83_FR_4161 83 FR 4141 - Medical Devices; General and Plastic Surgery Devices; Classification of the Surgical Smoke Precipitator

83 FR 4141 - Medical Devices; General and Plastic Surgery Devices; Classification of the Surgical Smoke Precipitator

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 83, Issue 20 (January 30, 2018)

Page Range4141-4143
FR Document2018-01639

The Food and Drug Administration (FDA or we) is classifying the surgical smoke precipitator into class II (special controls). The special controls that apply to the device type are identified in this order and will be part of the codified language for the surgical smoke precipitator's classification. We are taking this action because we have determined that classifying the device into class II (special controls) will provide a reasonable assurance of safety and effectiveness of the device. We believe this action will also enhance patients' access to beneficial innovative devices, in part by reducing regulatory burdens.

Federal Register, Volume 83 Issue 20 (Tuesday, January 30, 2018)
[Federal Register Volume 83, Number 20 (Tuesday, January 30, 2018)]
[Rules and Regulations]
[Pages 4141-4143]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-01639]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

21 CFR Part 878

[Docket No. FDA-2017-N-6598]


Medical Devices; General and Plastic Surgery Devices; 
Classification of the Surgical Smoke Precipitator

AGENCY: Food and Drug Administration, HHS.

ACTION: Final order.

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

SUMMARY: The Food and Drug Administration (FDA or we) is classifying 
the surgical smoke precipitator into class II (special controls). The 
special controls that apply to the device type are identified in this 
order and will be part of the codified language for the surgical smoke 
precipitator's classification. We are taking this action because we 
have determined that classifying the device into class II (special 
controls) will provide a reasonable assurance of safety and 
effectiveness of the device. We believe this action will also enhance 
patients' access to beneficial innovative devices, in part by reducing 
regulatory burdens.

DATES: This order is effective January 30, 2018. The classification was 
applicable on December 20, 2016.

FOR FURTHER INFORMATION CONTACT: Steven Elliott, Center for Devices and 
Radiological Health, Food and Drug Administration, 10903 New Hampshire 
Ave., Bldg. 66, Rm. 2565, Silver Spring, MD 20993-0002, 301-796-5285, 
[email protected].

SUPPLEMENTARY INFORMATION: 

I. Background

    Upon request, FDA has classified the surgical smoke precipitator as 
class II (special controls), which we have determined will provide a 
reasonable assurance of safety and effectiveness. In addition, we 
believe this action will enhance patients' access to beneficial 
innovation, in part by reducing regulatory burdens by placing the 
device into a lower device class than the automatic class III 
assignment.
    The automatic assignment of class III occurs by operation of law 
and without any action by FDA, regardless of the level of risk posed by 
the new device. Any device that was not in commercial distribution 
before May 28, 1976, is automatically classified as, and remains 
within, class III and requires premarket approval unless and until FDA 
takes an action to classify or reclassify the device (see 21 U.S.C. 
360c(f)(1)). We refer to these devices as ``postamendments devices'' 
because they were not in commercial distribution prior to the date of 
enactment of the Medical Device Amendments of 1976, which amended the 
Federal Food, Drug, and Cosmetic Act (FD&C Act).
    FDA may take a variety of actions in appropriate circumstances to 
classify or reclassify a device into class I or II. We may issue an 
order finding a new device to be substantially equivalent under section 
513(i) of the FD&C Act (21 U.S.C. 360c(i)) to a predicate device that 
does not require premarket approval. We determine whether a new device 
is substantially equivalent to a predicate by means of the procedures 
for premarket notification under section 510(k) of the FD&C Act and 
part 807 (21 U.S.C. 360(k) and 21 CFR part 807, respectively).
    FDA may also classify a device through ``De Novo'' classification, 
a common name for the process authorized under section 513(f)(2) of the 
FD&C Act. Section 207 of the Food and Drug Administration Modernization 
Act

[[Page 4142]]

of 1997 established the first procedure for De Novo classification 
(Pub. L. 105-115). Section 607 of the Food and Drug Administration 
Safety and Innovation Act modified the De Novo application process by 
adding a second procedure (Pub. L. 112-144). A device sponsor may 
utilize either procedure for De Novo classification.
    Under the first procedure, the person submits a 510(k) for a device 
that has not previously been classified. After receiving an order from 
FDA classifying the device into class III under section 513(f)(1) of 
the FD&C Act, the person then requests a classification under section 
513(f)(2).
    Under the second procedure, rather than first submitting a 510(k) 
and then a request for classification, if the person determines that 
there is no legally marketed device upon which to base a determination 
of substantial equivalence, that person requests a classification under 
section 513(f)(2) of the FD&C Act.
    Under either procedure for De Novo classification, FDA shall 
classify the device by written order within 120 days. The 
classification will be according to the criteria under section 
513(a)(1) of the FD&C Act. Although the device was automatically placed 
within class III, the De Novo classification is considered to be the 
initial classification of the device.
    We believe this De Novo classification will enhance patients' 
access to beneficial innovation, in part by reducing regulatory 
burdens. When FDA classifies a device into class I or II via the De 
Novo process, the device can serve as a predicate for future devices of 
that type, including for 510(k)s (see 21 U.S.C. 360c(f)(2)(B)(i)). As a 
result, other device sponsors do not have to submit a De Novo request 
or premarket approval application in order to market a substantially 
equivalent device (see 21 U.S.C. 360c(i), defining ``substantial 
equivalence''). Instead, sponsors can use the less-burdensome 510(k) 
process, when necessary, to market their device.

II. De Novo Classification

    On May 26, 2015, Alesi Surgical submitted a request for De Novo 
classification of the UltravisionTM Visual Field Clearing 
System. FDA reviewed the request in order to classify the device under 
the criteria for classification set forth in section 513(a)(1) of the 
FD&C Act.
    We classify devices into class II if general controls by themselves 
are insufficient to provide reasonable assurance of safety and 
effectiveness, but there is sufficient information to establish special 
controls that, in combination with the general controls, provide 
reasonable assurance of the safety and effectiveness of the device for 
its intended use (see 21 U.S.C. 360c(a)(1)(B)). After review of the 
information submitted in the request, we determined that the device can 
be classified into class II with the establishment of special controls. 
FDA has determined that these special controls, in addition to the 
general controls, will provide reasonable assurance of the safety and 
effectiveness of the device.
    Therefore, on December 20, 2016, FDA issued an order to the 
requester classifying the device into class II. FDA is codifying the 
classification of the device by adding 21 CFR 878.5050. We have named 
the generic type of device surgical smoke precipitator, and it is 
identified as a prescription device intended for clearance of the 
visual field by precipitation of surgical smoke and other aerosolized 
particulate matter created during laparoscopic surgery.
    FDA has identified the following risks to health associated 
specifically with this type of device and the measures required to 
mitigate these risks in table 1.

   Table 1--Surgical Smoke Precipitator Risks and Mitigation Measures
------------------------------------------------------------------------
            Identified risks                   Mitigation measures
------------------------------------------------------------------------
Electrical shock.......................  Electrical safety testing and
                                          Labeling.
Electromagnetic interference with other  Electromagnetic compatibility
 devices.                                 testing and Labeling.
Infection..............................  Sterilization validation, Shelf-
                                          life validation, and Labeling.
Adverse tissue reaction................  Biocompatibility evaluation.
Tissue injury..........................  Animal testing; Software
                                          verification, validation, and
                                          hazard analysis; and Labeling.
------------------------------------------------------------------------

    FDA has determined that special controls, in combination with the 
general controls, address these risks to health and provide reasonable 
assurance of safety and effectiveness. For a device to fall within this 
classification, and thus avoid automatic classification in class III, 
it would have to comply with the special controls named in this final 
order. The necessary special controls appear in the regulation codified 
by this order. This device is subject to premarket notification 
requirements under section 510(k) of the FD&C Act.
    At the time of classification, surgical smoke precipitators are for 
prescription use only. Prescription devices are exempt from the 
requirement for adequate directions for use for the layperson under 
section 502(f)(1) of the FD&C Act (21 U.S.C. 352(f)(1)) and 21 CFR 
801.5, as long as the conditions of 21 CFR 801.109 are met (referring 
to 21 U.S.C. 352(f)(1)).

III. Analysis of Environmental Impact

    The Agency has determined under 21 CFR 25.34(b) that this action is 
of a type that does not individually or cumulatively have a significant 
effect on the human environment. Therefore, neither an environmental 
assessment nor an environmental impact statement is required.

IV. Paperwork Reduction Act of 1995

    This final order establishes special controls that refer to 
previously approved collections of information found in other FDA 
regulations. These collections of information are subject to review by 
the Office of Management and Budget (OMB) under the Paperwork Reduction 
Act of 1995 (44 U.S.C. 3501-3520). The collections of information in 
the guidance document ``De Novo Classification Process (Evaluation of 
Automatic Class III Designation)'' have been approved under OMB control 
number 0910-0844; the collections of information in 21 CFR part 814, 
subparts A through E, regarding premarket approval, have been approved 
under OMB control number 0910-0231; the collections of information part 
807, subpart E, regarding premarket notification submissions, have been 
approved under OMB control number 0910-0120, and the collections of 
information in 21 CFR part 801, regarding labeling, have been approved 
under OMB control number 0910-0485.

List of Subjects in 21 CFR Part 878

    Medical devices.


[[Page 4143]]


    Therefore, under the Federal Food, Drug, and Cosmetic Act and under 
authority delegated to the Commissioner of Food and Drugs, 21 CFR part 
878 is amended as follows:

PART 878--GENERAL AND PLASTIC SURGERY DEVICES

0
1. The authority citation for part 878 continues to read as follows:

    Authority:  21 U.S.C. 351, 360, 360c, 360e, 360j, 360l, 371.


0
2. Add Sec.  878.5050 to subpart F to read as follows:


Sec.  878.5050  Surgical smoke precipitator.

    (a) Identification. A surgical smoke precipitator is a prescription 
device intended for clearance of the visual field by precipitation of 
surgical smoke and other aerosolized particulate matter created during 
laparoscopic surgery.
    (b) Classification. Class II (special controls). The special 
controls for this device are:
    (1) Adverse tissue reaction must be mitigated through the 
following:
    (i) Chemical characterization and toxicological risk assessment of 
the treated surgical smoke.
    (ii) Demonstration that the elements of the device that may contact 
the patient are biocompatible.
    (2) Electrical safety and electromagnetic compatibility testing 
must demonstrate that the device performs as intended.
    (3) Software verification, validation, and hazard analysis must be 
performed.
    (4) Performance data must demonstrate the sterility of the patient 
contacting components of the device.
    (5) Performance data must support the shelf life of the sterile 
components of the device by demonstrating continued functionality, 
sterility, and package integrity over the identified shelf life.
    (6) Animal simulated-use testing must demonstrate that the device 
performs as intended under anticipated conditions of use. The following 
performance characteristics must be tested:
    (i) Device must be demonstrated to be effectively inserted, 
positioned, and removed from the site of use.
    (ii) Device must be demonstrated to precipitate surgical smoke 
particulates to clear the visual field for laparoscopic surgeries.
    (iii) Device must be demonstrated to be non-damaging to the site of 
use and animal subject.
    (7) Labeling must identify the following:
    (i) Detailed instructions for use.
    (ii) Electrical safety and electromagnetic compatibility 
information.
    (iii) A shelf life.

    Dated: January 24, 2018.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2018-01639 Filed 1-29-18; 8:45 am]
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                                                               Federal Register / Vol. 83, No. 20 / Tuesday, January 30, 2018 / Rules and Regulations                                           4141

                                             § 870.1251 Temporary catheter for embolic                  (4) Performance data must                           and effectiveness of the device. We
                                             protection during transcatheter intracardiac            demonstrate the sterility of the device                believe this action will also enhance
                                             procedures.                                             components intended to be provided                     patients’ access to beneficial innovative
                                                (a) Identification. This device is a                 sterile.                                               devices, in part by reducing regulatory
                                             single use percutaneous catheter system                    (5) Performance data must support the               burdens.
                                             that has (a) blood filter(s) at the distal              shelf life of the device by demonstrating              DATES: This order is effective January
                                             end. This device is indicated for use                   continued sterility, package integrity,                30, 2018. The classification was
                                             while performing transcatheter                          and device functionality over the                      applicable on December 20, 2016.
                                             intracardiac procedures. The device is                  identified shelf life.                                 FOR FURTHER INFORMATION CONTACT:
                                             used to filter blood in a manner that                      (6) Labeling for the device must
                                             may prevent embolic material                                                                                   Steven Elliott, Center for Devices and
                                                                                                     include:                                               Radiological Health, Food and Drug
                                             (thrombus/debris) from the transcatheter                   (i) Instructions for use;
                                             intracardiac procedure from traveling                                                                          Administration, 10903 New Hampshire
                                                                                                        (ii) Compatible transcatheter                       Ave., Bldg. 66, Rm. 2565, Silver Spring,
                                             towards the cerebral circulation.                       intracardiac procedure devices;
                                                (b) Classification. Class II (special                                                                       MD 20993–0002, 301–796–5285,
                                                                                                        (iii) A detailed summary of the                     steven.elliott@fda.hhs.gov.
                                             controls). The special controls for this                clinical testing conducted; and
                                             device are:                                                                                                    SUPPLEMENTARY INFORMATION:
                                                                                                        (iv) A shelf life and storage
                                                (1) Non-clinical performance testing                                                                        I. Background
                                                                                                     conditions.
                                             must demonstrate that the device
                                                                                                        (7) Clinical performance testing must                 Upon request, FDA has classified the
                                             performs as intended under anticipated
                                                                                                     demonstrate:                                           surgical smoke precipitator as class II
                                             conditions of use. The following
                                                                                                        (i) The ability to safely deliver,                  (special controls), which we have
                                             performance characteristics must be
                                                                                                     deploy, and remove the device;                         determined will provide a reasonable
                                             tested:
                                                (i) Simulated-use testing in a                          (ii) The ability of the device to filter            assurance of safety and effectiveness. In
                                             clinically relevant bench anatomic                      embolic material while not impeding                    addition, we believe this action will
                                             model to assess the following:                          blood flow;                                            enhance patients’ access to beneficial
                                                (A) Delivery, deployment, and                           (iii) Secure positioning and stability              innovation, in part by reducing
                                             retrieval, including quantifying                        of the position throughout the                         regulatory burdens by placing the
                                             deployment and retrieval forces, and                    transcatheter intracardiac procedure;                  device into a lower device class than the
                                             procedural time; and                                    and                                                    automatic class III assignment.
                                                (B) Device compatibility and lack of                    (iv) Evaluation of all adverse events                 The automatic assignment of class III
                                             interference with the transcatheter                     including death, stroke, and vascular                  occurs by operation of law and without
                                             intracardiac procedure and device.                      injury.                                                any action by FDA, regardless of the
                                                (ii) Tensile strengths of joints and                   Dated: January 24, 2018.                             level of risk posed by the new device.
                                             components, tip flexibility, torque                     Leslie Kux,                                            Any device that was not in commercial
                                             strength, torque response, and kink                     Associate Commissioner for Policy.                     distribution before May 28, 1976, is
                                             resistance.                                             [FR Doc. 2018–01638 Filed 1–29–18; 8:45 am]            automatically classified as, and remains
                                                (iii) Flow characteristics.                                                                                 within, class III and requires premarket
                                                (A) The ability of the filter to not                 BILLING CODE 4164–01–P
                                                                                                                                                            approval unless and until FDA takes an
                                             impede blood flow.                                                                                             action to classify or reclassify the device
                                                (B) The amount of time the filter can                                                                       (see 21 U.S.C. 360c(f)(1)). We refer to
                                             be deployed in position and/or retrieved                DEPARTMENT OF HEALTH AND
                                                                                                     HUMAN SERVICES                                         these devices as ‘‘postamendments
                                             from its location without disrupting                                                                           devices’’ because they were not in
                                             blood flow.                                             Food and Drug Administration                           commercial distribution prior to the
                                                (iv) Characterization and verification                                                                      date of enactment of the Medical Device
                                             of all dimensions.                                                                                             Amendments of 1976, which amended
                                                (2) Animal testing must demonstrate                  21 CFR Part 878
                                                                                                                                                            the Federal Food, Drug, and Cosmetic
                                             that the device performs as intended                    [Docket No. FDA–2017–N–6598]
                                                                                                                                                            Act (FD&C Act).
                                             under anticipated conditions of use. The
                                                                                                     Medical Devices; General and Plastic                     FDA may take a variety of actions in
                                             following performance characteristics
                                                                                                     Surgery Devices; Classification of the                 appropriate circumstances to classify or
                                             must be assessed:
                                                (i) Delivery, deployment, and                        Surgical Smoke Precipitator                            reclassify a device into class I or II. We
                                             retrieval, including quantifying                                                                               may issue an order finding a new device
                                             procedural time.                                        AGENCY:    Food and Drug Administration,               to be substantially equivalent under
                                                (ii) Device compatibility and lack of                HHS.                                                   section 513(i) of the FD&C Act (21
                                             interference with the transcatheter                     ACTION:   Final order.                                 U.S.C. 360c(i)) to a predicate device that
                                             intracardiac procedure and device.                                                                             does not require premarket approval.
                                                (iii) Flow characteristics.                          SUMMARY:   The Food and Drug                           We determine whether a new device is
                                                (A) The ability of the filter to not                 Administration (FDA or we) is                          substantially equivalent to a predicate
                                             impede blood flow.                                      classifying the surgical smoke                         by means of the procedures for
                                                (B) The amount of time the filter can                precipitator into class II (special                    premarket notification under section
                                             be deployed in position and/or retrieved                controls). The special controls that                   510(k) of the FD&C Act and part 807 (21
                                             from its location without disrupting                    apply to the device type are identified                U.S.C. 360(k) and 21 CFR part 807,
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                                             blood flow.                                             in this order and will be part of the                  respectively).
                                                (iv) Gross pathology and                             codified language for the surgical smoke                 FDA may also classify a device
                                             histopathology assessing vascular injury                precipitator’s classification. We are                  through ‘‘De Novo’’ classification, a
                                             and downstream embolization.                            taking this action because we have                     common name for the process
                                                (3) All patient contacting components                determined that classifying the device                 authorized under section 513(f)(2) of the
                                             of the device must be demonstrated to                   into class II (special controls) will                  FD&C Act. Section 207 of the Food and
                                             be biocompatible.                                       provide a reasonable assurance of safety               Drug Administration Modernization Act


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                                             4142                     Federal Register / Vol. 83, No. 20 / Tuesday, January 30, 2018 / Rules and Regulations

                                             of 1997 established the first procedure                                    the De Novo classification is considered                        but there is sufficient information to
                                             for De Novo classification (Pub. L. 105–                                   to be the initial classification of the                         establish special controls that, in
                                             115). Section 607 of the Food and Drug                                     device.                                                         combination with the general controls,
                                             Administration Safety and Innovation                                          We believe this De Novo classification                       provide reasonable assurance of the
                                             Act modified the De Novo application                                       will enhance patients’ access to                                safety and effectiveness of the device for
                                             process by adding a second procedure                                       beneficial innovation, in part by                               its intended use (see 21 U.S.C.
                                             (Pub. L. 112–144). A device sponsor                                        reducing regulatory burdens. When FDA                           360c(a)(1)(B)). After review of the
                                             may utilize either procedure for De                                        classifies a device into class I or II via                      information submitted in the request,
                                             Novo classification.                                                       the De Novo process, the device can                             we determined that the device can be
                                                Under the first procedure, the person                                   serve as a predicate for future devices of                      classified into class II with the
                                             submits a 510(k) for a device that has                                     that type, including for 510(k)s (see 21                        establishment of special controls. FDA
                                             not previously been classified. After                                      U.S.C. 360c(f)(2)(B)(i)). As a result, other                    has determined that these special
                                             receiving an order from FDA classifying                                    device sponsors do not have to submit                           controls, in addition to the general
                                             the device into class III under section                                    a De Novo request or premarket                                  controls, will provide reasonable
                                             513(f)(1) of the FD&C Act, the person                                      approval application in order to market                         assurance of the safety and effectiveness
                                             then requests a classification under                                       a substantially equivalent device (see 21                       of the device.
                                             section 513(f)(2).                                                         U.S.C. 360c(i), defining ‘‘substantial                             Therefore, on December 20, 2016,
                                                                                                                        equivalence’’). Instead, sponsors can use
                                                Under the second procedure, rather                                                                                                      FDA issued an order to the requester
                                                                                                                        the less-burdensome 510(k) process,
                                             than first submitting a 510(k) and then                                                                                                    classifying the device into class II. FDA
                                                                                                                        when necessary, to market their device.
                                             a request for classification, if the person                                                                                                is codifying the classification of the
                                             determines that there is no legally                                        II. De Novo Classification                                      device by adding 21 CFR 878.5050. We
                                             marketed device upon which to base a                                          On May 26, 2015, Alesi Surgical                              have named the generic type of device
                                             determination of substantial                                               submitted a request for De Novo                                 surgical smoke precipitator, and it is
                                             equivalence, that person requests a                                        classification of the UltravisionTM                             identified as a prescription device
                                             classification under section 513(f)(2) of                                  Visual Field Clearing System. FDA                               intended for clearance of the visual field
                                             the FD&C Act.                                                              reviewed the request in order to classify                       by precipitation of surgical smoke and
                                                Under either procedure for De Novo                                      the device under the criteria for                               other aerosolized particulate matter
                                             classification, FDA shall classify the                                     classification set forth in section                             created during laparoscopic surgery.
                                             device by written order within 120 days.                                   513(a)(1) of the FD&C Act.                                         FDA has identified the following risks
                                             The classification will be according to                                       We classify devices into class II if                         to health associated specifically with
                                             the criteria under section 513(a)(1) of                                    general controls by themselves are                              this type of device and the measures
                                             the FD&C Act. Although the device was                                      insufficient to provide reasonable                              required to mitigate these risks in table
                                             automatically placed within class III,                                     assurance of safety and effectiveness,                          1.

                                                                                    TABLE 1—SURGICAL SMOKE PRECIPITATOR RISKS AND MITIGATION MEASURES
                                                                                        Identified risks                                                                                 Mitigation measures

                                             Electrical shock .........................................................................................       Electrical safety testing and Labeling.
                                             Electromagnetic interference with other devices .....................................                            Electromagnetic compatibility testing and Labeling.
                                             Infection ....................................................................................................   Sterilization validation, Shelf-life validation, and Labeling.
                                             Adverse tissue reaction ............................................................................             Biocompatibility evaluation.
                                             Tissue injury .............................................................................................      Animal testing; Software verification, validation, and hazard analysis;
                                                                                                                                                                and Labeling.



                                               FDA has determined that special                                          21 CFR 801.109 are met (referring to 21                         the guidance document ‘‘De Novo
                                             controls, in combination with the                                          U.S.C. 352(f)(1)).                                              Classification Process (Evaluation of
                                             general controls, address these risks to                                   III. Analysis of Environmental Impact                           Automatic Class III Designation)’’ have
                                             health and provide reasonable assurance                                                                                                    been approved under OMB control
                                             of safety and effectiveness. For a device                                     The Agency has determined under 21                           number 0910–0844; the collections of
                                             to fall within this classification, and                                    CFR 25.34(b) that this action is of a type                      information in 21 CFR part 814,
                                             thus avoid automatic classification in                                     that does not individually or
                                                                                                                                                                                        subparts A through E, regarding
                                             class III, it would have to comply with                                    cumulatively have a significant effect on
                                                                                                                                                                                        premarket approval, have been
                                             the special controls named in this final                                   the human environment. Therefore,
                                                                                                                        neither an environmental assessment                             approved under OMB control number
                                             order. The necessary special controls                                                                                                      0910–0231; the collections of
                                             appear in the regulation codified by this                                  nor an environmental impact statement
                                                                                                                        is required.                                                    information part 807, subpart E,
                                             order. This device is subject to                                                                                                           regarding premarket notification
                                             premarket notification requirements                                        IV. Paperwork Reduction Act of 1995                             submissions, have been approved under
                                             under section 510(k) of the FD&C Act.                                        This final order establishes special                          OMB control number 0910–0120, and
                                               At the time of classification, surgical                                  controls that refer to previously                               the collections of information in 21 CFR
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                                             smoke precipitators are for prescription                                   approved collections of information                             part 801, regarding labeling, have been
                                             use only. Prescription devices are                                         found in other FDA regulations. These                           approved under OMB control number
                                             exempt from the requirement for                                            collections of information are subject to                       0910–0485.
                                             adequate directions for use for the                                        review by the Office of Management and
                                             layperson under section 502(f)(1) of the                                   Budget (OMB) under the Paperwork                                List of Subjects in 21 CFR Part 878
                                             FD&C Act (21 U.S.C. 352(f)(1)) and 21                                      Reduction Act of 1995 (44 U.S.C. 3501–                            Medical devices.
                                             CFR 801.5, as long as the conditions of                                    3520). The collections of information in


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                                                                 Federal Register / Vol. 83, No. 20 / Tuesday, January 30, 2018 / Rules and Regulations                                                  4143

                                               Therefore, under the Federal Food,                            (iii) A shelf life.                                PART 51—PASSPORTS
                                             Drug, and Cosmetic Act and under                            Dated: January 24, 2018.
                                             authority delegated to the Commissioner                                                                            ■ Accordingly, the interim final rule
                                                                                                       Leslie Kux,
                                             of Food and Drugs, 21 CFR part 878 is                                                                              amending 22 CFR part 51, which was
                                                                                                       Associate Commissioner for Policy.                       published at 81 FR 67156 on September
                                             amended as follows:
                                                                                                       [FR Doc. 2018–01639 Filed 1–29–18; 8:45 am]              30, 2016, is adopted as a final rule
                                             PART 878—GENERAL AND PLASTIC                              BILLING CODE 4164–01–P                                   without change.
                                             SURGERY DEVICES
                                                                                                                                                                Carl C. Risch,
                                             ■ 1. The authority citation for part 878                                                                           Assistant Secretary, Consular Affairs.
                                             continues to read as follows:                             DEPARTMENT OF STATE                                      [FR Doc. 2018–01708 Filed 1–29–18; 8:45 am]
                                               Authority: 21 U.S.C. 351, 360, 360c, 360e,              22 CFR Part 51
                                                                                                                                                                BILLING CODE 4710–06–P
                                             360j, 360l, 371.
                                             ■ 2. Add § 878.5050 to subpart F to read                  [Public Notice: 9867]
                                             as follows:                                                                                                        DEPARTMENT OF HOMELAND
                                                                                                       RIN 1400–AE01                                            SECURITY
                                             § 878.5050       Surgical smoke precipitator.
                                                (a) Identification. A surgical smoke                   Passports: Service Passports                             Coast Guard
                                             precipitator is a prescription device
                                             intended for clearance of the visual field                AGENCY:      Department of State.                        33 CFR Part 117
                                             by precipitation of surgical smoke and                    ACTION:     Final rule.                                  [Docket No. USCG–2018–0025]
                                             other aerosolized particulate matter
                                             created during laparoscopic surgery.                      SUMMARY:    This rule finalizes the interim              Drawbridge Operation Regulation;
                                                (b) Classification. Class II (special                  final rule from the Department of State                  Willamette River, Portland, OR
                                             controls). The special controls for this                  that established a new service passport,
                                             device are:                                               which may be approved for certain non-                   AGENCY: Coast Guard, DHS.
                                                (1) Adverse tissue reaction must be                    personal services contractors who travel                 ACTION:Notice of deviation from
                                             mitigated through the following:                          abroad in support of and pursuant to a                   drawbridge regulation.
                                                (i) Chemical characterization and                      contract with the U.S. government. The
                                             toxicological risk assessment of the                      Department received no public                            SUMMARY:   The Coast Guard has issued a
                                             treated surgical smoke.                                   comments in response to the rule.                        temporary deviation from the operating
                                                (ii) Demonstration that the elements                   DATES: Effective January 30, 2018.                       schedule that governs the Broadway
                                             of the device that may contact the                                                                                 Bridge across the Willamette River, mile
                                                                                                       FOR FURTHER INFORMATION CONTACT:
                                             patient are biocompatible.                                                                                         11.7, at Portland, OR. The deviation is
                                                                                                       Sitara Kedilaya, Attorney-Adviser,
                                                (2) Electrical safety and                                                                                       necessary to make adjustments to new
                                                                                                       PassportRules@state.gov, (202) 485–
                                             electromagnetic compatibility testing                                                                              equipment. This deviation allows the
                                                                                                       6500.
                                             must demonstrate that the device                                                                                   bridge to operate the double bascule
                                             performs as intended.                                     SUPPLEMENTARY INFORMATION:      On                       span one side at a time, single leaf.
                                                (3) Software verification, validation,                 September 30, 2016, the Department                       DATES: This deviation is effective
                                             and hazard analysis must be performed.                    published an interim final rule                          without actual notice from January 30,
                                                (4) Performance data must                              amending 22 CFR part 51, to create a                     2018, to 11:59 p.m. on February 23,
                                             demonstrate the sterility of the patient                  ‘‘service passport’’ that would be used                  2018. For the purposes of enforcement,
                                             contacting components of the device.                      by non-personal services contractors to                  actual notice will be used from 1 a.m.
                                                (5) Performance data must support the                  carry out critical security, maintenance                 on January 27, 2018, through January
                                             shelf life of the sterile components of                   and other functions on behalf of the U.S.                30, 2018.
                                             the device by demonstrating continued                     government. As noted in the interim
                                                                                                                                                                ADDRESSES: The docket for this
                                             functionality, sterility, and package                     final rule, the Department estimates that
                                                                                                                                                                deviation, USCG–2018–0025, is
                                             integrity over the identified shelf life.                 this rulemaking will affect
                                                                                                                                                                available at http://www.regulations.gov.
                                                (6) Animal simulated-use testing must                  approximately 1,000 non-personal
                                                                                                                                                                Type the docket number in the
                                             demonstrate that the device performs as                   services contractors per year. Further
                                                                                                                                                                ‘‘SEARCH’’ box and click ‘‘SEARCH.’’
                                             intended under anticipated conditions                     information concerning the rationale for
                                                                                                                                                                Click on Open Docket Folder on the line
                                             of use. The following performance                         this rule can be found in the interim
                                                                                                                                                                associated with this deviation.
                                             characteristics must be tested:                           final rule.
                                                                                                          The Department provided 60 days for                   FOR FURTHER INFORMATION CONTACT: If
                                                (i) Device must be demonstrated to be
                                             effectively inserted, positioned, and                     the public to comment on this rule. This                 you have questions on this temporary
                                             removed from the site of use.                             period expired on November 29, 2016.                     deviation, call or email Mr. Steven
                                                (ii) Device must be demonstrated to                    The Department received no public                        Fischer, Bridge Administrator,
                                             precipitate surgical smoke particulates                   comments.                                                Thirteenth Coast Guard District;
                                             to clear the visual field for laparoscopic                   The Regulatory Findings included                      telephone 206–220–7282, email
                                             surgeries.                                                with the interim final rule are                          Steven.M.Fischer@uscg.mil.
                                                (iii) Device must be demonstrated to                   incorporated herein. This rule is not an                 SUPPLEMENTARY INFORMATION:
                                             be non-damaging to the site of use and                    E.O. 13771 regulatory action because it                  Multnomah County, the bridge owner,
rmajette on DSKBCKNHB2PROD with RULES




                                             animal subject.                                           is not significant under E.O. 12866.                     requested the Broadway Bridge be
                                                (7) Labeling must identify the                                                                                  authorized to open half the span in
                                                                                                       List of Subjects in 22 CFR Part 51                       single leaf mode to make adjustments to
                                             following:
                                                (i) Detailed instructions for use.                       Administrative practice and                            newly installed equipment. The
                                                (ii) Electrical safety and                             procedure, Drug traffic control,                         Broadway Bridge crosses the Willamette
                                             electromagnetic compatibility                             Passports and visas, Reporting and                       River at mile 11.7, and provides 90 feet
                                             information.                                              recordkeeping requirements.                              of vertical clearance above Columbia


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Document Created: 2018-10-26 10:11:49
Document Modified: 2018-10-26 10:11:49
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionRules and Regulations
ActionFinal order.
DatesThis order is effective January 30, 2018. The classification was applicable on December 20, 2016.
ContactSteven Elliott, Center for Devices and Radiological Health, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 66, Rm. 2565, Silver Spring, MD 20993-0002, 301-796-5285, [email protected]
FR Citation83 FR 4141 

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