80_FR_49036 80 FR 48879 - Establishing the Performance Characteristics of In Vitro Diagnostic Devices for the Detection or Detection and Differentiation of Human Papillomaviruses; Draft Guidance for Industry and Food and Drug Administration Staff: Availability

80 FR 48879 - Establishing the Performance Characteristics of In Vitro Diagnostic Devices for the Detection or Detection and Differentiation of Human Papillomaviruses; Draft Guidance for Industry and Food and Drug Administration Staff: Availability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 157 (August 14, 2015)

Page Range48879-48880
FR Document2015-19983

The Food and Drug Administration (FDA) is announcing the availability of the draft guidance entitled ``Establishing the Performance Characteristics of In Vitro Diagnostic Devices for the Detection or Detection and Differentiation of Human Papillomaviruses.'' This draft guidance provides recommendations to facilitate study designs to establish the performance characteristics of in vitro diagnostic devices (IVDs) intended for the detection, or detection and differentiation, of human papillomaviruses (HPVs). This draft guidance is not final nor is it in effect at this time.

Federal Register, Volume 80 Issue 157 (Friday, August 14, 2015)
[Federal Register Volume 80, Number 157 (Friday, August 14, 2015)]
[Notices]
[Pages 48879-48880]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-19983]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2009-D-0386]


Establishing the Performance Characteristics of In Vitro 
Diagnostic Devices for the Detection or Detection and Differentiation 
of Human Papillomaviruses; Draft Guidance for Industry and Food and 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availability of the draft guidance entitled ``Establishing the 
Performance Characteristics of In Vitro Diagnostic Devices for the 
Detection or Detection and Differentiation of Human Papillomaviruses.'' 
This draft guidance provides recommendations to facilitate study 
designs to establish the performance characteristics of in vitro 
diagnostic devices (IVDs) intended for the detection, or detection and 
differentiation, of human papillomaviruses (HPVs). This draft guidance 
is not final nor is it in effect at this time.

DATES: Although you can comment on any guidance at any time (see 21 CFR 
10.115(g)(5)), to ensure that the Agency considers your comment of this 
draft guidance before it begins work on the final version of the 
guidance, submit either electronic or written comments on the draft 
guidance November 12, 2015.

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 draft guidance document entitled 
``Establishing the Performance Characteristics of In Vitro Diagnostic 
Devices for the Detection or Detection and Differentiation of Human 
Papillomaviruses'' 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. Send one self-addressed adhesive label to 
assist that office in processing your request.
    Submit electronic comments on the draft 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: Natalia Comella, Center for Devices 
and Radiological Health, Food and Drug Administration, New Hampshire 
Ave., Bldg. 66, Rm. 4536, Silver Spring, MD 20993-0002, 301-796-6226, 
[email protected], or Marina V. Kondratovich, Center for 
Devices and Radiological Health, Food and Drug Administration, New 
Hampshire Ave., Bldg. 66, Rm. 4672, Silver Spring, MD 20993-0002, 301-
796-6036, [email protected].

SUPPLEMENTARY INFORMATION: 

I. Background

    This draft guidance provides recommendations to facilitate study 
designs to establish the performance characteristics of IVDs intended 
for the detection, or detection and differentiation, of HPVs. These 
devices are used either in conjunction with cervical cytology to aid in 
screening for cervical cancer or as first-line primary cervical cancer 
screening devices. These devices include those that detect a group of 
HPV genotypes, particularly high risk HPVs, as well as devices that 
detect more than one genotype of HPV and further differentiate among 
them to indicate which genotype of HPV is present or which genotypes of 
HPV are present.
    When finalized, this draft guidance is expected to provide detailed 
information on the types of studies the FDA recommends to support a 
premarket application for these devices. This draft guidance 
specifically addresses devices that qualitatively detect HPV nucleic 
acid from cervical specimens, but many of the recommendations will also 
be applicable to devices that detect HPV proteins. The draft guidance 
is limited to studies intended to establish the performance 
characteristics of in vitro diagnostic HPV devices that are used in 
conjunction with cervical cytology for cancer screening or as first-
line primary cervical cancer screening devices. This draft guidance 
does not address HPV testing from non-cervical specimens such as 
pharyngeal, vaginal, penile, or anal specimens, or testing for 
susceptibility to HPV infection. It does not address quantitative or 
semi-quantitative assays for HPV.

II. Significance of Guidance

    This draft guidance is being issued consistent with FDA's good 
guidance practices regulation (21 CFR 10.115). The draft guidance, when 
finalized, will represent the current thinking of FDA on evaluating the 
performance characteristics of IVDs intended for the detection, or 
detection and differentiation, of HPVs. It does not establish any 
rights for any person and is not binding on FDA or the public. You can 
use an alternative approach if it satisfies the requirements of the 
applicable statute and regulations.

III. Electronic Access

    Persons interested in obtaining a copy of the draft 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. Persons

[[Page 48880]]

unable to download an electronic copy of ``Establishing the Performance 
Characteristics of In Vitro Diagnostic Devices for the Detection or 
Detection and Differentiation of Human Papillomaviruses'' may send an 
email request to [email protected] to receive an electronic 
copy of the document. Please use the document number 1740 to identify 
the guidance you are requesting.

IV. Paperwork Reduction Act of 1995

    This draft 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 814 have been approved under 
OMB control number 0910-0231; the collections of information in 21 CFR 
part 812 have been approved under OMB control number 0910-0078; the 
collections of information in 21 CFR parts 801 and 809 have been 
approved under OMB control number 0910-0485; and the collections of 
information in the guidance document entitled ``Informed Consent For In 
Vitro Diagnostic Device Studies Using Leftover Human Specimens That Are 
Not Individually Identifiable'' have been approved under OMB control 
number 0910-0582.

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: August 10, 2015.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2015-19983 Filed 8-13-15; 8:45 am]
BILLING CODE 4164-01-P



                                                                                  Federal Register / Vol. 80, No. 157 / Friday, August 14, 2015 / Notices                                          48879

                                                    Recognized Standards, Recognition List                  Papillomaviruses.’’ This draft guidance               characteristics of IVDs intended for the
                                                    Number: 040’’ will be available at http://              provides recommendations to facilitate                detection, or detection and
                                                    www.fda.gov/MedicalDevices/                             study designs to establish the                        differentiation, of HPVs. These devices
                                                    DeviceRegulationandGuidance/                            performance characteristics of in vitro               are used either in conjunction with
                                                    Standards/ucm123792.htm. You may                        diagnostic devices (IVDs) intended for                cervical cytology to aid in screening for
                                                    access ‘‘Guidance on the Recognition                    the detection, or detection and                       cervical cancer or as first-line primary
                                                    and Use of Consensus Standards,’’ and                   differentiation, of human                             cervical cancer screening devices. These
                                                    the searchable database for ‘‘FDA                       papillomaviruses (HPVs). This draft                   devices include those that detect a
                                                    Recognized Consensus Standards’’ at                     guidance is not final nor is it in effect             group of HPV genotypes, particularly
                                                    http://www.fda.gov/MedicalDevices/                      at this time.                                         high risk HPVs, as well as devices that
                                                    DeviceRegulationandGuidance/                            DATES: Although you can comment on                    detect more than one genotype of HPV
                                                    Standards.                                              any guidance at any time (see 21 CFR                  and further differentiate among them to
                                                                                                            10.115(g)(5)), to ensure that the Agency              indicate which genotype of HPV is
                                                    VII. Submission of Comments and
                                                                                                            considers your comment of this draft                  present or which genotypes of HPV are
                                                    Effective Date
                                                                                                            guidance before it begins work on the                 present.
                                                       Interested persons may submit either                 final version of the guidance, submit                   When finalized, this draft guidance is
                                                    electronic comments regarding this                      either electronic or written comments                 expected to provide detailed
                                                    document to http://www.regulations.gov                  on the draft guidance November 12,                    information on the types of studies the
                                                    or written comments to the Division of                  2015.                                                 FDA recommends to support a
                                                    Dockets Management (see ADDRESSES). It                                                                        premarket application for these devices.
                                                    is only necessary to send one set of                    ADDRESSES: An electronic copy of the
                                                                                                                                                                  This draft guidance specifically
                                                    comments. Identify comments with the                    guidance document is available for
                                                                                                                                                                  addresses devices that qualitatively
                                                    docket number found in brackets in the                  download from the Internet. See the
                                                                                                                                                                  detect HPV nucleic acid from cervical
                                                    heading of this document. Received                      SUPPLEMENTARY INFORMATION section for
                                                                                                                                                                  specimens, but many of the
                                                    comments may be seen in the Division                    information on electronic access to the               recommendations will also be
                                                    of Dockets Management between 9 a.m.                    guidance. Submit written requests for a               applicable to devices that detect HPV
                                                    and 4 p.m., Monday through Friday, and                  single hard copy of the draft guidance                proteins. The draft guidance is limited
                                                    will be posted to the docket at http://                 document entitled ‘‘Establishing the                  to studies intended to establish the
                                                    www.regulations.gov. FDA will consider                  Performance Characteristics of In Vitro               performance characteristics of in vitro
                                                    any comments received in determining                    Diagnostic Devices for the Detection or               diagnostic HPV devices that are used in
                                                    whether to amend the current listing of                 Detection and Differentiation of Human                conjunction with cervical cytology for
                                                    modifications to the list of recognized                 Papillomaviruses’’ to the Office of the               cancer screening or as first-line primary
                                                    standards, Recognition List Number:                     Center Director, Guidance and Policy                  cervical cancer screening devices. This
                                                    040. These modifications to the list of                 Development, Center for Devices and                   draft guidance does not address HPV
                                                    recognized standards are effective upon                 Radiological Health, Food and Drug                    testing from non-cervical specimens
                                                    publication of this notice in the Federal               Administration, 10903 New Hampshire                   such as pharyngeal, vaginal, penile, or
                                                    Register.                                               Ave., Bldg. 66, Rm. 5431, Silver Spring,              anal specimens, or testing for
                                                                                                            MD 20993–0002. Send one self-                         susceptibility to HPV infection. It does
                                                      Dated: August 10, 2015.
                                                                                                            addressed adhesive label to assist that               not address quantitative or semi-
                                                    Leslie Kux,                                             office in processing your request.
                                                    Associate Commissioner for Policy.                                                                            quantitative assays for HPV.
                                                                                                               Submit electronic comments on the
                                                    [FR Doc. 2015–19991 Filed 8–13–15; 8:45 am]             draft guidance to http://                             II. Significance of Guidance
                                                    BILLING CODE 4164–01–P                                  www.regulations.gov. Submit written                      This draft guidance is being issued
                                                                                                            comments to the Division of Dockets                   consistent with FDA’s good guidance
                                                                                                            Management (HFA–305), Food and Drug                   practices regulation (21 CFR 10.115).
                                                    DEPARTMENT OF HEALTH AND                                Administration, 5630 Fishers Lane, Rm.                The draft guidance, when finalized, will
                                                    HUMAN SERVICES                                          1061, Rockville, MD 20852. Identify                   represent the current thinking of FDA
                                                                                                            comments with the docket number                       on evaluating the performance
                                                    Food and Drug Administration                            found in brackets in the heading of this              characteristics of IVDs intended for the
                                                    [Docket No. FDA–2009–D–0386]                            document.                                             detection, or detection and
                                                                                                            FOR FURTHER INFORMATION CONTACT:                      differentiation, of HPVs. It does not
                                                    Establishing the Performance                            Natalia Comella, Center for Devices and               establish any rights for any person and
                                                    Characteristics of In Vitro Diagnostic                  Radiological Health, Food and Drug                    is not binding on FDA or the public.
                                                    Devices for the Detection or Detection                  Administration, New Hampshire Ave.,                   You can use an alternative approach if
                                                    and Differentiation of Human                            Bldg. 66, Rm. 4536, Silver Spring, MD                 it satisfies the requirements of the
                                                    Papillomaviruses; Draft Guidance for                    20993–0002, 301–796–6226,                             applicable statute and regulations.
                                                    Industry and Food and Drug                              Natalia.Comella@fda.hhs.gov, or Marina
                                                    Administration Staff: Availability                      V. Kondratovich, Center for Devices and               III. Electronic Access
                                                    AGENCY:    Food and Drug Administration,                Radiological Health, Food and Drug                       Persons interested in obtaining a copy
                                                    HHS.                                                    Administration, New Hampshire Ave.,                   of the draft guidance may do so by
                                                                                                            Bldg. 66, Rm. 4672, Silver Spring, MD                 downloading an electronic copy from
asabaliauskas on DSK5VPTVN1PROD with NOTICES




                                                    ACTION:   Notice.
                                                                                                            20993–0002, 301–796–6036,                             the Internet. A search capability for all
                                                    SUMMARY:    The Food and Drug                           Marina.Kondratovich@fda.hhs.gov.                      Center for Devices and Radiological
                                                    Administration (FDA) is announcing the                  SUPPLEMENTARY INFORMATION:                            Health guidance documents is available
                                                    availability of the draft guidance                                                                            at http://www.fda.gov/MedicalDevices/
                                                    entitled ‘‘Establishing the Performance                 I. Background                                         DeviceRegulationandGuidance/
                                                    Characteristics of In Vitro Diagnostic                     This draft guidance provides                       GuidanceDocuments/default.htm.
                                                    Devices for the Detection or Detection                  recommendations to facilitate study                   Guidance documents are also available
                                                    and Differentiation of Human                            designs to establish the performance                  at http://www.regulations.gov. Persons


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                                                    48880                         Federal Register / Vol. 80, No. 157 / Friday, August 14, 2015 / Notices

                                                    unable to download an electronic copy                   DEPARTMENT OF HEALTH AND                              not limited to: updates from ACCV Adult
                                                    of ‘‘Establishing the Performance                       HUMAN SERVICES                                        Immunization Workgroup, the Division of
                                                                                                                                                                  Injury Compensation Programs (DICP),
                                                    Characteristics of In Vitro Diagnostic
                                                                                                            Health Resources and Services                         Department of Justice (DOJ), National
                                                    Devices for the Detection or Detection                                                                        Vaccine Program Office (NVPO),
                                                    and Differentiation of Human                            Administration
                                                                                                                                                                  Immunization Safety Office (Centers for
                                                    Papillomaviruses’’ may send an email                                                                          Disease Control and Prevention), National
                                                                                                            Advisory Commission on Childhood
                                                    request to CDRH-Guidance@fda.hhs.gov                                                                          Institute of Allergy and Infectious Diseases
                                                                                                            Vaccines; Notice of Meeting                           (National Institutes of Health), and Center for
                                                    to receive an electronic copy of the
                                                                                                              In accordance with section 10(a)(2) of              Biologics, Evaluation and Research (Food
                                                    document. Please use the document
                                                                                                            the Federal Advisory Committee Act                    and Drug Administration). A draft agenda
                                                    number 1740 to identify the guidance                                                                          and additional meeting materials will be
                                                    you are requesting.                                     (Pub. L. 92–463), notice is hereby given              posted on the ACCV Web site (http://
                                                                                                            of the following meeting:                             www.hrsa.gov/vaccinecompensation/
                                                    IV. Paperwork Reduction Act of 1995                                                                           accv.htm) prior to the meeting. Agenda items
                                                                                                               Name: Advisory Commission on
                                                                                                            Childhood Vaccines (ACCV).                            are subject to change as priorities dictate.
                                                      This draft guidance refers to                                                                                  Public Comment: Persons interested in
                                                                                                               Date and Time: September 3, 2015, 9:00
                                                    previously approved collections of                      a.m. to 4:30 p.m. EDT.                                providing an oral presentation should submit
                                                    information found in FDA regulations.                      Place: Parklawn Building (and via audio            a written request, along with a copy of their
                                                    These collections of information are                    conference call and Adobe Connect), 5600              presentation to: Annie Herzog, DICP,
                                                    subject to review by the Office of                      Fishers Lane, Room 10–65, Rockville, MD               Healthcare Systems Bureau (HSB), Health
                                                    Management and Budget (OMB) under                       20857.                                                Resources and Services Administration
                                                                                                               The ACCV will meet on Thursday,                    (HRSA), Room 11C–26, 5600 Fishers Lane,
                                                    the Paperwork Reduction Act of 1995                     September 3, 2015, from 9:00 a.m. to 4:30             Rockville, Maryland 20857 or email:
                                                    (44 U.S.C. 3501–3520). The collections                  p.m. (EDT). The public can join the meeting           aherzog@hrsa.gov. Requests should contain
                                                    of information in 21 CFR part 814 have                  by:                                                   the name, address, telephone number, email
                                                    been approved under OMB control                            1. (In Person) Persons interested in               address, and any business or professional
                                                    number 0910–0231; the collections of                    attending the meeting in person are                   affiliation of the person desiring to make an
                                                    information in 21 CFR part 812 have                     encouraged to submit a written notification           oral presentation. Groups having similar
                                                                                                            to: Annie Herzog, DVIC, Healthcare Systems            interests are requested to combine their
                                                    been approved under OMB control                         Bureau (HSB), Health Resources and Services           comments and present them through a single
                                                    number 0910–0078; the collections of                    Administration (HRSA), Room 11C–26, 5600              representative. The allocation of time may be
                                                    information in 21 CFR parts 801 and                     Fishers Lane, Rockville, Maryland 20857 or            adjusted to accommodate the level of
                                                    809 have been approved under OMB                        email: aherzog@hrsa.gov. Since this meeting           expressed interest. DICP will notify each
                                                    control number 0910–0485; and the                       is going to be held in a federal government           presenter by email, mail, or telephone of
                                                                                                            building, attendees will need to go through           their assigned presentation time. Persons
                                                    collections of information in the                       a security check to enter the building and            who do not file an advance request for a
                                                    guidance document entitled ‘‘Informed                   participate in the meeting. Written                   presentation, but desire to make an oral
                                                    Consent For In Vitro Diagnostic Device                  notification is encouraged so a list of               statement, may announce it at the time of the
                                                    Studies Using Leftover Human                            attendees can be provided to Annie Herzog             public comment period. Public participation
                                                    Specimens That Are Not Individually                     to make entry through security quicker.               and ability to comment will be limited to
                                                    Identifiable’’ have been approved under                 Persons may attend in person without                  space and time as it permits.
                                                                                                            providing written notification, but their entry          For Further Information Contact: Anyone
                                                    OMB control number 0910–0582.                           into the building may be delayed due to               requiring information regarding the ACCV
                                                    V. Comments                                             security checks and the requirement to be             should contact Annie Herzog, DICP, HSB,
                                                                                                            escorted to the meeting by a federal                  HRSA, Room 11C–26, 5600 Fishers Lane,
                                                       Interested persons may submit either                 government employee. To request an escort             Rockville, Maryland 20857; telephone (301)
                                                                                                            to the meeting after entering the building,           443–6593, or email: aherzog@hrsa.gov.
                                                    electronic comments regarding this                      call Mario Lombre at 301–443–3196. The
                                                    document to http://www.regulations.gov                  meeting will be held at the Parklawn                  Jackie Painter,
                                                    or written comments to the Division of                  Building, 5600 Fishers Lane, Room 10–65,              Director, Division of the Executive Secretariat.
                                                    Dockets Management (see ADDRESSES). It                  Rockville, Maryland 20857.                            [FR Doc. 2015–20136 Filed 8–13–15; 8:45 am]
                                                    is only necessary to send one set of                       2. (Audio Portion) The conference Phone
                                                                                                            Number is 877–917–4913. When calling,                 BILLING CODE 4165–15–P
                                                    comments. Identify comments with the
                                                                                                            provide the following information:
                                                    docket number found in brackets in the                     Leaders Name: Dr. A. Melissa Houston.
                                                    heading of this document. Received                         Password: ACCV.                                    DEPARTMENT OF HEALTH AND
                                                    comments may be seen in the Division                       3. (Visual Portion) Connect to the ACCV            HUMAN SERVICES
                                                    of Dockets Management between 9 a.m.                    Adobe Connect Pro meeting using the
                                                    and 4 p.m., Monday through Friday, and                  following URL: https://                               Health Resources and Services
                                                                                                            hrsa.connectsolutions.com/accv/ (copy and             Administration
                                                    will be posted to the docket at http://                 paste the link into your browser if it does not
                                                    www.regulations.gov.                                    work directly, and enter as a guest).                 Agency Information Collection
                                                      Dated: August 10, 2015.                               Participants should call and connect 15               Activities: Submission to OMB for
                                                                                                            minutes prior to the meeting in order for             Review and Approval; Public Comment
                                                    Leslie Kux,
                                                                                                            logistics to be set up. If you have never
                                                    Associate Commissioner for Policy.                      attended an Adobe Connect meeting, please             Request
                                                                                                            test your connection using the following
asabaliauskas on DSK5VPTVN1PROD with NOTICES




                                                    [FR Doc. 2015–19983 Filed 8–13–15; 8:45 am]                                                                   AGENCY: Health Resources and Services
                                                    BILLING CODE 4164–01–P
                                                                                                            URL: https://hrsa.connectsolutions.com/               Administration, HHS.
                                                                                                            common/help/en/support/meeting_test.htm
                                                                                                            and get a quick overview by following URL:            ACTION: Notice.
                                                                                                            http://www.adobe.com/go/connectpro_
                                                                                                            overview. Call (301) 443–6634 or send an
                                                                                                                                                                  SUMMARY:  In compliance with Section
                                                                                                            email to aherzog@hrsa.gov if you are having           3507(a)(1)(D) of the Paperwork
                                                                                                            trouble connecting to the meeting site.               Reduction Act of 1995, the Health
                                                                                                               Agenda: The agenda items for the                   Resources and Services Administration
                                                                                                            September 2015 meeting will include, but are          (HRSA) has submitted an Information


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Document Created: 2018-02-23 10:58:52
Document Modified: 2018-02-23 10:58:52
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.
DatesAlthough you can comment on any guidance at any time (see 21 CFR 10.115(g)(5)), to ensure that the Agency considers your comment of this draft guidance before it begins work on the final version of the guidance, submit either electronic or written comments on the draft guidance November 12, 2015.
ContactNatalia Comella, Center for Devices and Radiological Health, Food and Drug Administration, New Hampshire Ave., Bldg. 66, Rm. 4536, Silver Spring, MD 20993-0002, 301-796-6226, [email protected], or Marina V. Kondratovich, Center for Devices and Radiological Health, Food and Drug Administration, New Hampshire Ave., Bldg. 66, Rm. 4672, Silver Spring, MD 20993-0002, 301- 796-6036, [email protected]
FR Citation80 FR 48879 

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