any rights for
                                                  SUMMARY:   The Food and Drug                            Administration, 10903 New Hampshire                   or on any person and does not operate
                                                  Administration (FDA) is announcing the                  Ave., Bldg. 66, Rm. 5449, Silver Spring,              to bind FDA or the public. An
                                                  availability of the guidance entitled                   MD 20993–0002, 301–796–5178; or                       alternative approach may be used if
                                                  ‘‘Balancing Premarket and Postmarket                    Stephen Ripley, Center for Biologics                  such approach satisfies the
                                                  Data Collection for Devices Subject to                  Evaluation and Research, Food and                     requirements of the applicable statute
                                                  Premarket Approval.’’ This guidance                     Drug Administration, 10903 New                        and regulations.
                                                  clarifies FDA’s current policy on                       Hampshire Ave., Bldg. 71, Rm. 7301,
                                                  balancing premarket and postmarket                      Silver Spring, MD 20993–0002.                         III. Electronic Access
                                                  data collection during the Agency’s                     SUPPLEMENTARY INFORMATION:                               Persons interested in obtaining a copy
                                                  review of premarket approval                                                                                  of the guidance may do so by
                                                  applications (PMA). Specifically, this                  I. Background                                         downloading an electronic copy from
                                                  guidance outlines how FDA considers                        FDA has long applied postmarket                    the Internet. A search capability for all
                                                  the role of postmarket information in                   controls as a way to reduce premarket                 Center for Devices and Radiological
                                                  determining the appropriate type and                    data collection, where appropriate,                   Health guidance documents is available
                                                  amount of data that should be collected                 while assuring that the statutory                     at http://www.fda.gov/MedicalDevices/
                                                  in the premarket setting to support                     standard for approval of reasonable                   DeviceRegulationandGuidance/
                                                  premarket approval, while still meeting                 assurance of safety and effectiveness is              GuidanceDocuments/default.htm.
                                                  the statutory standard of safety and                    still met. The right balance of premarket             Guidance documents are also available
                                                  effectiveness. FDA believes this                        and postmarket data collection                        at http://www.regulations.gov or from
                                                  guidance will improve patient access to                 facilitates timely patient access to                  CBER at http://www.fda.gov/Biologics
                                                  safe and effective medical devices that                 important new technology without                      BloodVaccines/GuidanceCompliance
                                                  are important to public health by                       undermining patient safety.                           RegulatoryInformation/default.htm.
                                                  improving the predictability,
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                                                                                                             In this guidance, FDA describes                    Persons unable to download an
                                                  consistency, transparency, and                          existing statutory requirements under                 electronic copy of ‘‘Balancing Premarket
                                                  efficiency of the premarket process.                    the Federal Food, Drug, and Cosmetic                  and Postmarket Data Collection for
                                                  DATES: Submit either electronic or                      Act, its implementing regulations, and                Devices Subject to Premarket Approval’’
                                                  written comments on this guidance at                    FDA policies that support the policy on               may send an email request to CDRH-
                                                  any time. General comments on Agency                    balancing premarket and postmarket                    Guidance@fda.hhs.gov to receive an
                                                  guidance documents are welcome at any                   data collection during review of PMAs.                electronic copy of the document. Please
                                                  time.                                                   In addition, FDA clarifies how the                    use the document number 1833 to


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                                                                                 Federal Register / Vol. 80, No. 70 / Monday, April 13, 2015 / Notices                                           19673

                                                  identify the guidance you are                           DEPARTMENT OF HEALTH AND                              products to protect public health and to
                                                  requesting.                                             HUMAN SERVICES                                        reduce tobacco use by minors. Section
                                                                                                                                                                1003(d)(2)(D) of the FD&C Act (21
                                                  IV. Paperwork Reduction Act of 1995                     Food and Drug Administration                          U.S.C. 393(d)(2)(D)) supports the
                                                    This guidance refers to previously                    [Docket No. FDA–2014–N–2294]                          development and implementation of
                                                  approved collections of information                                                                           FDA public education campaigns
                                                  found in FDA regulations. These                         Agency Information Collection                         related to tobacco use. Accordingly,
                                                                                                          Activities; Submission for Office of                  FDA is currently developing and
                                                  collections of information are subject to
                                                                                                          Management and Budget Review;                         implementing a youth-targeted public
                                                  review by the Office of Management and
                                                                                                          Comment Request; Evaluation of the                    education campaign (‘Fresh Empire’) to
                                                  Budget (OMB) under the Paperwork
                                                                                                          Food and Drug Administration’s ‘Fresh                 help prevent tobacco use among
                                                  Reduction Act of 1995 (44 U.S.C. 3501–                                                                        multicultural youth and thereby reduce
                                                                                                          Empire’ Multicultural Youth Tobacco
                                                  3520). The collections of information in                Prevention Campaign                                   the public health burden of tobacco. The
                                                  21 CFR part 801 have been approved                                                                            campaign will feature events,
                                                  under OMB control number 0910–0485;                     AGENCY:    Food and Drug Administration,              advertisements on television and radio
                                                  the collections of information in 21 CFR                HHS.                                                  and in print, digital communications
                                                  part 803 have been approved under                       ACTION:   Notice.                                     including social media, and other forms
                                                  OMB control number 0910–0437; the                                                                             of media.
                                                                                                          SUMMARY:    The Food and Drug
                                                  collections of information in 21 CFR                                                                             In support of the provisions of the
                                                                                                          Administration (FDA) is announcing
                                                  part 812 have been approved under                       that a proposed collection of                         Tobacco Control Act that require FDA to
                                                  OMB control number 0910–0073; the                       information has been submitted to the                 protect the public health and to reduce
                                                  collections of information in 21 CFR                    Office of Management and Budget                       tobacco use by minors, FDA requests
                                                  part 822 have been approved under                       (OMB) for review and clearance under                  OMB approval to collect information
                                                  OMB control number 0910–0449; the                       the Paperwork Reduction Act of 1995.                  needed to evaluate FDA’s ‘Fresh
                                                  collection of information in 21 CFR part                DATES: Fax written comments on the
                                                                                                                                                                Empire’ multicultural youth tobacco
                                                  860, subpart C have been approved                       collection of information by May 13,                  prevention campaign. Comprehensive
                                                  under OMB control number 0910–0138;                     2015.                                                 evaluation of FDA’s public education
                                                  and the collections of information in the                                                                     campaigns is needed to ensure
                                                                                                          ADDRESSES: To ensure that comments on                 campaign messages are effectively
                                                  guidance document regarding requests
                                                                                                          the information collection are received,              received, understood, and accepted by
                                                  for feedback on medical device                          OMB recommends that written
                                                  submission have been approved under                                                                           those for whom they are intended.
                                                                                                          comments be faxed to the Office of                    Evaluation is an essential organizational
                                                  OMB control number 0910–0756.                           Information and Regulatory Affairs,                   practice in public health and a
                                                  V. Comments                                             OMB, Attn: FDA Desk Officer, FAX:                     systematic way to account for and
                                                                                                          202–395–7285, or emailed to                           improve public health actions.
                                                     Interested persons may submit either                 oira_submission@omb.eop.gov. All                         FDA plans to evaluate the
                                                  electronic comments regarding this                      comments should be identified with the                effectiveness of its multicultural youth
                                                  document to http://www.regulations.gov                  OMB control number 0910–NEW and                       tobacco prevention campaign through
                                                  or written comments to the Division of                  title ‘‘Evaluation of the Food and Drug               an outcome evaluation study that will
                                                  Dockets Management (see ADDRESSES). It                  Administration’s ‘Fresh Empire’                       be designed to follow the multiple,
                                                  is only necessary to send one set of                    Multicultural Youth Tobacco Prevention                discrete waves of media advertising
                                                  comments. Identify comments with the                    Campaign.’’ Also include the FDA                      planned for the campaign.
                                                  docket number found in brackets in the                  docket number found in brackets in the                   The outcome evaluation study
                                                  heading of this document. Received                      heading of this document.                             consists of a pre-test survey of
                                                  comments may be seen in the Division                    FOR FURTHER INFORMATION CONTACT: FDA                  multicultural youth aged 12 to 17 before
                                                  of Dockets Management between 9 a.m.                    PRA Staff, Office of Operations, Food                 campaign launch. The pre-test survey
                                                  and 4 p.m., Monday through Friday, and                  and Drug Administration, 8455                         will be followed by ongoing cross-
                                                  will be posted to the docket at http://                 Colesville Rd., COLE–14526, Silver                    sectional surveys of the target audience
                                                  www.regulations.gov.                                    Spring, MD 20993–0002, PRAStaff@                      of youth beginning approximately 3
                                                                                                          fda.hhs.gov.                                          months following campaign launch.
                                                    Dated: April 7, 2015.
                                                                                                          SUPPLEMENTARY INFORMATION: In                         Information will be collected about
                                                  Leslie Kux,                                                                                                   youth awareness of and exposure to
                                                                                                          compliance with 44 U.S.C. 3507, FDA
                                                  Associate Commissioner for Policy.                                                                            campaign events and advertisements
                                                                                                          has submitted the following proposed
                                                  [FR Doc. 2015–08363 Filed 4–10–15; 8:45 am]
                                                                                                          collection of information to OMB for                  and about tobacco-related knowledge,
                                                  BILLING CODE 4164–01–P                                  review and clearance.                                 attitudes, beliefs, intentions, and use.
                                                                                                                                                                Information will also be collected on
                                                                                                          Evaluation of the Food and Drug                       demographic variables including age,
                                                                                                          Administration’s ‘Fresh Empire’                       sex, race/ethnicity, grade level, and
                                                                                                          Multicultural Youth Tobacco                           primary language.
                                                                                                          Prevention Campaign (OMB Control                         All information will be collected
                                                                                                          Number 0910–NEW)
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                                                                                                                                                                through in-person and Web-based
                                                                                                            The 2009 Family Smoking Prevention                  questionnaires. Youth respondents will
                                                                                                          and Tobacco Control Act (Tobacco                      be recruited from two sources: (1) A
                                                                                                          Control Act) (Pub. L. 111–31) amended                 sample drawn from 30 U.S. media
                                                                                                          the Federal Food, Drug, and Cosmetic                  markets gathered using an address-
                                                                                                          Act (the FD&C Act) to grant FDA                       based postal mail sampling of U.S.
                                                                                                          authority to regulate the manufacture,                households for the outcome evaluation
                                                                                                          marketing, and distribution of tobacco                studies and (2) targeted social media


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Document Created: 2015-12-18 11:21:45
Document Modified: 2015-12-18 11:21:45
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.
DatesSubmit either electronic or written comments on this guidance at any time. General comments on Agency guidance documents are welcome at any time.
ContactAaron Josephson, Center for Devices and Radiological Health, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 66, Rm. 5449, Silver Spring, MD 20993-0002, 301- 796-5178; or Stephen Ripley, Center for Biologics Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 71, Rm. 7301, Silver Spring, MD 20993-0002.
FR Citation80 FR 19672 

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