82_FR_58666 82 FR 58429 - Notice to Public of Website Location of Center for Devices and Radiological Health Fiscal Year 2018 Proposed Guidance Development

82 FR 58429 - Notice to Public of Website Location of Center for Devices and Radiological Health Fiscal Year 2018 Proposed Guidance Development

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 82, Issue 237 (December 12, 2017)

Page Range58429-58431
FR Document2017-26721

The Food and Drug Administration (FDA or the Agency) is announcing the website location where the Agency will post two lists of guidance documents that CDRH (or the Center) intends to publish in fiscal year (FY) 2018. In addition, FDA has established a docket where interested persons may comment on the priority of topics for guidance, provide comments and/or propose draft language for those topics, suggest topics for new or different guidance documents, comment on the applicability of guidance documents that have issued previously, and provide any other comments that could benefit the CDRH guidance program and its engagement with stakeholders. This feedback is critical to the CDRH guidance program to ensure that we meet stakeholder needs.

Federal Register, Volume 82 Issue 237 (Tuesday, December 12, 2017)
[Federal Register Volume 82, Number 237 (Tuesday, December 12, 2017)]
[Notices]
[Pages 58429-58431]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-26721]



[[Page 58429]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2012-N-1021]


Notice to Public of Website Location of Center for Devices and 
Radiological Health Fiscal Year 2018 Proposed Guidance Development

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice.

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

SUMMARY: The Food and Drug Administration (FDA or the Agency) is 
announcing the website location where the Agency will post two lists of 
guidance documents that CDRH (or the Center) intends to publish in 
fiscal year (FY) 2018. In addition, FDA has established a docket where 
interested persons may comment on the priority of topics for guidance, 
provide comments and/or propose draft language for those topics, 
suggest topics for new or different guidance documents, comment on the 
applicability of guidance documents that have issued previously, and 
provide any other comments that could benefit the CDRH guidance program 
and its engagement with stakeholders. This feedback is critical to the 
CDRH guidance program to ensure that we meet stakeholder needs.

DATES: Submit either electronic or written comments by February 12, 
2018.

ADDRESSES: You may submit comments as follows:

Electronic Submissions

    Submit electronic comments in the following way:
     Federal eRulemaking Portal: https://www.regulations.gov. 
Follow the instructions for submitting comments. Comments submitted 
electronically, including attachments, to https://www.regulations.gov 
will be posted to the docket unchanged. Because your comment will be 
made public, you are solely responsible for ensuring that your comment 
does not include any confidential information that you or a third party 
may not wish to be posted, such as medical information, your or anyone 
else's Social Security number, or confidential business information, 
such as a manufacturing process. Please note that if you include your 
name, contact information, or other information that identifies you in 
the body of your comments, that information will be posted on https://www.regulations.gov.
     If you want to submit a comment with confidential 
information that you do not wish to be made available to the public, 
submit the comment as a written/paper submission and in the manner 
detailed (see ``Written/Paper Submissions'' and ``Instructions'').

Written/Paper Submissions

    Submit written/paper submissions as follows:
     Mail/Hand delivery/Courier (for written/paper 
submissions): Dockets Management Staff (HFA-305), Food and Drug 
Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.
     For written/paper comments submitted to the Dockets 
Management Staff, FDA will post your comment, as well as any 
attachments, except for information submitted, marked and identified, 
as confidential, if submitted as detailed in ``Instructions.''
    Instructions: All submissions received must include the Docket No. 
FDA-2012-N-1021 for ``Notice to Public of Website Location of CDRH 
Fiscal Year 2018 Proposed Guidance Development.'' Received comments 
will be placed in the docket and, except for those submitted as 
``Confidential Submissions,'' publicly viewable at https://www.regulations.gov or at the Dockets Management Staff between 9 a.m. 
and 4 p.m., Monday through Friday.
     Confidential Submissions--To submit a comment with 
confidential information that you do not wish to be made publicly 
available, submit your comments only as a written/paper submission. You 
should submit two copies total. One copy will include the information 
you claim to be confidential with a heading or cover note that states 
``THIS DOCUMENT CONTAINS CONFIDENTIAL INFORMATION.'' The Agency will 
review this copy, including the claimed confidential information, in 
its consideration of comments. The second copy, which will have the 
claimed confidential information redacted/blacked out, will be 
available for public viewing and posted on https://www.regulations.gov. 
Submit both copies to the Dockets Management Staff. If you do not wish 
your name and contact information to be made publicly available, you 
can provide this information on the cover sheet and not in the body of 
your comments and you must identify this information as 
``confidential.'' Any information marked as ``confidential'' will not 
be disclosed except in accordance with 21 CFR 10.20 and other 
applicable disclosure law. For more information about FDA's posting of 
comments to public dockets, see 80 FR 56469, September 18, 2015, or 
access the information at: https://www.thefederalregister.org/fdsys/pkg/FR-2015-09-18/pdf/2015-23389.pdf.
    Docket: For access to the docket to read background documents or 
the electronic and written/paper comments received, go to https://www.regulations.gov and insert the docket number, found in brackets in 
the heading of this document, into the ``Search'' box and follow the 
prompts and/or go to the Dockets Management Staff, 5630 Fishers Lane, 
Rm. 1061, Rockville, MD 20852.

FOR FURTHER INFORMATION CONTACT: Erica Takai, Center for Devices and 
Radiological Health, Food and Drug Administration, 10903 New Hampshire 
Ave., Bldg. 66, Rm. 5456, Silver Spring, MD 20993-0002, 301-796-6353.

SUPPLEMENTARY INFORMATION:

I. Background

    During negotiations on the Medical Device User Fee Amendments of 
2012 (MDUFA III), Title II, Food and Drug Administration Safety and 
Innovation Act (Pub. L. 112-114), FDA agreed to meet a variety of 
quantitative and qualitative goals intended to help get safe and 
effective medical devices to market more quickly. Among these 
commitments included:
     Annually posting a list of priority medical device 
guidance documents that the Agency intends to publish within 12 months 
of the date this list is published each fiscal year (the ``A-list''), 
and
     Annually posting a list of device guidance documents that 
the Agency intends to publish, as the Agency's guidance-development 
resources permit each fiscal year (the ``B-list'').
    The Medical Device User Fee Amendments of 2017 (MDUFA IV), FDA 
Reauthorization Act of 2017 (Pub. L. 115-52) maintained these 
commitments.
    FDA welcomes comments on any or all of the guidance documents on 
the lists as explained in 21 CFR 10.115(f)(5). FDA has established 
Docket No. FDA-2012-N-1021 where comments on the FY 2018 lists, draft 
language for guidance documents on those topics, suggestions for new or 
different guidances, and relative priority of guidance documents may be 
submitted and shared with the public (see ADDRESSES). FDA believes this 
docket is a valuable tool for receiving information from interested 
persons and will update these lists after considering public comments, 
where appropriate. FDA anticipates that feedback from interested 
persons will allow CDRH to better prioritize and more efficiently draft 
guidances to meet the needs of the Agency and our stakeholders.
    In addition to posting the lists of prioritized device guidance 
documents,

[[Page 58430]]

FDA has committed to updating its website in a timely manner to reflect 
the Agency's review of previously published guidance documents, 
including the deletion of guidance documents that no longer represent 
the Agency's interpretation of or policy on a regulatory issue.
    Fulfillment of these commitments will be reflected through the 
issuance of updated guidance on existing topics, removal of guidances 
that no longer reflect FDA's current thinking on a particular topic, 
and annual updates to the A-list and B-list announced in this notice.

II. CDRH Guidance Development Initiatives

A. Finalization of Draft Guidance Documents

    CDRH has identified as a priority, and has devoted resources to, 
finalization of draft guidance documents. To assure the timely 
completion or re-issuance of draft guidances, in FY 2015 CDRH committed 
to performance goals for current and future draft guidance documents. 
For draft guidance documents issued after October 1, 2014, CDRH 
committed to finalize, withdraw, re-open the comment period, or issue 
new draft guidance on the topic for 80 percent of the documents within 
3 years of the close of the comment period and for the remaining 20 
percent, within 5 years. As part of MDUFA IV commitments, FDA 
reaffirmed this commitment, as resources permit. In addition, in FY 
2017, CDRH withdrew 4 of 8 draft guidances issued prior to October 1, 
2011, and has been continuing to work towards taking an action on the 
remaining draft guidances. Looking forward, in FY 2018, CDRH will 
strive to finalize, withdraw, or re-open the comment period for 50 
percent of existing draft guidances issued prior to October 1, 2012.

B. Earlier Stakeholder Involvement in Guidance Development

    CDRH has received feedback that stakeholders desire earlier 
involvement in the guidance process and has taken steps to create a 
mechanism to address this request. In FY 2016, in anticipation of 
guidance documents expected to be developed, CDRH sought stakeholder 
input regarding electromagnetic compatibility of electrically powered 
medical devices and regarding utilizing animal studies to evaluate the 
safety of organ preservation devices and solutions. FDA appreciated the 
feedback received and considered it in the development of these 
guidances. Demonstrating commitment to incorporating stakeholder input, 
CDRH issued a draft guidance in FY17 on utilizing animal studies to 
evaluate the safety of organ preservation devices, and is progressing 
toward issuance of draft policies reflecting early stakeholder input as 
appropriate.
    FDA also welcomes any additional feedback for improving the 
guidance program and the quality of CDRH guidance documents.

C. Applicability of Previously Issued Final Guidance

    CDRH has issued over 600 final guidance documents to provide 
stakeholders with the Agency's thinking on numerous topics. Each 
guidance reflected the Agency's current position at the time that it 
was issued. However, the guidance program has issued these guidances 
over a period of 30 years, raising the question of how current 
previously issued final guidances remain. CDRH has resolved to address 
this concern through a staged review of previously issued final 
guidances in collaboration with stakeholders. At the website where CDRH 
has posted the ``A-list'' and ``B-list'' for FY 2018, CDRH has also 
posted a list of final guidance documents that issued in 2008, 1998, 
1988, and 1978.\1\ CDRH is interested in external feedback on whether 
any of these final guidances should be revised or withdrawn. In 
addition, for guidances that are recommended for revision, information 
explaining the need for revision, such as the impact and risk to public 
health associated with not revising the guidance, would also be helpful 
as the Center considers potential action with respect to these 
guidances. CDRH intends to provide these lists of previously issued 
final guidances annually through FY 2025 so that by 2025, FDA and 
stakeholders will have assessed the applicability of all guidances 
older than 10 years. For instance, in the annual notice for FY 2019, 
CDRH expects to provide a list of the final guidance documents that 
issued in 2009, 1999, 1989, and 1979; the annual notice for FY 2020 is 
expected to provide a list of the final guidance documents that issued 
in 2010, 2000, 1990, and 1980, and so on. CDRH will consider the 
comments received from this retrospective review when determining 
priorities for updating guidance documents and will revise these as 
resources permit.
---------------------------------------------------------------------------

    \1\ The retrospective list of final guidances does not include 
the following: (1) Documents that are not guidances but were 
inadvertently categorized as guidance such as scientific 
publications, advisory opinions, and interagency agreements; (2) 
guidances actively being revised by CDRH; and (3) special controls 
documents.
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    In FY 2017, CDRH received comments regarding guidances issued in 
2007, 1997, and 1987, and has withdrawn 32 guidance documents in 
response to comments received and because these guidance documents were 
determined to no longer represent the Agency's current thinking. The 
revision of several guidance documents is also being considered as 
resources permit.
    Consistent with the Good Guidance Practices regulation at 21 CFR 
10.115(f)(4), CDRH would appreciate suggestions that CDRH revise or 
withdraw an already existing guidance document. We request that the 
suggestion clearly explain why the guidance document should be revised 
or withdrawn and, if applicable, how it should be revised. While we are 
requesting feedback on the list of previously issued final guidances 
located in the annual agenda website, feedback on any guidance is 
appreciated and will be considered.

III. Website Location of Guidance Lists

    This notice announces the website location of the document that 
provides the A and B lists of guidance documents, which CDRH is 
intending to publish during FY 2018. To access these two lists, visit 
FDA's website at https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/GuidanceDocuments/ucm580172.htm. We note 
that the topics on this and past guidance priority lists may be removed 
or modified based on current priorities, as well as comments received 
regarding these lists. Furthermore, FDA and CDRH priorities are subject 
to change at any time (e.g., newly identified safety issues). The 
Agency is not required to publish every guidance on either list if the 
resources needed would be to the detriment of meeting quantitative 
review timelines and statutory obligations. In addition, the Agency is 
not precluded from issuing guidance documents that are not on either 
list.
    Stakeholder feedback on guidance priorities is important to ensure 
that the CDRH guidance program meets the needs of stakeholders. The 
feedback received on the FY 2017 list was mostly in agreement, and CDRH 
continued to work toward issuing the guidances on this list. In FY 
2017, CDRH issued 9 of 27 guidances on the FY 2017 list (6 from the A-
list, 3 from the B-list). At this time, CDRH has decided not to pursue 
several guidances that were on the FY 2017 A or B list, due to factors 
including feedback from industry.


[[Page 58431]]


    Dated: December 7, 2017.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2017-26721 Filed 12-11-17; 8:45 am]
 BILLING CODE 4164-01-P



                                                                          Federal Register / Vol. 82, No. 237 / Tuesday, December 12, 2017 / Notices                                             58429

                                               DEPARTMENT OF HEALTH AND                                written/paper submission and in the                      Docket: For access to the docket to
                                               HUMAN SERVICES                                          manner detailed (see ‘‘Written/Paper                  read background documents or the
                                                                                                       Submissions’’ and ‘‘Instructions’’).                  electronic and written/paper comments
                                               Food and Drug Administration                                                                                  received, go to https://
                                                                                                       Written/Paper Submissions
                                               [Docket No. FDA–2012–N–1021]                                                                                  www.regulations.gov and insert the
                                                                                                          Submit written/paper submissions as                docket number, found in brackets in the
                                               Notice to Public of Website Location of                 follows:                                              heading of this document, into the
                                               Center for Devices and Radiological                        • Mail/Hand delivery/Courier (for                  ‘‘Search’’ box and follow the prompts
                                               Health Fiscal Year 2018 Proposed                        written/paper submissions): Dockets                   and/or go to the Dockets Management
                                               Guidance Development                                    Management Staff (HFA–305), Food and                  Staff, 5630 Fishers Lane, Rm. 1061,
                                                                                                       Drug Administration, 5630 Fishers                     Rockville, MD 20852.
                                               AGENCY:    Food and Drug Administration,                Lane, Rm. 1061, Rockville, MD 20852.                  FOR FURTHER INFORMATION CONTACT:
                                               HHS.
                                                                                                          • For written/paper comments                       Erica Takai, Center for Devices and
                                               ACTION:   Notice.                                       submitted to the Dockets Management                   Radiological Health, Food and Drug
                                               SUMMARY:   The Food and Drug                            Staff, FDA will post your comment, as                 Administration, 10903 New Hampshire
                                               Administration (FDA or the Agency) is                   well as any attachments, except for                   Ave., Bldg. 66, Rm. 5456, Silver Spring,
                                               announcing the website location where                   information submitted, marked and                     MD 20993–0002, 301–796–6353.
                                               the Agency will post two lists of                       identified, as confidential, if submitted             SUPPLEMENTARY INFORMATION:
                                               guidance documents that CDRH (or the                    as detailed in ‘‘Instructions.’’
                                                                                                          Instructions: All submissions received             I. Background
                                               Center) intends to publish in fiscal year
                                               (FY) 2018. In addition, FDA has                         must include the Docket No. FDA–                         During negotiations on the Medical
                                               established a docket where interested                   2012–N–1021 for ‘‘Notice to Public of                 Device User Fee Amendments of 2012
                                               persons may comment on the priority of                  Website Location of CDRH Fiscal Year                  (MDUFA III), Title II, Food and Drug
                                               topics for guidance, provide comments                   2018 Proposed Guidance Development.’’                 Administration Safety and Innovation
                                               and/or propose draft language for those                 Received comments will be placed in                   Act (Pub. L. 112–114), FDA agreed to
                                               topics, suggest topics for new or                       the docket and, except for those                      meet a variety of quantitative and
                                               different guidance documents, comment                   submitted as ‘‘Confidential                           qualitative goals intended to help get
                                               on the applicability of guidance                        Submissions,’’ publicly viewable at                   safe and effective medical devices to
                                               documents that have issued previously,                  https://www.regulations.gov or at the                 market more quickly. Among these
                                               and provide any other comments that                     Dockets Management Staff between 9                    commitments included:
                                               could benefit the CDRH guidance                         a.m. and 4 p.m., Monday through                          • Annually posting a list of priority
                                               program and its engagement with                         Friday.                                               medical device guidance documents
                                               stakeholders. This feedback is critical to                 • Confidential Submissions—To                      that the Agency intends to publish
                                               the CDRH guidance program to ensure                     submit a comment with confidential                    within 12 months of the date this list is
                                               that we meet stakeholder needs.                         information that you do not wish to be                published each fiscal year (the ‘‘A-list’’),
                                               DATES: Submit either electronic or                      made publicly available, submit your                  and
                                               written comments by February 12, 2018.                  comments only as a written/paper                         • Annually posting a list of device
                                               ADDRESSES: You may submit comments                      submission. You should submit two                     guidance documents that the Agency
                                               as follows:                                             copies total. One copy will include the               intends to publish, as the Agency’s
                                                                                                       information you claim to be confidential              guidance-development resources permit
                                               Electronic Submissions                                  with a heading or cover note that states              each fiscal year (the ‘‘B-list’’).
                                                 Submit electronic comments in the                     ‘‘THIS DOCUMENT CONTAINS                                 The Medical Device User Fee
                                               following way:                                          CONFIDENTIAL INFORMATION.’’ The                       Amendments of 2017 (MDUFA IV), FDA
                                                 • Federal eRulemaking Portal:                         Agency will review this copy, including               Reauthorization Act of 2017 (Pub. L.
                                               https://www.regulations.gov. Follow the                 the claimed confidential information, in              115–52) maintained these commitments.
                                               instructions for submitting comments.                   its consideration of comments. The                       FDA welcomes comments on any or
                                               Comments submitted electronically,                      second copy, which will have the                      all of the guidance documents on the
                                               including attachments, to https://                      claimed confidential information                      lists as explained in 21 CFR 10.115(f)(5).
                                               www.regulations.gov will be posted to                   redacted/blacked out, will be available               FDA has established Docket No. FDA–
                                               the docket unchanged. Because your                      for public viewing and posted on                      2012–N–1021 where comments on the
                                               comment will be made public, you are                    https://www.regulations.gov. Submit                   FY 2018 lists, draft language for
                                               solely responsible for ensuring that your               both copies to the Dockets Management                 guidance documents on those topics,
                                               comment does not include any                            Staff. If you do not wish your name and               suggestions for new or different
                                               confidential information that you or a                  contact information to be made publicly               guidances, and relative priority of
                                               third party may not wish to be posted,                  available, you can provide this                       guidance documents may be submitted
                                               such as medical information, your or                    information on the cover sheet and not                and shared with the public (see
                                               anyone else’s Social Security number, or                in the body of your comments and you                  ADDRESSES). FDA believes this docket is
                                               confidential business information, such                 must identify this information as                     a valuable tool for receiving information
                                               as a manufacturing process. Please note                 ‘‘confidential.’’ Any information marked              from interested persons and will update
                                               that if you include your name, contact                  as ‘‘confidential’’ will not be disclosed             these lists after considering public
                                               information, or other information that                  except in accordance with 21 CFR 10.20                comments, where appropriate. FDA
ethrower on DSK3G9T082PROD with NOTICES




                                               identifies you in the body of your                      and other applicable disclosure law. For              anticipates that feedback from interested
                                               comments, that information will be                      more information about FDA’s posting                  persons will allow CDRH to better
                                               posted on https://www.regulations.gov.                  of comments to public dockets, see 80                 prioritize and more efficiently draft
                                                 • If you want to submit a comment                     FR 56469, September 18, 2015, or access               guidances to meet the needs of the
                                               with confidential information that you                  the information at: https://www.gpo.gov/              Agency and our stakeholders.
                                               do not wish to be made available to the                 fdsys/pkg/FR-2015-09-18/pdf/2015-                        In addition to posting the lists of
                                               public, submit the comment as a                         23389.pdf.                                            prioritized device guidance documents,


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                                               58430                      Federal Register / Vol. 82, No. 237 / Tuesday, December 12, 2017 / Notices

                                               FDA has committed to updating its                       incorporating stakeholder input, CDRH                    updating guidance documents and will
                                               website in a timely manner to reflect the               issued a draft guidance in FY17 on                       revise these as resources permit.
                                               Agency’s review of previously                           utilizing animal studies to evaluate the                   In FY 2017, CDRH received comments
                                               published guidance documents,                           safety of organ preservation devices, and                regarding guidances issued in 2007,
                                               including the deletion of guidance                      is progressing toward issuance of draft                  1997, and 1987, and has withdrawn 32
                                               documents that no longer represent the                  policies reflecting early stakeholder                    guidance documents in response to
                                               Agency’s interpretation of or policy on                 input as appropriate.                                    comments received and because these
                                               a regulatory issue.                                        FDA also welcomes any additional                      guidance documents were determined
                                                  Fulfillment of these commitments                                                                              to no longer represent the Agency’s
                                                                                                       feedback for improving the guidance
                                               will be reflected through the issuance of                                                                        current thinking. The revision of several
                                                                                                       program and the quality of CDRH
                                               updated guidance on existing topics,                                                                             guidance documents is also being
                                                                                                       guidance documents.
                                               removal of guidances that no longer                                                                              considered as resources permit.
                                               reflect FDA’s current thinking on a                     C. Applicability of Previously Issued
                                               particular topic, and annual updates to                                                                            Consistent with the Good Guidance
                                                                                                       Final Guidance
                                               the A-list and B-list announced in this                                                                          Practices regulation at 21 CFR
                                               notice.                                                    CDRH has issued over 600 final                        10.115(f)(4), CDRH would appreciate
                                                                                                       guidance documents to provide                            suggestions that CDRH revise or
                                               II. CDRH Guidance Development                           stakeholders with the Agency’s thinking                  withdraw an already existing guidance
                                               Initiatives                                             on numerous topics. Each guidance                        document. We request that the
                                               A. Finalization of Draft Guidance                       reflected the Agency’s current position                  suggestion clearly explain why the
                                               Documents                                               at the time that it was issued. However,                 guidance document should be revised or
                                                                                                       the guidance program has issued these                    withdrawn and, if applicable, how it
                                                 CDRH has identified as a priority, and                                                                         should be revised. While we are
                                               has devoted resources to, finalization of               guidances over a period of 30 years,
                                                                                                       raising the question of how current                      requesting feedback on the list of
                                               draft guidance documents. To assure the                                                                          previously issued final guidances
                                               timely completion or re-issuance of                     previously issued final guidances
                                                                                                       remain. CDRH has resolved to address                     located in the annual agenda website,
                                               draft guidances, in FY 2015 CDRH                                                                                 feedback on any guidance is appreciated
                                               committed to performance goals for                      this concern through a staged review of
                                                                                                       previously issued final guidances in                     and will be considered.
                                               current and future draft guidance
                                               documents. For draft guidance                           collaboration with stakeholders. At the                  III. Website Location of Guidance Lists
                                               documents issued after October 1, 2014,                 website where CDRH has posted the ‘‘A-
                                                                                                       list’’ and ‘‘B-list’’ for FY 2018, CDRH                     This notice announces the website
                                               CDRH committed to finalize, withdraw,
                                                                                                       has also posted a list of final guidance                 location of the document that provides
                                               re-open the comment period, or issue
                                                                                                       documents that issued in 2008, 1998,                     the A and B lists of guidance
                                               new draft guidance on the topic for 80
                                                                                                       1988, and 1978.1 CDRH is interested in                   documents, which CDRH is intending to
                                               percent of the documents within 3 years
                                                                                                       external feedback on whether any of                      publish during FY 2018. To access these
                                               of the close of the comment period and
                                                                                                       these final guidances should be revised                  two lists, visit FDA’s website at https://
                                               for the remaining 20 percent, within 5
                                                                                                       or withdrawn. In addition, for guidances                 www.fda.gov/MedicalDevices/
                                               years. As part of MDUFA IV
                                                                                                       that are recommended for revision,                       DeviceRegulationandGuidance/
                                               commitments, FDA reaffirmed this
                                                                                                       information explaining the need for                      GuidanceDocuments/ucm580172.htm.
                                               commitment, as resources permit. In
                                                                                                       revision, such as the impact and risk to                 We note that the topics on this and past
                                               addition, in FY 2017, CDRH withdrew
                                                                                                       public health associated with not                        guidance priority lists may be removed
                                               4 of 8 draft guidances issued prior to
                                                                                                       revising the guidance, would also be                     or modified based on current priorities,
                                               October 1, 2011, and has been
                                                                                                       helpful as the Center considers potential                as well as comments received regarding
                                               continuing to work towards taking an
                                                                                                       action with respect to these guidances.                  these lists. Furthermore, FDA and CDRH
                                               action on the remaining draft guidances.
                                                                                                       CDRH intends to provide these lists of                   priorities are subject to change at any
                                               Looking forward, in FY 2018, CDRH
                                                                                                       previously issued final guidances                        time (e.g., newly identified safety
                                               will strive to finalize, withdraw, or re-
                                                                                                       annually through FY 2025 so that by                      issues). The Agency is not required to
                                               open the comment period for 50 percent
                                                                                                       2025, FDA and stakeholders will have                     publish every guidance on either list if
                                               of existing draft guidances issued prior
                                                                                                       assessed the applicability of all                        the resources needed would be to the
                                               to October 1, 2012.
                                                                                                       guidances older than 10 years. For                       detriment of meeting quantitative
                                               B. Earlier Stakeholder Involvement in                   instance, in the annual notice for FY                    review timelines and statutory
                                               Guidance Development                                    2019, CDRH expects to provide a list of                  obligations. In addition, the Agency is
                                                 CDRH has received feedback that                       the final guidance documents that                        not precluded from issuing guidance
                                               stakeholders desire earlier involvement                 issued in 2009, 1999, 1989, and 1979;                    documents that are not on either list.
                                               in the guidance process and has taken                   the annual notice for FY 2020 is                            Stakeholder feedback on guidance
                                               steps to create a mechanism to address                  expected to provide a list of the final                  priorities is important to ensure that the
                                               this request. In FY 2016, in anticipation               guidance documents that issued in                        CDRH guidance program meets the
                                               of guidance documents expected to be                    2010, 2000, 1990, and 1980, and so on.                   needs of stakeholders. The feedback
                                               developed, CDRH sought stakeholder                      CDRH will consider the comments                          received on the FY 2017 list was mostly
                                               input regarding electromagnetic                         received from this retrospective review                  in agreement, and CDRH continued to
                                               compatibility of electrically powered                   when determining priorities for                          work toward issuing the guidances on
ethrower on DSK3G9T082PROD with NOTICES




                                               medical devices and regarding utilizing                                                                          this list. In FY 2017, CDRH issued 9 of
                                               animal studies to evaluate the safety of                  1 The retrospective list of final guidances does not   27 guidances on the FY 2017 list (6 from
                                               organ preservation devices and                          include the following: (1) Documents that are not        the A-list, 3 from the B-list). At this
                                               solutions. FDA appreciated the feedback                 guidances but were inadvertently categorized as          time, CDRH has decided not to pursue
                                                                                                       guidance such as scientific publications, advisory
                                               received and considered it in the                       opinions, and interagency agreements; (2)
                                                                                                                                                                several guidances that were on the FY
                                               development of these guidances.                         guidances actively being revised by CDRH; and (3)        2017 A or B list, due to factors including
                                               Demonstrating commitment to                             special controls documents.                              feedback from industry.


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                                                                          Federal Register / Vol. 82, No. 237 / Tuesday, December 12, 2017 / Notices                                           58431

                                                 Dated: December 7, 2017.                              Secretary, Department of Health and                   Advisory Council, in consultation with
                                               Leslie Kux,                                             Human Services.                                       the Secretaries of Defense and
                                               Associate Commissioner for Policy.                      ACTION: Notice.                                       Agriculture. Activities of the Advisory
                                               [FR Doc. 2017–26721 Filed 12–11–17; 8:45 am]                                                                  Council are governed by the provisions
                                                                                                       SUMMARY:   As stipulated by the Federal               of Public Law 92–463, as amended (5
                                               BILLING CODE 4164–01–P
                                                                                                       Advisory Committee Act, the                           U.S.C. App.), which sets forth standards
                                                                                                       Department of Health and Human                        for the formation and use of federal
                                               DEPARTMENT OF HEALTH AND                                Services (HHS) is hereby giving notice                advisory committees.
                                               HUMAN SERVICES                                          that a meeting is scheduled to be held                   The Advisory Council will provide
                                                                                                       on January 24, 2018, of the Presidential              advice, information, and
                                               Meeting of the Chronic Fatigue                          Advisory Council on Combating                         recommendations to the Secretary of
                                               Syndrome Advisory Committee;                            Antibiotic-Resistant Bacteria (Advisory               HHS regarding programs and policies
                                               Amendment                                               Council). The meeting will be open to                 intended to support and evaluate the
                                                                                                       the public; a public comment session                  implementation of Executive Order
                                               AGENCY:  Office of the Assistant                        will be held during the meeting. Pre-                 13676, including the National Strategy
                                               Secretary for Health, Office of the                     registration is required for members of               for Combating Antibiotic-Resistant
                                               Secretary, Department of Health and                     the public who wish to attend the                     Bacteria and the National Action Plan
                                               Human Services.                                         meeting and who wish to participate in                for Combating Antibiotic-Resistant
                                               ACTION: Notice; amendment.                              the public comment session. Individuals               Bacteria. The Advisory Council shall
                                                                                                       who wish to attend the meeting and/or                 function solely for advisory purposes.
                                               SUMMARY:   A notice was published in the                send in their public comment via email                   In carrying out its mission, the
                                               Federal Register on November 27, 2017,                  should send an email to CARB@hhs.gov.                 Advisory Council will provide advice,
                                               announcing an in-person meeting of the                  Registration information is available on              information, and recommendations to
                                               Chronic Fatigue Syndrome Advisory                       the website http://www.hhs.gov/ash/                   the Secretary regarding programs and
                                               Committee (CFSAC) on Wednesday,                         carb/ and must be completed by January                policies intended to preserve the
                                               December 13, 2017, from 9:00 a.m. until                 15, 2018; all in-person attendees must                effectiveness of antibiotics by
                                               3:30 p.m. and Thursday, December 14,                    pre-register by this date. Additional                 optimizing their use; advance research
                                               2017, from 9:00 a.m. until 5:00 p.m. The                information about registering for the                 to develop improved methods for
                                               meeting will be held at the U.S.                        meeting and providing public comment                  combating antibiotic resistance and
                                               Department of Health and Human                          can be obtained at http://www.hhs.gov/                conducting antibiotic stewardship;
                                               Services, Hubert H. Humphrey Building,                  ash/carb/ on the Meetings page.                       strengthen surveillance of antibiotic-
                                               Room 800, 200 Independence Avenue                                                                             resistant bacterial infections; prevent
                                                                                                       DATES: The meeting is scheduled to be
                                               SW, Washington, DC 20201. The notice                                                                          the transmission of antibiotic-resistant
                                               is being amended to provide security                    held on January 24, 2018, from 9:00 a.m.
                                                                                                       to 5:00 p.m. ET (times are tentative and              bacterial infections; advance the
                                               procedures to enter the Hubert H.                                                                             development of rapid point-of-care and
                                               Humphrey Building. Individuals                          subject to change). The confirmed times
                                                                                                       and agenda items for the meeting will be              agricultural diagnostics; further research
                                               interested in attending the meeting in                                                                        on new treatments for bacterial
                                               person need to show a state or federal                  posted on the website for the Advisory
                                                                                                       Council at http://www.hhs.gov/ash/                    infections; develop alternatives to
                                               government issued I.D. with a                                                                                 antibiotics for agricultural purposes;
                                               photograph. Individuals can also email                  carb/ when this information becomes
                                                                                                       available. Pre-registration for attending             maximize the dissemination of up-to-
                                               the CFSAC inbox (cfsac@hhs.gov) in                                                                            date information on the appropriate and
                                               order to have their names added to a list               the meeting in person is required to be
                                                                                                       completed no later than January 15,                   proper use of antibiotics to the general
                                               of attendees. However, it is still                                                                            public and human and animal
                                               necessary for individuals to present a                  2018; public attendance at the meeting
                                                                                                                                                             healthcare providers; and improve
                                               photo I.D. to gain entrance to Hubert H.                is limited to the available space.
                                                                                                                                                             international coordination of efforts to
                                               Humphrey Building. All participants                     ADDRESSES: U.S. Department of Health
                                                                                                                                                             combat antibiotic resistance.
                                               will be escorted to the meeting room.                   and Human Services, Hubert H.                            The public meeting will be dedicated
                                               Space is limited.                                       Humphrey Building, Great Hall, 200                    to two main activities. The Advisory
                                                                                                       Independence Avenue SW, Washington,                   Council will deliberate and vote on a
                                               FOR FURTHER INFORMATION CONTACT: CDR
                                                                                                       DC 20201.                                             letter drafted by the Immediate Action
                                               Gustavo Ceinos, 202–690–7650; Email                        The meeting can also be accessed
                                               address: cfsac@hhs.gov.                                                                                       Subcommittee. The remainder of the
                                                                                                       through a live webcast on the day of the              day will be focused on the topic of
                                                 Dated: December 6, 2017.                              meeting. For more information, visit                  antibiotic stewardship in food and
                                               Gustavo Ceinos,                                         http://www.hhs.gov/ash/carb/.                         companion animals. The meeting
                                               CDR, USPHS, Designated Federal Officer,                 FOR FURTHER INFORMATION CONTACT:                      agenda will be posted on the Advisory
                                               Chronic Fatigue Syndrome Advisory                       Jomana Musmar, Acting Designated                      Council website at http://www.hhs.gov/
                                               Committee.                                              Federal Officer, Presidential Advisory                ash/carb/ when it has been finalized.
                                               [FR Doc. 2017–26739 Filed 12–11–17; 8:45 am]            Council on Combating Antibiotic-                      All agenda items are tentative and
                                               BILLING CODE 4150–42–P                                  Resistant Bacteria, Office of the                     subject to change.
                                                                                                       Assistant Secretary for Health, U.S.                     Public attendance at the meeting is
                                                                                                       Department of Health and Human                        limited to the available space.
                                               DEPARTMENT OF HEALTH AND                                Services, Hubert H. Humphrey Building,                Individuals who plan to attend and
ethrower on DSK3G9T082PROD with NOTICES




                                               HUMAN SERVICES                                          200 Independence Avenue SW, Room                      need special assistance, such as sign
                                                                                                       715H, Washington, DC 20201. Phone:                    language interpretation or other
                                               Meeting of the Presidential Advisory                    (202) 690–5566; email: CARB@hhs.gov.
                                               Council on Combating Antibiotic-                                                                              reasonable accommodations, should
                                               Resistant Bacteria                                      SUPPLEMENTARY INFORMATION: Under                      notify the Advisory Council at the
                                                                                                       Executive Order 13676, dated                          address/telephone number listed above
                                               AGENCY:  Office of the Assistant                        September 18, 2014, authority was given               at least one week prior to the meeting.
                                               Secretary for Health, Office of the                     to the Secretary of HHS to establish the              For those unable to attend in person, a


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Document Created: 2018-10-25 10:49:03
Document Modified: 2018-10-25 10:49:03
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesSubmit either electronic or written comments by February 12, 2018.
ContactErica Takai, Center for Devices and Radiological Health, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 66, Rm. 5456, Silver Spring, MD 20993-0002, 301-796-6353.
FR Citation82 FR 58429 

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