81_FR_46831 81 FR 46694 - Refurbishing, Reconditioning, Rebuilding, Remarketing, Remanufacturing, and Servicing of Medical Devices Performed by Third-Party Entities and Original Equipment Manufacturers; Public Workshop

81 FR 46694 - Refurbishing, Reconditioning, Rebuilding, Remarketing, Remanufacturing, and Servicing of Medical Devices Performed by Third-Party Entities and Original Equipment Manufacturers; Public Workshop

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 81, Issue 137 (July 18, 2016)

Page Range46694-46695
FR Document2016-16887

The Food and Drug Administration (FDA) is announcing the following public workshop entitled ``Refurbishing, Reconditioning, Rebuilding, Remarketing, Remanufacturing, and Servicing of Medical Devices Performed by Third-Party Entities and Original Equipment Manufacturers.'' The topics to be discussed are the current regulatory environment for these activities, the definitions of the various terms FDA proposed in the prior Federal Register notice on this subject, and whether these activities should appropriately be regulated by FDA or a non-governmental organization.

Federal Register, Volume 81 Issue 137 (Monday, July 18, 2016)
[Federal Register Volume 81, Number 137 (Monday, July 18, 2016)]
[Notices]
[Pages 46694-46695]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-16887]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

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


Refurbishing, Reconditioning, Rebuilding, Remarketing, 
Remanufacturing, and Servicing of Medical Devices Performed by Third-
Party Entities and Original Equipment Manufacturers; Public Workshop

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice of public workshop.

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

SUMMARY: The Food and Drug Administration (FDA) is announcing the 
following public workshop entitled ``Refurbishing, Reconditioning, 
Rebuilding, Remarketing, Remanufacturing, and Servicing of Medical 
Devices Performed by Third-Party Entities and Original Equipment 
Manufacturers.'' The topics to be discussed are the current regulatory 
environment for these activities, the definitions of the various terms 
FDA proposed in the prior Federal Register notice on this subject, and 
whether these activities should appropriately be regulated by FDA or a 
non-governmental organization.

DATES: The public workshop will be held on October 27, 2016, from 8:30 
a.m. to 5 p.m. and October 28, 2016, from 8:30 a.m. to 4 p.m.

ADDRESSES: The public workshop will be held at FDA's White Oak Campus, 
10903 New Hampshire Ave., Bldg. 31 Conference Center, the Great Room 
(Rm. 1503), Silver Spring, MD 20993-0002. Entrance for the public 
workshop participants (non-FDA employees) is through Building 1, where 
routine security check procedures will be performed. For parking and 
security information, please refer to http://www.fda.gov/AboutFDA/WorkingatFDA/BuildingsandFacilities/WhiteOakCampusInformation/ucm241740.htm.

[[Page 46695]]


FOR FURTHER INFORMATION CONTACT: Felicia Brayboy, Center for Devices 
and Radiological Health, Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 66, Rm. 3464, Silver Spring, MD 20993, 301-796-
8086, [email protected].

SUPPLEMENTARY INFORMATION: 

I. Background

    On March 4, 2016, FDA published in the Federal Register a notice 
(81 FR 11477) requesting comments from interested persons, including 
those engaged or otherwise interested in the ``Refurbishing, 
Reconditioning, Rebuilding, Remarketing, Remanufacturing, and Servicing 
of Medical Devices,'' including radiation-emitting devices subject to 
the electronic product radiation control provisions of the Federal 
Food, Drug, and Cosmetic Act. FDA took this action, in part, because 
various stakeholders have expressed concerns about the quality, safety, 
and continued effectiveness of medical devices that have been subject 
to one or more of these activities. This docket asked that interested 
persons, including Original equipment manufacturers (OEMs), health care 
establishments, and third-party entities review proposed terms and 
definitions and provide edits if applicable. The docket also sought 
insights into basic concepts with regard to these activities. FDA is 
currently reviewing all of the comments and will use them to inform a 
set of working questions designed to promote an understanding of 
challenges and best practices to mitigate risks associated with these 
activities. These working questions will be addressed in group 
discussions on both days of the workshop.

II. Topics for Discussion at the Public Workshop

    The public workshop sessions will incorporate the following general 
themes pertaining to the refurbishing, reconditioning, rebuilding, 
remarketing, remanufacturing, and servicing of medical devices:
     Establish working definitions for third-party and OEM 
activities.
     Discuss benefits and challenges that stakeholders 
encounter, potential benefits and risks to patients/users, and failure 
modes of devices introduced as a result of performing activities 
associated with third-party entities.
     Identify current best practices and discuss alternative 
methods to mitigate risks associated with performing activities 
associated with third-party entities.
     Determine whether specific procedures are necessary for 
each activity as it relates to third-party services performed.
    Registration: Registration is free and available on a first-come, 
first-served basis. Persons interested in attending this public 
workshop must register online by September 23, 2016, by 4 p.m. Early 
registration is recommended because facilities are limited and, 
therefore, FDA may limit the number of participants from each 
organization. If time and space permits, onsite registration on the day 
of the public workshop; will be provided beginning at 7:30 a.m.
    If you need special accommodations due to a disability, please 
contact Peggy Roney, Office of Communication, Education, and Radiation 
Programs, 301-796-5671, email: [email protected], no later than 
October 13, 2016.
    To register for the public workshop, please visit FDA's Medical 
Devices News & Events--Workshops & Conferences calendar at http://www.fda.gov/MedicalDevices/NewsEvents/WorkshopsConferences/default.htm. 
(Select this meeting/public workshop from the posted events list.) 
Please provide complete contact information for each attendee, 
including name, title, affiliation, address, email, and telephone 
number. Those without Internet access should contact Peggy Roney to 
register (see special accomodations contact). Registrants will receive 
confirmation after they have been accepted. You will be notified if you 
are on a waiting list.
    Streaming Webcast of the Public Workshop: This public workshop will 
also be Webcast. The Webcast link will be available on the registration 
Web page after October 20, 2016. If you have never attended a Connect 
Pro event before, test your connection at https://collaboration.fda.gov/common/help/en/support/meeting_test.htm. To get a 
quick overview of the Connect Pro program, visit http://www.adobe.com/go/connectpro_overview. FDA has verified the Web site addresses in this 
document, as of the date this document publishes in the Federal 
Register, but Web sites are subject to change over time.
    Requests for Oral Presentations: This public workshop includes a 
public comment session and topic-focused sessions. During online 
registration you may indicate if you wish to present during a public 
comment session or participate in a specific session, and which topics 
you wish to address. FDA has included general topics in this document. 
FDA will do its best to accommodate requests to make public comments 
and participate in the focused sessions. Individuals and organizations 
with common interests are urged to consolidate or coordinate their 
presentations, and request time for a joint presentation, or submit 
requests for designated representatives to participate in the focused 
sessions. Following the close of registration, FDA will determine the 
amount of time allotted to each presenter and the approximate time each 
oral presentation is to begin, and will select and notify participants 
by September 30, 2016. All requests to make oral presentations must be 
received by the close of registration on September 23, 2016, by 4 p.m. 
(EDT). If selected as a presenter, any presentation materials must be 
emailed to Felicia Brayboy (see FOR FURTHER INFORMATION CONTACT) no 
later than October 13, 2016. No commercial or promotional material will 
be permitted to be presented or distributed at the public workshop.
    Transcripts: Please be advised that as soon as a transcript is 
available, it will be accessible at http://www.regulations.gov. It may 
be viewed at the Division of Dockets Management (see ADDRESSES). A 
transcript will also be available in either hardcopy or on CD-ROM, 
after submission of a Freedom of Information request. The Freedom of 
Information office address is available on the Agency's Web site at 
http://www.fda.gov. A link to the transcripts will also be available 
approximately 45 days after the public workshop on the Internet at 
http://www.fda.gov/MedicalDevices/NewsEvents/WorkshopsConferences/default.htm. (Select this public workshop from the posted events list).

    Dated: July 13, 2016.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2016-16887 Filed 7-15-16; 8:45 am]
 BILLING CODE 4164-01-P



                                                    46694                                 Federal Register / Vol. 81, No. 137 / Monday, July 18, 2016 / Notices

                                                    ‘‘insignificant risk of an erroneous                               MedicalDevices/                                         drawn from the flex studies; a
                                                    result’’ may obtain a certificate of                               DeviceRegulationandGuidance/                            description of fail-safe and failure alert
                                                    waiver (42 U.S.C. 263a(d)(2)). The                                 GuidanceDocuments/ucm079632.htm).                       mechanisms and a description of the
                                                    Secretary has delegated to FDA the                                 This guidance document describes                        studies validating these mechanisms; a
                                                    authority to determine whether                                     recommendations for device                              description of clinical tests that
                                                    particular tests (waived tests) are                                manufacturers submitting to FDA an                      demonstrate the accuracy of the test in
                                                    ‘‘simple’’ and have ‘‘an insignificant risk                        application for determination that a                    the hands of intended operators; and
                                                    of an erroneous result’’ under CLIA (69                            cleared or approved device meets this                   statistical analyses of clinical study
                                                    FR 22849, April 27, 2004).                                         CLIA standard (CLIA waiver                              results.
                                                       On January 30, 2008, FDA published                              application). The guidance recommends                     In the Federal Register of April 1,
                                                    a guidance document entitled                                       that CLIA waiver applications include a                 2016 (81 FR 18858), FDA published a
                                                    ‘‘Guidance for Industry and FDA Staff:                             description of the features of the device               60-day notice requesting public
                                                    Recommendations for Clinical                                       that make it ‘‘simple’’; a report                       comment on the proposed collection of
                                                    Laboratory Improvement Amendments                                  describing a hazard analysis that                       information. No comments were
                                                    of 1988 (CLIA) Waiver Applications for                             identifies potential sources of error,                  received.
                                                    Manufacturers of In Vitro Diagnostic                               including a summary of the design and                     FDA estimates the burden of this
                                                    Devices’’ (http://www.fda.gov/                                     results of flex studies and conclusions                 collection of information as follows:

                                                                                                            TABLE 1—ESTIMATED ANNUAL REPORTING BURDEN 1
                                                                                                                                                                                                                 Total operating
                                                                                                                                          Number of                             Average
                                                                                                                  Number of                                Total annual                                                and
                                                                           Activity                                                     responses per                         burden per          Total hours
                                                                                                                 respondents                                responses                                             maintenance
                                                                                                                                          respondent                           response                               costs

                                                    CLIA waiver application ...........................                 40                    1                   40             1,200              48,000         $350,000
                                                       1 There   are no capital costs associated with this collection of information.

                                                                                                       TABLE 2—ESTIMATED ANNUAL RECORDKEEPING BURDEN 1
                                                                                                                                                             Number of                              Average
                                                                                                                                          Number of                           Total annual
                                                                                       Activity                                                             records per                            burden per     Total hours
                                                                                                                                        recordkeepers                           records
                                                                                                                                                           recordkeeper                          recordkeeping

                                                    CLIA waiver records ............................................................         40                   1                40               2,800           112,000
                                                       1 There   are no capital costs or operating and maintenance costs associated with this collection of information.


                                                       The total number of reporting and                               specimen collection for study as well as                Remanufacturing, and Servicing of
                                                    recordkeeping hours is 160,000 hours.                              shipping and supplies).                                 Medical Devices Performed by Third-
                                                    FDA bases the burden on an Agency                                    Dated: July 13, 2016.                                 Party Entities and Original Equipment
                                                    analysis of premarket submissions with                             Leslie Kux,
                                                                                                                                                                               Manufacturers.’’ The topics to be
                                                    clinical trials similar to the waived                                                                                      discussed are the current regulatory
                                                                                                                       Associate Commissioner for Policy.
                                                    laboratory tests. Based on previous                                                                                        environment for these activities, the
                                                                                                                       [FR Doc. 2016–16886 Filed 7–15–16; 8:45 am]
                                                    years’ experience with CLIA waiver                                                                                         definitions of the various terms FDA
                                                                                                                       BILLING CODE 4164–01–P                                  proposed in the prior Federal Register
                                                    applications, FDA expects 40
                                                    manufacturers to submit one CLIA                                                                                           notice on this subject, and whether
                                                    waiver application per year. The time                                                                                      these activities should appropriately be
                                                                                                                       DEPARTMENT OF HEALTH AND
                                                    required to prepare and submit a waiver                                                                                    regulated by FDA or a non-
                                                                                                                       HUMAN SERVICES
                                                    application, including the time needed                                                                                     governmental organization.
                                                    to assemble supporting data, averages                              Food and Drug Administration                            DATES: The public workshop will be
                                                    1,200 hours per waiver application for                                                                                     held on October 27, 2016, from 8:30
                                                                                                                       [Docket No. FDA–2016–N–0001]                            a.m. to 5 p.m. and October 28, 2016,
                                                    a total of 48,000 hours for reporting.
                                                    Based on previous years’ experience                                                                                        from 8:30 a.m. to 4 p.m.
                                                                                                                       Refurbishing, Reconditioning,
                                                    with CLIA waiver applications, FDA                                                                                         ADDRESSES: The public workshop will
                                                                                                                       Rebuilding, Remarketing,
                                                    expects that each manufacturer will                                                                                        be held at FDA’s White Oak Campus,
                                                                                                                       Remanufacturing, and Servicing of
                                                    spend 2,800 hours creating and                                                                                             10903 New Hampshire Ave., Bldg. 31
                                                                                                                       Medical Devices Performed by Third-
                                                    maintaining the record for a total of                                                                                      Conference Center, the Great Room (Rm.
                                                                                                                       Party Entities and Original Equipment
                                                    112,000 hours.                                                                                                             1503), Silver Spring, MD 20993–0002.
                                                                                                                       Manufacturers; Public Workshop
                                                                                                                                                                               Entrance for the public workshop
                                                       The total operating and maintenance                                             Food and Drug Administration,           participants (non-FDA employees) is
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                                                                                       AGENCY:
                                                    cost associated with the waiver                                    HHS.                                                    through Building 1, where routine
                                                    application is estimated at $350,000.                                                                                      security check procedures will be
                                                                                                                       ACTION:     Notice of public workshop.
                                                    This cost is largely attributed to clinical                                                                                performed. For parking and security
                                                    study costs incurred, which include site                           SUMMARY:   The Food and Drug                            information, please refer to http://
                                                    selection and qualification, protocol                              Administration (FDA) is announcing the                  www.fda.gov/AboutFDA/
                                                    review, and study execution (initiation,                           following public workshop entitled                      WorkingatFDA/BuildingsandFacilities/
                                                    monitoring, closeout, and clinical site/                           ‘‘Refurbishing, Reconditioning,                         WhiteOakCampusInformation/
                                                    subject compensation—including                                     Rebuilding, Remarketing,                                ucm241740.htm.


                                               VerDate Sep<11>2014      17:52 Jul 15, 2016     Jkt 238001     PO 00000       Frm 00055    Fmt 4703   Sfmt 4703   E:\FR\FM\18JYN1.SGM    18JYN1


                                                                                    Federal Register / Vol. 81, No. 137 / Monday, July 18, 2016 / Notices                                                  46695

                                                    FOR FURTHER INFORMATION CONTACT:                           • Determine whether specific                        accommodate requests to make public
                                                    Felicia Brayboy, Center for Devices and                  procedures are necessary for each                     comments and participate in the
                                                    Radiological Health, Food and Drug                       activity as it relates to third-party                 focused sessions. Individuals and
                                                    Administration, 10903 New Hampshire                      services performed.                                   organizations with common interests are
                                                    Ave., Bldg. 66, Rm. 3464, Silver Spring,                   Registration: Registration is free and              urged to consolidate or coordinate their
                                                    MD 20993, 301–796–8086,                                  available on a first-come, first-served               presentations, and request time for a
                                                    Felicia.Brayboy@fda.hhs.gov.                             basis. Persons interested in attending                joint presentation, or submit requests for
                                                    SUPPLEMENTARY INFORMATION:
                                                                                                             this public workshop must register                    designated representatives to participate
                                                                                                             online by September 23, 2016, by 4 p.m.
                                                    I. Background                                                                                                  in the focused sessions. Following the
                                                                                                             Early registration is recommended
                                                                                                                                                                   close of registration, FDA will
                                                       On March 4, 2016, FDA published in                    because facilities are limited and,
                                                                                                             therefore, FDA may limit the number of                determine the amount of time allotted to
                                                    the Federal Register a notice (81 FR                                                                           each presenter and the approximate
                                                    11477) requesting comments from                          participants from each organization. If
                                                                                                             time and space permits, onsite                        time each oral presentation is to begin,
                                                    interested persons, including those                                                                            and will select and notify participants
                                                    engaged or otherwise interested in the                   registration on the day of the public
                                                                                                             workshop; will be provided beginning at               by September 30, 2016. All requests to
                                                    ‘‘Refurbishing, Reconditioning,                                                                                make oral presentations must be
                                                    Rebuilding, Remarketing,                                 7:30 a.m.
                                                                                                               If you need special accommodations                  received by the close of registration on
                                                    Remanufacturing, and Servicing of
                                                                                                             due to a disability, please contact Peggy             September 23, 2016, by 4 p.m. (EDT). If
                                                    Medical Devices,’’ including radiation-
                                                                                                             Roney, Office of Communication,                       selected as a presenter, any presentation
                                                    emitting devices subject to the
                                                                                                             Education, and Radiation Programs,                    materials must be emailed to Felicia
                                                    electronic product radiation control
                                                                                                             301–796–5671, email: Peggy.roney@                     Brayboy (see FOR FURTHER INFORMATION
                                                    provisions of the Federal Food, Drug,
                                                                                                             fda.hhs.gov, no later than October 13,                CONTACT) no later than October 13, 2016.
                                                    and Cosmetic Act. FDA took this action,                  2016.
                                                    in part, because various stakeholders                                                                          No commercial or promotional material
                                                                                                               To register for the public workshop,                will be permitted to be presented or
                                                    have expressed concerns about the                        please visit FDA’s Medical Devices
                                                    quality, safety, and continued                                                                                 distributed at the public workshop.
                                                                                                             News & Events—Workshops &
                                                    effectiveness of medical devices that                    Conferences calendar at http://                          Transcripts: Please be advised that as
                                                    have been subject to one or more of                      www.fda.gov/MedicalDevices/                           soon as a transcript is available, it will
                                                    these activities. This docket asked that                 NewsEvents/WorkshopsConferences/                      be accessible at http://
                                                    interested persons, including Original                   default.htm. (Select this meeting/public              www.regulations.gov. It may be viewed
                                                    equipment manufacturers (OEMs),                          workshop from the posted events list.)                at the Division of Dockets Management
                                                    health care establishments, and third-                   Please provide complete contact                       (see ADDRESSES). A transcript will also
                                                    party entities review proposed terms                     information for each attendee, including              be available in either hardcopy or on
                                                    and definitions and provide edits if                     name, title, affiliation, address, email,             CD–ROM, after submission of a
                                                    applicable. The docket also sought                       and telephone number. Those without                   Freedom of Information request. The
                                                    insights into basic concepts with regard                 Internet access should contact Peggy                  Freedom of Information office address is
                                                    to these activities. FDA is currently                    Roney to register (see special                        available on the Agency’s Web site at
                                                    reviewing all of the comments and will                   accomodations contact). Registrants will              http://www.fda.gov. A link to the
                                                    use them to inform a set of working                      receive confirmation after they have
                                                    questions designed to promote an                                                                               transcripts will also be available
                                                                                                             been accepted. You will be notified if                approximately 45 days after the public
                                                    understanding of challenges and best                     you are on a waiting list.
                                                    practices to mitigate risks associated                     Streaming Webcast of the Public                     workshop on the Internet at http://
                                                    with these activities. These working                     Workshop: This public workshop will                   www.fda.gov/MedicalDevices/
                                                    questions will be addressed in group                     also be Webcast. The Webcast link will                NewsEvents/WorkshopsConferences/
                                                    discussions on both days of the                          be available on the registration Web                  default.htm. (Select this public
                                                    workshop.                                                page after October 20, 2016. If you have              workshop from the posted events list).
                                                    II. Topics for Discussion at the Public                  never attended a Connect Pro event                      Dated: July 13, 2016.
                                                    Workshop                                                 before, test your connection at https://              Leslie Kux,
                                                                                                             collaboration.fda.gov/common/help/en/
                                                       The public workshop sessions will                                                                           Associate Commissioner for Policy.
                                                                                                             support/meeting_test.htm. To get a
                                                    incorporate the following general                                                                              [FR Doc. 2016–16887 Filed 7–15–16; 8:45 am]
                                                                                                             quick overview of the Connect Pro
                                                    themes pertaining to the refurbishing,                   program, visit http://www.adobe.com/                  BILLING CODE 4164–01–P
                                                    reconditioning, rebuilding, remarketing,                 go/connectpro_overview. FDA has
                                                    remanufacturing, and servicing of                        verified the Web site addresses in this
                                                    medical devices:                                         document, as of the date this document                DEPARTMENT OF HEALTH AND
                                                       • Establish working definitions for                   publishes in the Federal Register, but                HUMAN SERVICES
                                                    third-party and OEM activities.                          Web sites are subject to change over
                                                       • Discuss benefits and challenges that                time.                                                 National Institutes of Health
                                                    stakeholders encounter, potential                          Requests for Oral Presentations: This
                                                    benefits and risks to patients/users, and                                                                      National Eye Institute; Notice of Closed
                                                                                                             public workshop includes a public
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                    failure modes of devices introduced as                   comment session and topic-focused                     Meeting
                                                    a result of performing activities                        sessions. During online registration you
                                                                                                                                                                     Pursuant to section 10(d) of the
                                                    associated with third-party entities.                    may indicate if you wish to present
                                                                                                                                                                   Federal Advisory Committee Act, as
                                                       • Identify current best practices and                 during a public comment session or
                                                    discuss alternative methods to mitigate                  participate in a specific session, and                amended (5 U.S.C. App.), notice is
                                                    risks associated with performing                         which topics you wish to address. FDA                 hereby given of the following meeting.
                                                    activities associated with third-party                   has included general topics in this                     The meeting will be closed to the
                                                    entities.                                                document. FDA will do its best to                     public in accordance with the


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Document Created: 2016-07-16 02:28:41
Document Modified: 2016-07-16 02:28:41
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice of public workshop.
DatesThe public workshop will be held on October 27, 2016, from 8:30 a.m. to 5 p.m. and October 28, 2016, from 8:30 a.m. to 4 p.m.
ContactFelicia Brayboy, Center for Devices and Radiological Health, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 66, Rm. 3464, Silver Spring, MD 20993, 301-796- 8086, [email protected]
FR Citation81 FR 46694 

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