81_FR_34460 81 FR 34356 - Clinical Chemistry and Clinical Toxicology Devices Panel of the Medical Devices Advisory Committee; Notice of Meeting

81 FR 34356 - Clinical Chemistry and Clinical Toxicology Devices Panel of the Medical Devices Advisory Committee; Notice of Meeting

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 81, Issue 104 (May 31, 2016)

Page Range34356-34357
FR Document2016-12641

The Food and Drug Administration (FDA) announces a forthcoming public advisory committee meeting of the Clinical Chemistry and Clinical Toxicology Devices Panel of the Medical Devices Advisory Committee. The general function of the committee is to provide advice and recommendations to the Agency on FDA's regulatory issues. The meeting will be open to the public.

Federal Register, Volume 81 Issue 104 (Tuesday, May 31, 2016)
[Federal Register Volume 81, Number 104 (Tuesday, May 31, 2016)]
[Notices]
[Pages 34356-34357]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-12641]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2016-N-0001]


Clinical Chemistry and Clinical Toxicology Devices Panel of the 
Medical Devices Advisory Committee; Notice of Meeting

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice.

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

SUMMARY: The Food and Drug Administration (FDA) announces a forthcoming 
public advisory committee meeting of the Clinical Chemistry and 
Clinical Toxicology Devices Panel of the Medical Devices Advisory 
Committee. The general function of the committee is to provide advice 
and recommendations to the Agency on FDA's regulatory issues. The 
meeting will be open to the public.

DATES: The meeting will be held on July 21 and July 22, 2016, from 8 
a.m. to 6 p.m.

ADDRESSES: Hilton Washington DC North/Gaithersburg, Salons A, B, C, and 
D, 620 Perry Pkwy., Gaithersburg, MD 20877. The hotel's telephone 
number is 301-977-8900. Answers to commonly asked questions including 
information regarding special accommodations due to a disability, 
visitor parking, and transportation may be accessed at: http://www.fda.gov/AdvisoryCommittees/AboutAdvisoryCommittees/ucm408555.htm.

FOR FURTHER INFORMATION CONTACT: Patricio Garcia, Center for Devices 
and Radiological Health, Food and Drug Administration, Bldg. 66, Rm. 
1116, 10903 New Hampshire Ave., Silver Spring, MD 20993; 
[email protected]; 301-796-6875, or FDA Advisory Committee 
Information Line, 1-800-741-8138 (301-443-0572 in the Washington, DC 
area). A notice in the Federal Register about last minute modifications 
that impact a previously announced advisory committee meeting cannot 
always be published quickly enough to provide timely notice. Therefore, 
you should always check the Agency's Web site at http://www.fda.gov/AdvisoryCommittees/default.htm and scroll down to the appropriate 
advisory committee meeting link, or call the advisory committee 
information line to learn about possible modifications before coming to 
the meeting.

SUPPLEMENTARY INFORMATION: 
    Agenda: On July 21, 2016, the committee will discuss, make 
recommendations, and vote on information regarding a premarket approval 
application (PMA) panel-track supplement for a proposed change in 
intended use of Dexcom, Inc.'s, Dexcom G5[supreg] Mobile Continuous 
Glucose Monitoring System (CGM) device so that, in addition to tracking 
and trending interstitial fluid glucose concentrations, patients can 
use the device as a replacement for their blood glucose meters and make 
treatment decisions based on the interstitial fluid glucose 
concentration reported by the CGM.
    On July 22, 2016, the committee will discuss and make 
recommendations on information regarding a premarket notification 
(510(k)) submission for the Alere AfinionTM HbA1c Dx point-
of-care test system, sponsored by Alere Technologies AS. The proposed 
intended use, as stated by the sponsor:

    Alere Afinion HbA1c Dx is an in vitro diagnostic test for 
quantitative determination of glycated hemoglobin (% hemoglobin A1c, 
HbA1c) in human whole blood. This test is to be used as an aid in 
the diagnosis of diabetes and as an aid in identifying patients who 
may be at risk for developing diabetes. The measurement of % HbA1c 
is recommended as a marker of long-term metabolic control in persons 
with diabetes mellitus. For use in clinical laboratories and point 
of care laboratory settings.

    Current clinical guidelines contraindicate the use of point-of-care 
hemoglobin A1c (HbA1c) tests to diagnose diabetes. FDA is seeking 
feedback from the clinical community to determine significant, 
scientific and practical, reservations or support for using this point-
of-care HbA1c test as an aid in the diagnosis of diabetes and pre-
diabetes.
    FDA intends to make background material available to the public no 
later than 2 business days before the meeting. If FDA is unable to post 
the background material on its Web site prior to the meeting, the 
background material will be made publicly available at the location of 
the advisory committee meeting, and the background material will be 
posted on FDA's Web site after the meeting. Background material is 
available at http://www.fda.gov/AdvisoryCommittees/Calendar/default.htm. Scroll down to the appropriate advisory committee meeting 
link.
    Procedure: Interested persons may present data, information, or 
views, orally or in writing, on issues pending before the committee. 
Written submissions may be made to the contact person on or before July 
15, 2016. Oral presentations from the public will be scheduled on July 
21 and 22, 2016, between approximately 1 p.m. and 2 p.m. Those 
individuals interested in making formal oral presentations should 
notify the contact person and submit a brief statement of the general 
nature of the evidence or arguments they wish to present, the names and 
addresses of proposed participants, and an indication of the 
approximate time requested to make their presentation on or before July 
7, 2016. Time allotted for each presentation may be limited. If the

[[Page 34357]]

number of registrants requesting to speak is greater than can be 
reasonably accommodated during the scheduled open public hearing 
session, FDA may conduct a lottery to determine the speakers for the 
scheduled open public hearing session. The contact person will notify 
interested persons regarding their request to speak by July 8, 2016.
    Persons attending FDA's advisory committee meetings are advised 
that the Agency is not responsible for providing access to electrical 
outlets.
    FDA welcomes the attendance of the public at its advisory committee 
meetings and will make every effort to accommodate persons with 
disabilities. If you require accommodations due to a disability, please 
contact AnnMarie Williams, at [email protected], or 301-
796-5966 at least 7 days in advance of the meeting.
    FDA is committed to the orderly conduct of its advisory committee 
meetings. Please visit our Web site at http://www.fda.gov/AdvisoryCommittees/AboutAdvisoryCommittees/ucm111462.htm for procedures 
on public conduct during advisory committee meetings.
    Notice of this meeting is given under the Federal Advisory 
Committee Act (5 U.S.C. app. 2).

    Dated: May 24, 2016.
Jill Hartzler Warner,
Associate Commissioner for Special Medical Programs.
[FR Doc. 2016-12641 Filed 5-27-16; 8:45 am]
 BILLING CODE 4164-01-P



                                                34356                          Federal Register / Vol. 81, No. 104 / Tuesday, May 31, 2016 / Notices

                                                pharmacogenomics and toxicogenomics;                    ACTION:   Notice.                                     decisions based on the interstitial fluid
                                                however, next-generation sequencing                                                                           glucose concentration reported by the
                                                technologies promise to provide some                    SUMMARY:   The Food and Drug                          CGM.
                                                unique advantages in DNA and RNA                        Administration (FDA) announces a                        On July 22, 2016, the committee will
                                                analyses and are expected to be adopted                 forthcoming public advisory committee                 discuss and make recommendations on
                                                by the pharmaceutical and medical                       meeting of the Clinical Chemistry and                 information regarding a premarket
                                                industries for advancing personalized                   Clinical Toxicology Devices Panel of the              notification (510(k)) submission for the
                                                nutrition and medicine.                                 Medical Devices Advisory Committee.                   Alere AfinionTM HbA1c Dx point-of-care
                                                   Starting in 2005, FDA initiated an                   The general function of the committee is              test system, sponsored by Alere
                                                open project, MicroArray Quality                        to provide advice and recommendations                 Technologies AS. The proposed
                                                Control (MAQC), which has gone                          to the Agency on FDA’s regulatory                     intended use, as stated by the sponsor:
                                                through three phases. MAQC–I focused                    issues. The meeting will be open to the
                                                                                                        public.                                                 Alere Afinion HbA1c Dx is an in vitro
                                                on the technical aspects of microarray-                                                                       diagnostic test for quantitative determination
                                                based gene expression measurements,                     DATES: The meeting will be held on July               of glycated hemoglobin (% hemoglobin A1c,
                                                the MAQC–II focused on validation of                    21 and July 22, 2016, from 8 a.m. to 6                HbA1c) in human whole blood. This test is
                                                microarray-based predictive models,                     p.m.                                                  to be used as an aid in the diagnosis of
                                                and MAQC–III, which is also called the                  ADDRESSES: Hilton Washington DC                       diabetes and as an aid in identifying patients
                                                Sequencing Quality Control (SEQC),                      North/Gaithersburg, Salons A, B, C, and               who may be at risk for developing diabetes.
                                                focused on assessing the performance of                 D, 620 Perry Pkwy., Gaithersburg, MD                  The measurement of % HbA1c is
                                                                                                        20877. The hotel’s telephone number is                recommended as a marker of long-term
                                                whole transcriptome sequencing (RNA-
                                                                                                                                                              metabolic control in persons with diabetes
                                                seq).                                                   301–977–8900. Answers to commonly                     mellitus. For use in clinical laboratories and
                                                   The Sequencing Quality Control                       asked questions including information                 point of care laboratory settings.
                                                Phase 2 (SEQC–II) is a natural extension                regarding special accommodations due
                                                of the SEQC project with emphasis on                    to a disability, visitor parking, and                    Current clinical guidelines
                                                DNA-Seq for various applications. The                   transportation may be accessed at:                    contraindicate the use of point-of-care
                                                SEQC–II project, with broad                             http://www.fda.gov/                                   hemoglobin A1c (HbA1c) tests to
                                                participation from scientists and                       AdvisoryCommittees/                                   diagnose diabetes. FDA is seeking
                                                reviewers within FDA and collaborators                  AboutAdvisoryCommittees/                              feedback from the clinical community to
                                                across the public, academic, and private                ucm408555.htm.                                        determine significant, scientific and
                                                sectors, is expected to help prepare FDA                                                                      practical, reservations or support for
                                                                                                        FOR FURTHER INFORMATION CONTACT:
                                                for the next wave of submission of                                                                            using this point-of-care HbA1c test as an
                                                                                                        Patricio Garcia, Center for Devices and               aid in the diagnosis of diabetes and pre-
                                                genomic data generated from the next-                   Radiological Health, Food and Drug
                                                generation sequencing technologies.                                                                           diabetes.
                                                                                                        Administration, Bldg. 66, Rm. 1116,                      FDA intends to make background
                                                   Registration: Mail, fax, or email your
                                                                                                        10903 New Hampshire Ave., Silver                      material available to the public no later
                                                registration information (including
                                                                                                        Spring, MD 20993; patricio.garcia@                    than 2 business days before the meeting.
                                                name, title, firm name, address,
                                                                                                        fda.hhs.gov; 301–796–6875, or FDA                     If FDA is unable to post the background
                                                telephone, and fax numbers) to the
                                                                                                        Advisory Committee Information Line,                  material on its Web site prior to the
                                                contact person by August 31, 2016. FDA
                                                                                                        1–800–741–8138 (301–443–0572 in the                   meeting, the background material will
                                                will email a confirmation to those who
                                                have registered. There is no registration               Washington, DC area). A notice in the                 be made publicly available at the
                                                fee for the public workshop. Early                      Federal Register about last minute                    location of the advisory committee
                                                registration is recommended because                     modifications that impact a previously                meeting, and the background material
                                                seating is limited. No registration on the              announced advisory committee meeting                  will be posted on FDA’s Web site after
                                                day of the public workshop will be                      cannot always be published quickly                    the meeting. Background material is
                                                provided.                                               enough to provide timely notice.                      available at http://www.fda.gov/
                                                   If you need special accommodations                   Therefore, you should always check the                AdvisoryCommittees/Calendar/
                                                due to a disability, please contact Weida               Agency’s Web site at http://                          default.htm. Scroll down to the
                                                Tong (see FOR FURTHER INFORMATION                       www.fda.gov/AdvisoryCommittees/                       appropriate advisory committee meeting
                                                CONTACT) at least 7 days in advance.                    default.htm and scroll down to the                    link.
                                                                                                        appropriate advisory committee meeting                   Procedure: Interested persons may
                                                  Dated: May 24, 2016.
                                                                                                        link, or call the advisory committee                  present data, information, or views,
                                                Leslie Kux,                                             information line to learn about possible              orally or in writing, on issues pending
                                                Associate Commissioner for Policy.                      modifications before coming to the                    before the committee. Written
                                                [FR Doc. 2016–12656 Filed 5–27–16; 8:45 am]             meeting.                                              submissions may be made to the contact
                                                BILLING CODE 4164–01–P
                                                                                                        SUPPLEMENTARY INFORMATION:                            person on or before July 15, 2016. Oral
                                                                                                           Agenda: On July 21, 2016, the                      presentations from the public will be
                                                                                                        committee will discuss, make                          scheduled on July 21 and 22, 2016,
                                                DEPARTMENT OF HEALTH AND
                                                                                                        recommendations, and vote on                          between approximately 1 p.m. and 2
                                                HUMAN SERVICES
                                                                                                        information regarding a premarket                     p.m. Those individuals interested in
                                                Food and Drug Administration                            approval application (PMA) panel-track                making formal oral presentations should
                                                                                                        supplement for a proposed change in                   notify the contact person and submit a
                                                [Docket No. FDA–2016–N–0001]                            intended use of Dexcom, Inc.’s, Dexcom                brief statement of the general nature of
sradovich on DSK3TPTVN1PROD with NOTICES




                                                                                                        G5® Mobile Continuous Glucose                         the evidence or arguments they wish to
                                                Clinical Chemistry and Clinical
                                                                                                        Monitoring System (CGM) device so                     present, the names and addresses of
                                                Toxicology Devices Panel of the
                                                                                                        that, in addition to tracking and                     proposed participants, and an
                                                Medical Devices Advisory Committee;
                                                                                                        trending interstitial fluid glucose                   indication of the approximate time
                                                Notice of Meeting
                                                                                                        concentrations, patients can use the                  requested to make their presentation on
                                                AGENCY:    Food and Drug Administration,                device as a replacement for their blood               or before July 7, 2016. Time allotted for
                                                HHS.                                                    glucose meters and make treatment                     each presentation may be limited. If the


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                                                                               Federal Register / Vol. 81, No. 104 / Tuesday, May 31, 2016 / Notices                                             34357

                                                number of registrants requesting to                     from 2005–2006, and Research Assistant                phosphorylated c-Jun-N-terminal kinase
                                                speak is greater than can be reasonably                 Professor, Department of Surgery, UC,                 (JNK) expression in mN/SF exposed to
                                                accommodated during the scheduled                       from 2007–2011, engaged in research                   cadmium, when the experiment was not
                                                open public hearing session, FDA may                    misconduct in research supported by                   performed.
                                                conduct a lottery to determine the                      National Heart, Lung, and Blood                          D The research record contained
                                                speakers for the scheduled open public                  Institute (NHLBI), National Institutes of             ninety (90) Western blot images and
                                                hearing session. The contact person will                Health (NIH), grants K08 HL081472 and                 ninety (90) densitometry measurement
                                                notify interested persons regarding their               R01 HL107949.                                         files for 45 experiments that examined
                                                request to speak by July 8, 2016.                          ORI found that falsified and/or                    phosphorylated JNK or Mitogen-
                                                   Persons attending FDA’s advisory                     fabricated data were included in the                  activated protein kinase 4 (MMK4)
                                                committee meetings are advised that the                 following three (3) NIH grant                         expression in mN/SF exposed to UV
                                                Agency is not responsible for providing                 applications, one (1) NIH grant progress              light, H2O2, cadmium, or anisomycin,
                                                access to electrical outlets.                           report, one (1) publication, seven (7)                when the experiments were not
                                                   FDA welcomes the attendance of the                   presentations, and one (1) image file:                performed.
                                                public at its advisory committee                        • R03 AG029508–01                                        D The research record contained
                                                meetings and will make every effort to                  • R21 AG030361–01                                     densitometric analyses for an additional
                                                accommodate persons with disabilities.                  • R01 HL102405–01                                     twenty-eight (28) experiments that
                                                If you require accommodations due to a                  • K08 HL081472–05 Progress Report                     examined phosphorylated JNK or
                                                disability, please contact AnnMarie                     • J Biol Chem. 285(18):13748–60, 2010                 MMK4 expression in mN/SF exposed to
                                                Williams, at Annmarie.Williams@                            Apr 30 (hereafter referred to as ‘‘JBC             UV light, H2O2, cadmium, or
                                                fda.hhs.gov, or 301–796–5966 at least 7                    2010’’)                                            anisomycin, when the quantifications
                                                days in advance of the meeting.                         • Presentation: Autophagy                             were based on experiments that were
                                                   FDA is committed to the orderly                         Pathway.ppt, MKK4 expression after                 not performed.
                                                conduct of its advisory committee                          UV.ppt, Oct PPt.ppt, RicDec.ppt,                      • While at UM, Respondent falsified
                                                meetings. Please visit our Web site at                     Ricky Presentation 06.ppt, Ricky                   and/or fabricated Western blots for
                                                http://www.fda.gov/                                        STC.ppt, and RM.ppt                                phosphorylated and total Rac1/cdc42
                                                AdvisoryCommittees/                                     • Image file: Final LC 3.jpg                          expression in mN/SF, total JNK
                                                AboutAdvisoryCommittees/                                   ORI found that Respondent reused                   expression in mN/SF treated with
                                                ucm111462.htm for procedures on                         and falsely relabeled Western blot gel                anisomycin, phosphorylated JNK
                                                public conduct during advisory                          images, falsified the related                         expression in Snell dwarf mice
                                                committee meetings.                                     densitometry measurements based on                    fibroblasts treated with cadmium, b-
                                                   Notice of this meeting is given under                the falsified Western blots, and falsified            actin expression in mN/SF, b-actin
                                                the Federal Advisory Committee Act (5                   and/or fabricated data for experiments                expression in Snell dwarf mice
                                                U.S.C. app. 2).                                         that were not performed. Respondent                   fibroblasts treated with or without
                                                   Dated: May 24, 2016.                                 continued this falsification at UC, after             MMS, b-actin expression in normal
                                                Jill Hartzler Warner,                                   the UM research misconduct                            mice fibroblasts treated with cadmium,
                                                Associate Commissioner for Special Medical              investigation was completed.                          and b-actin expression in mN/SF treated
                                                Programs.                                               Specifically:                                         with H2O2 in the presentations
                                                [FR Doc. 2016–12641 Filed 5–27–16; 8:45 am]                • While at UM, Respondent falsified                Autophagy Pathway.ppt, Oct PPt.ppt,
                                                BILLING CODE 4164–01–P                                  and/or fabricated images in R03                       RicDec.ppt, Ricky Presentation 06.ppt,
                                                                                                        AG029508–01 and three (3)                             Ricky STC.ppt, and RM.ppt, and the
                                                                                                        presentations, where:                                 image file Final LC 3.jpg, when the
                                                DEPARTMENT OF HEALTH AND                                   D R03 AG029508–01, Figure 2,                       images were duplicated and falsely
                                                HUMAN SERVICES                                          represented Western blots for                         relabeled Western blots of unrelated
                                                                                                        phosphorylated p53 (Ser15) and b-actin                experiments.
                                                Office of the Secretary                                 expression in normal and Snell dwarf                     • While at UM, Respondent falsified
                                                                                                        mice fibroblasts (mN/SF) treated with                 twenty-four (24) Western blots for
                                                Findings of Research Misconduct                         the DNA alkylating agent methyl                       phosphorylated JNK or MMK4
                                                AGENCY:   Office of the Secretary, HHS.                 methanesulfonate (MMS), when the                      expression in mN/SF exposed to UV
                                                                                                        same images were duplicated to                        light, H2O2, cadmium, or anisomycin in
                                                ACTION:   Notice.                                                                                             the seven (7) presentations and twenty-
                                                                                                        represent different proteins and
                                                SUMMARY:   Notice is hereby given that                  treatments in the presentations                       six (26) data files in the research record,
                                                the Office of Research Integrity (ORI)                  Autophagy Pathway.ppt and RM.ppt.                     when the images were duplicated and
                                                has taken final action in the following                    D R03 AG029508–01, Figure 3,                       falsely relabeled Western blots of
                                                case:                                                   represented Western blots for p16Ink4a                unrelated experiments.
                                                  Ricky Malhotra, Ph.D., University of                  and b-actin expression in mN/SF, when                    • While at UC, Respondent falsified
                                                Michigan and University of Chicago:                     the same images were duplicated to                    and/or fabricated Western blots by using
                                                Based on the Respondent’s admission to                  represent different proteins and                      images from unrelated experiments and
                                                committing research misconduct at the                   treatments in the presentations                       the related densitometric analyses that
                                                University of Michigan (UM) and                         Autophagy Pathways.ppt, RicDec.ppt,                   were based on falsified Western blots in
                                                subsequently at the University of                       and RM.ppt.                                           the following:
sradovich on DSK3TPTVN1PROD with NOTICES




                                                Chicago (UC), the reports of separate                      • While at UM, Respondent                             D R01 HL102405–01 for:
                                                investigations conducted by UM and                      fabricated data in R21 AG030361–01                    —Figure 1A for phosphorylated
                                                UC, and additional analysis conducted                   and supporting data for the grant                        Rhodopsin (Rho) expression in
                                                by ORI in its oversight review, ORI                     application in the research record,                      neonatal rat ventricular cardiac
                                                found that Dr. Ricky Malhotra, former                   where:                                                   myocytes (NRVCM) subjected to
                                                Research Assistant Professor,                              D R21 AG030361–01, Figure 2,                          stimulation with Angiotension II (Ang
                                                Department of Internal Medicine, UM,                    represented a Western blot for                           II)


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Document Created: 2016-05-28 03:57:50
Document Modified: 2016-05-28 03:57:50
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.
DatesThe meeting will be held on July 21 and July 22, 2016, from 8 a.m. to 6 p.m.
ContactPatricio Garcia, Center for Devices and Radiological Health, Food and Drug Administration, Bldg. 66, Rm. 1116, 10903 New Hampshire Ave., Silver Spring, MD 20993; [email protected]; 301-796-6875, or FDA Advisory Committee Information Line, 1-800-741-8138 (301-443-0572 in the Washington, DC area). A notice in the Federal Register about last minute modifications that impact a previously announced advisory committee meeting cannot always be published quickly enough to provide timely notice. Therefore, you should always check the Agency's Web site at http://www.fda.gov/ AdvisoryCommittees/default.htm and scroll down to the appropriate advisory committee meeting link, or call the advisory committee information line to learn about possible modifications before coming to the meeting.
FR Citation81 FR 34356 

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