83_FR_7085 83 FR 7052 - Pediatric Medical Device Development; Public Meeting; Request for Comments

83 FR 7052 - Pediatric Medical Device Development; Public Meeting; Request for Comments

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 83, Issue 33 (February 16, 2018)

Page Range7052-7054
FR Document2018-03215

The Food and Drug Administration (FDA, the Agency, or we) is announcing the following public meeting entitled ``Pediatric Medical Device Development.'' The purpose of the public meeting is to identify strategies to enhance the medical device ecosystem to cultivate development and innovation of devices that serve the unique needs of pediatric populations. (The Federal Food, Drug, and Cosmetic Act (FD&C Act) defines pediatric patients, for medical device purposes, as age 21 years or younger at the time of diagnosis or treatment and specifies categories of pediatric subpopulations.) Topics for discussion will include ways to improve research infrastructure and research networks to facilitate the conduct of clinical studies of pediatric devices, extrapolation, use of postmarket registries and data to increase pediatric medical device labeling, assistance to medical device manufacturers in developing devices for pediatric populations, and identifying barriers to pediatric device development and incentives to address such barriers.

Federal Register, Volume 83 Issue 33 (Friday, February 16, 2018)
[Federal Register Volume 83, Number 33 (Friday, February 16, 2018)]
[Notices]
[Pages 7052-7054]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-03215]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2018-N-0404]


Pediatric Medical Device Development; Public Meeting; Request for 
Comments

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice of public meeting; request for comments.

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

SUMMARY: The Food and Drug Administration (FDA, the Agency, or we) is 
announcing the following public meeting entitled ``Pediatric Medical 
Device Development.'' The purpose of the public meeting is to identify 
strategies to enhance the medical device ecosystem to cultivate 
development and innovation of devices that serve the unique needs of 
pediatric populations. (The Federal Food, Drug, and Cosmetic Act (FD&C 
Act) defines pediatric patients, for medical device purposes, as age 21 
years or younger at the time of diagnosis or treatment and specifies 
categories of pediatric subpopulations.) Topics for discussion will 
include ways to improve research infrastructure and research networks 
to facilitate the conduct of clinical studies of pediatric devices, 
extrapolation, use of postmarket registries and data to increase 
pediatric medical device

[[Page 7053]]

labeling, assistance to medical device manufacturers in developing 
devices for pediatric populations, and identifying barriers to 
pediatric device development and incentives to address such barriers.

DATES: The public meeting will be held on August 13 and August 14, 
2018, from 9 a.m. to 5 p.m. Submit either electronic or written 
comments on this public meeting by September 14, 2018. See the 
SUPPLEMENTARY INFORMATION section for registration information.

ADDRESSES: The public meeting will be held at FDA's White Oak Campus, 
10903 New Hampshire Ave., Bldg. 31 Conference Center, Rm. 1503 (the 
Great Room), Silver Spring, MD 20993-0002. Entrance for the public 
meeting participants (non-FDA employees) is through Building 1 where 
routine security check procedures will be performed. For parking and 
security information, please refer to https://www.fda.gov/AboutFDA/WorkingatFDA/BuildingsandFacilities/WhiteOakCampusInformation/ucm241740.htm.
    You may submit comments as follows. Please note that late, untimely 
filed comments will not be considered. Electronic comments must be 
submitted on or before September 14, 2018. The https://www.regulations.gov electronic filing system will accept comments until 
midnight Eastern Time at the end of September 14, 2018. Comments 
received by mail/hand delivery/courier (for written/paper submissions) 
will be considered timely if they are postmarked or the delivery 
service acceptance receipt is on or before that date.

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-2018-N-0404 for ``Pediatric Medical Device Development; Public 
Meeting; Request for Comments.'' Received comments, those filed in a 
timely manner (see ADDRESSES), 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: Victoria Wagman, Center for Devices 
and Radiological Health, Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 66, Rm. 5562, Silver Spring, MD 20993, 301-796-
6581, [email protected].

SUPPLEMENTARY INFORMATION:

I. Background

    For more than a decade, legislative changes and regulatory process 
improvements have been implemented to facilitate development of medical 
devices that serve the unique needs of pediatric populations. The FD&C 
Act defines pediatric patients, for medical device purposes, as age 21 
years or younger at the time of diagnosis or treatment and specifies 
categories of pediatric subpopulations (see section 520(m)(6)(E) of the 
FD&C Act (21 U.S.C. 360j(m)(6)(E))). Nevertheless, children and those 
who care for them continue to have limited medical device options. FDA 
seeks to identify opportunities to support development and innovation 
of medical devices designed and labeled for children. Engaging in such 
opportunities will not only serve children and their families but 
optimize the medical device ecosystem for all. The Agency invites all 
stakeholders, including representatives from the medical device 
industry, academia, recipients of funding under section 305 of the 
Pediatric Medical Device Safety and Improvement Act of 2007, medical 
provider organizations, and organizations and individuals representing 
patients and consumers to collaborate with us in addressing this 
important public health issue (See Pub. L. 110-85; 42 U.S.C. 282 note).
    FDA guidance documents entitled ``Premarket Assessment of Pediatric 
Medical Devices,'' ``Providing Information about Pediatric Uses of 
Medical Devices,'' and ``Leveraging Existing Clinical Data for 
Extrapolation to Pediatric Uses of Medical Devices,'' provide 
background information regarding pediatric medical device development 
(Refs. 1 to 3).

[[Page 7054]]

II. Topics for Discussion at the Public Meeting

    As mandated by section 502(d) of the FDA Reauthorization Act of 
2017 (FDARA), this FDA meeting on the development and labeling of 
pediatric medical devices is being convened with representatives from 
the medical device industry, academia, recipients of funding under 
section 305 of the Pediatric Medical Device Safety and Improvement Act 
of 2007, medical provider organizations, and organizations representing 
patients and consumers (see Pub. L. 110-85; 42 U.S.C. 282 note).
    As directly outlined in FDARA, the meeting shall include 
consideration of ways to: (1) Improve research infrastructure and 
research networks to facilitate the conduct of clinical studies of 
devices for pediatric populations that would result in the approval or 
clearance, and labeling of medical devices for such populations; (2) 
appropriately use extrapolation under section 515A(b) of the FD&C Act 
(21 U.S.C. 360e-1(b)); (3) enhance the appropriate use of postmarket 
registries and data to increase pediatric medical device labeling; (4) 
increase FDA assistance to medical device manufacturers in developing 
devices for pediatric populations that are approved or cleared, and 
labeled, for their use; and (5) identify current barriers to pediatric 
device development and incentives to address such barriers.
    A detailed agenda will be posted on the following website in 
advance of the workshop at https://www.fda.gov/MedicalDevices/NewsEvents/WorkshopsConferences/default.htm. Select this event from the 
list of items provided.

III. Participating in the Public Meeting

    Registration: To register for the public meeting, please visit 
FDA's Medical Devices News & Events--Workshops & Conferences calendar 
at https://www.fda.gov/MedicalDevices/NewsEvents/WorkshopsConferences/default.htm. (Select this public workshop from the posted events list.) 
Please provide complete contact information for each attendee, 
including name, title, affiliation, address, email, and telephone 
number.
    Registration is free, and in-person attendance is based on space 
availability, with priority given to early registrants. Persons 
interested in attending this public meeting must register by August 6, 
2018, 3 p.m. Eastern Time. Early registration is recommended because 
seating is limited; therefore, FDA may limit the number of participants 
from each organization. Registrants will receive confirmation when they 
have been accepted. If time and space permit, onsite registration on 
the day of the public workshop will be provided beginning at 7:30 a.m. 
We will let registrants know if registration closes before the day of 
the public meeting.
    If you need special accommodations due to a disability, please 
contact Peggy Roney at the Center for Devices and Radiological Health, 
Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 32, Rm. 
5231, Silver Spring, MD 20993-0002, 301-796-5671, 
[email protected], no later than June 1, 2018.
    Requests for Oral Presentations: During online registration, you 
may indicate if you wish to present during a public comment session and 
which topic(s) you wish to address. FDA will do its best to accommodate 
requests to make public comments. Individuals and organizations with 
common interests are urged to consolidate or coordinate their 
presentations, and request time for a joint presentation, or submit 
requests for designated representatives to participate in the focused 
sessions. We encourage persons who are interested in making an oral 
presentation during a public comment session to indicate their intent 
on the registration form by 3 p.m. Eastern Time on June 29, 2018. Based 
on the number of applicants for oral presentations, FDA will distribute 
the available time equally among all presenters and inform selected 
presenters of the public presentation agenda by July 6, 2018. If 
selected for presentation, any presentation materials must be emailed 
to Victoria Wagman at [email protected] no later than July 
13, 2018. No commercial or promotional material will be permitted to be 
presented or distributed at the public meeting.
    Streaming Webcast of the public meeting: This public meeting will 
also be webcast. The webcast link will be available on the registration 
web page after August 6, 2018. Please visit FDA's Medical Devices News 
& Events--Workshops & Conferences calendar (https://www.fda.gov/MedicalDevices/NewsEvents/WorkshopsConferences/default.htm) and select 
this event from the list of items provided. Organizations are requested 
to register all participants but view using one connection per 
location.
    If you have never attended a Connect Pro event before, test your 
connection at https://collaboration.fda.gov/common/help/en/support/meeting_test.htm. To get a quick overview of the Connect Pro program, 
visit https://www.adobe.com/go/connectpro_overview. FDA has verified 
the website addresses in this document as of the date this document 
publishes in the Federal Register, but websites are subject to change 
over time.
    Transcripts: Please be advised that as soon as a transcript of the 
public meeting is available, it will be accessible at https://www.regulations.gov. It may be viewed at the Dockets Management Staff 
(see ADDRESSES). A link to the transcript will also be available on the 
internet at https://www.fda.gov/MedicalDevices/NewsEvents/WorkshopsConferences/default.htm. (Select this public workshop from the 
posted events list.)

IV. References

    The following references are on display at the Dockets Management 
Staff (see ADDRESSES) and are available for viewing by interested 
persons between 9 a.m. and 4 p.m., Monday through Friday; they are also 
available electronically at https://www.regulations.gov.

    1. FDA's guidance for Industry and FDA Staff: ``Premarket 
Assessment of Pediatric Medical Devices,'' available at https://www.fda.gov/downloads/MedicalDevices/DeviceRegulationandGuidance/GuidanceDocuments/ucm089742.pdf.
    2. FDA's guidance for Industry and FDA Staff: ``Providing 
Information about Pediatric Uses of Medical Devices,'' available at 
https://www.fda.gov/downloads/MedicalDevices/DeviceRegulationandGuidance/GuidanceDocuments/UCM339465.pdf.
    3. FDA's guidance for Industry and FDA Staff: ``Leveraging 
Existing Clinical Data for Extrapolation to Pediatric Uses of 
Medical Devices,'' available at https://www.fda.gov/ucm/groups/fdagov-public/@fdagov-meddev-gen/documents/document/ucm444591.pdf.


    Dated: February 12, 2018.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2018-03215 Filed 2-15-18; 8:45 am]
BILLING CODE 4164-01-P



                                               7052                          Federal Register / Vol. 83, No. 33 / Friday, February 16, 2018 / Notices

                                               ‘‘THIS DOCUMENT CONTAINS                                whether their human medical product                   for any person and is not binding on
                                               CONFIDENTIAL INFORMATION.’’ The                         will be regulated as a drug, a device, a              FDA or the public. You can use an
                                               Agency will review this copy, including                 biologic, or a combination product, and               alternative approach if it satisfies the
                                               the claimed confidential information, in                which FDA medical product Agency                      requirements of the applicable statutes
                                               its consideration of comments. The                      Center (CDER, CBER, or CDRH) will                     and regulations. This guidance is not
                                               second copy, which will have the                        regulate it, if it is a non-combination               subject to Executive Order 12866.
                                               claimed confidential information                        product, or will have the primary
                                                                                                                                                             II. Paperwork Reduction Act of 1995
                                               redacted/blacked out, will be available                 jurisdiction for the premarket review
                                               for public viewing and posted on                        and regulation of the product, if it is a                This guidance refers to previously
                                               https://www.regulations.gov. Submit                     combination product.                                  approved collections of information
                                               both copies to the Dockets Management                      There are two ways that a sponsor can              found in FDA regulations. These
                                               Staff. If you do not wish your name and                 receive such a feedback from OCP. One                 collections of information are subject to
                                               contact information to be made publicly                 option is to submit an RFD to receive a               review by the Office of Management and
                                               available, you can provide this                         formal, binding determination for the                 Budget (OMB) under the Paperwork
                                               information on the cover sheet and not                  sponsor’s product with respect to                     Reduction Act of 1995 (44 U.S.C. 3501–
                                               in the body of your comments and you                    classification and/or center assignment               3520). The collections of information in
                                               must identify this information as                       that may be changed under conditions                  this guidance regarding how to prepare
                                               ‘‘confidential.’’ Any information marked                specified in section 563 of the Federal               a Pre-RFD have been approved under
                                               as ‘‘confidential’’ will not be disclosed               Food, Drug, and Cosmetic Act (21 U.S.C.               OMB control number 0910–0845.
                                               except in accordance with 21 CFR 10.20                  360bbb–2) and 21 CFR 3.9 in the                       III. Electronic Access
                                               and other applicable disclosure law. For                regulations. The RFD process is codified
                                                                                                       in 21 CFR part 3, and OCP has issued                     Persons with access to the internet
                                               more information about FDA’s posting
                                                                                                       a guidance about this process (see ‘‘How              may obtain the document at https://
                                               of comments to public dockets, see 80
                                                                                                       to Write a Request for Designation’’ at               www.fda.gov/RegulatoryInformation/
                                               FR 56469, September 18, 2015, or access
                                                                                                       https://www.fda.gov/                                  Guidances/ucm534661.htm.
                                               the information at: https://www.gpo.gov/
                                               fdsys/pkg/FR-2015-09-18/pdf/2015-                       RegulatoryInformation/Guidances/                        Dated: February 12, 2018.
                                               23389.pdf.                                              ucm126053.htm). A second more                         Leslie Kux,
                                                  Docket: For access to the docket to                  flexible option is for a sponsor to submit            Associate Commissioner for Policy.
                                               read background documents or the                        an inquiry to OCP to receive a                        [FR Doc. 2018–03230 Filed 2–15–18; 8:45 am]
                                               electronic and written/paper comments                   preliminary jurisdictional assessment,
                                                                                                                                                             BILLING CODE 4164–01–P
                                               received, go to https://                                which is not binding.
                                               www.regulations.gov and insert the                         Many sponsors seek to utilize a more
                                               docket number, found in brackets in the                 flexible, approachable way to interact                DEPARTMENT OF HEALTH AND
                                               heading of this document, into the                      with OCP and the medical product                      HUMAN SERVICES
                                               ‘‘Search’’ box and follow the prompts                   Agency Centers, to obtain feedback from
                                               and/or go to the Dockets Management                     the Agency before submitting a                        Food and Drug Administration
                                               Staff, 5630 Fishers Lane, Rm. 1061,                     marketing application to the Agency.
                                                                                                       Over time, these informal methods of                  [Docket No. FDA–2018–N–0404]
                                               Rockville, MD 20852.
                                                  You may submit comments on any                       obtaining feedback have become
                                                                                                                                                             Pediatric Medical Device Development;
                                               guidance at any time (see 21 CFR                        increasingly customary with sponsors,
                                                                                                                                                             Public Meeting; Request for Comments
                                               10.115(g)(5)).                                          and for some, even preferable to the
                                                  Submit written requests for a single                 formal RFD process. Accordingly, FDA                  AGENCY:    Food and Drug Administration,
                                               copies of this guidance entitled ‘‘How to               is enhancing the transparency and                     HHS.
                                               Prepare a Pre-Request for Designation                   consistency of such interaction, which                ACTION: Notice of public meeting;
                                               (Pre-RFD)’’ to the Office of Combination                will now be called the ‘‘Pre-Request for              request for comments.
                                               Products, Food and Drug                                 Designation (Pre-RFD) Program.’’
                                                                                                          This guidance describes this                       SUMMARY:    The Food and Drug
                                               Administration, 10903 New Hampshire                                                                           Administration (FDA, the Agency, or
                                                                                                       structured process with clear
                                               Ave., Bldg. 32, Rm. 5129, Silver Spring,                                                                      we) is announcing the following public
                                                                                                       recommendations for sponsors wishing
                                               MD 20993–0002. Send one self-                                                                                 meeting entitled ‘‘Pediatric Medical
                                                                                                       to submit Pre-RFDs. It also provides the
                                               addressed adhesive label to assist that                                                                       Device Development.’’ The purpose of
                                                                                                       process for review of Pre-RFDs by FDA
                                               office in processing your request. See                                                                        the public meeting is to identify
                                                                                                       staff, the general timeframes for
                                               the SUPPLEMENTARY INFORMATION section                                                                         strategies to enhance the medical device
                                                                                                       sponsors to receive feedback from OCP,
                                               for electronic access to the guidance                                                                         ecosystem to cultivate development and
                                                                                                       and the process for scheduling
                                               document.                                                                                                     innovation of devices that serve the
                                                                                                       teleconferences and meetings in relation
                                               FOR FURTHER INFORMATION CONTACT:                        to a Pre-RFD.                                         unique needs of pediatric populations.
                                               Leigh Hayes, Office of Combination                         FDA carefully considered the                       (The Federal Food, Drug, and Cosmetic
                                               Products, Food and Drug                                 comments received on the draft                        Act (FD&C Act) defines pediatric
                                               Administration, 10903 New Hampshire                     guidance, and, where appropriate, has                 patients, for medical device purposes, as
                                               Ave., Bldg. 32, Rm. 5129, Silver Spring,                revised the guidance to reflect such                  age 21 years or younger at the time of
                                               MD 20993–0002, 301–796–8930.                            comments. FDA encourages                              diagnosis or treatment and specifies
                                               SUPPLEMENTARY INFORMATION:                              stakeholders to contact OCP if they have              categories of pediatric subpopulations.)
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                                                                                                       additional questions.                                 Topics for discussion will include ways
                                               I. Background                                              This guidance is being issued                      to improve research infrastructure and
                                                  Since its establishment on December                  consistent with FDA’s good guidance                   research networks to facilitate the
                                               24, 2002, OCP has served as a resource                  practices regulation (21 CFR 10.115).                 conduct of clinical studies of pediatric
                                               for sponsors at various stages of                       The guidance represents the Agency’s                  devices, extrapolation, use of
                                               development of their products.                          current thinking on how to prepare a                  postmarket registries and data to
                                               Sponsors often seek OCP feedback on                     Pre-RFD. It does not establish any rights             increase pediatric medical device


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                                                                             Federal Register / Vol. 83, No. 33 / Friday, February 16, 2018 / Notices                                          7053

                                               labeling, assistance to medical device                  do not wish to be made available to the               fdsys/pkg/FR-2015-09-18/pdf/2015-
                                               manufacturers in developing devices for                 public, submit the comment as a                       23389.pdf.
                                               pediatric populations, and identifying                  written/paper submission and in the                      Docket: For access to the docket to
                                               barriers to pediatric device development                manner detailed (see ‘‘Written/Paper                  read background documents or the
                                               and incentives to address such barriers.                Submissions’’ and ‘‘Instructions’’).                  electronic and written/paper comments
                                               DATES: The public meeting will be held                  Written/Paper Submissions                             received, go to https://
                                               on August 13 and August 14, 2018, from                                                                        www.regulations.gov and insert the
                                               9 a.m. to 5 p.m. Submit either electronic                  Submit written/paper submissions as                docket number, found in brackets in the
                                               or written comments on this public                      follows:                                              heading of this document, into the
                                               meeting by September 14, 2018. See the                     • Mail/Hand delivery/Courier (for
                                                                                                                                                             ‘‘Search’’ box and follow the prompts
                                               SUPPLEMENTARY INFORMATION section for                   written/paper submissions): Dockets
                                                                                                                                                             and/or go to the Dockets Management
                                               registration information.                               Management Staff (HFA–305), Food and
                                                                                                                                                             Staff, 5630 Fishers Lane, Rm. 1061,
                                                                                                       Drug Administration, 5630 Fishers
                                               ADDRESSES: The public meeting will be                                                                         Rockville, MD 20852.
                                                                                                       Lane, Rm. 1061, Rockville, MD 20852.
                                               held at FDA’s White Oak Campus,                            • For written/paper comments                       FOR FURTHER INFORMATION CONTACT:
                                               10903 New Hampshire Ave., Bldg. 31                      submitted to the Dockets Management                   Victoria Wagman, Center for Devices
                                               Conference Center, Rm. 1503 (the Great                  Staff, FDA will post your comment, as                 and Radiological Health, Food and Drug
                                               Room), Silver Spring, MD 20993–0002.                    well as any attachments, except for                   Administration, 10903 New Hampshire
                                               Entrance for the public meeting                         information submitted, marked and                     Ave., Bldg. 66, Rm. 5562, Silver Spring,
                                               participants (non-FDA employees) is                     identified, as confidential, if submitted             MD 20993, 301–796–6581,
                                               through Building 1 where routine                        as detailed in ‘‘Instructions.’’                      Victoria.Wagman@fda.hhs.gov.
                                               security check procedures will be                          Instructions: All submissions received
                                               performed. For parking and security                                                                           SUPPLEMENTARY INFORMATION:
                                                                                                       must include the Docket No. FDA–
                                               information, please refer to https://                   2018–N–0404 for ‘‘Pediatric Medical                   I. Background
                                               www.fda.gov/AboutFDA/                                   Device Development; Public Meeting;
                                               WorkingatFDA/BuildingsandFacilities/                    Request for Comments.’’ Received                         For more than a decade, legislative
                                               WhiteOakCampusInformation/                              comments, those filed in a timely                     changes and regulatory process
                                               ucm241740.htm.                                          manner (see ADDRESSES), will be placed                improvements have been implemented
                                                  You may submit comments as                           in the docket and, except for those                   to facilitate development of medical
                                               follows. Please note that late, untimely                submitted as ‘‘Confidential                           devices that serve the unique needs of
                                               filed comments will not be considered.                  Submissions,’’ publicly viewable at                   pediatric populations. The FD&C Act
                                               Electronic comments must be submitted                   https://www.regulations.gov or at the                 defines pediatric patients, for medical
                                               on or before September 14, 2018. The                    Dockets Management Staff between 9                    device purposes, as age 21 years or
                                               https://www.regulations.gov electronic                  a.m. and 4 p.m., Monday through                       younger at the time of diagnosis or
                                               filing system will accept comments                      Friday.                                               treatment and specifies categories of
                                               until midnight Eastern Time at the end                     • Confidential Submissions—To                      pediatric subpopulations (see section
                                               of September 14, 2018. Comments                         submit a comment with confidential                    520(m)(6)(E) of the FD&C Act (21 U.S.C.
                                               received by mail/hand delivery/courier                  information that you do not wish to be                360j(m)(6)(E))). Nevertheless, children
                                               (for written/paper submissions) will be                 made publicly available, submit your                  and those who care for them continue
                                               considered timely if they are                           comments only as a written/paper                      to have limited medical device options.
                                               postmarked or the delivery service                      submission. You should submit two                     FDA seeks to identify opportunities to
                                               acceptance receipt is on or before that                 copies total. One copy will include the               support development and innovation of
                                               date.                                                   information you claim to be confidential              medical devices designed and labeled
                                               Electronic Submissions                                  with a heading or cover note that states              for children. Engaging in such
                                                                                                       ‘‘THIS DOCUMENT CONTAINS                              opportunities will not only serve
                                                 Submit electronic comments in the                                                                           children and their families but optimize
                                               following way:                                          CONFIDENTIAL INFORMATION.’’ The
                                                                                                       Agency will review this copy, including               the medical device ecosystem for all.
                                                 • Federal eRulemaking Portal:
                                                                                                       the claimed confidential information, in              The Agency invites all stakeholders,
                                               https://www.regulations.gov. Follow the
                                                                                                       its consideration of comments. The                    including representatives from the
                                               instructions for submitting comments.
                                               Comments submitted electronically,                      second copy, which will have the                      medical device industry, academia,
                                               including attachments, to https://                      claimed confidential information                      recipients of funding under section 305
                                               www.regulations.gov will be posted to                   redacted/blacked out, will be available               of the Pediatric Medical Device Safety
                                               the docket unchanged. Because your                      for public viewing and posted on                      and Improvement Act of 2007, medical
                                               comment will be made public, you are                    https://www.regulations.gov. Submit                   provider organizations, and
                                               solely responsible for ensuring that your               both copies to the Dockets Management                 organizations and individuals
                                               comment does not include any                            Staff. If you do not wish your name and               representing patients and consumers to
                                               confidential information that you or a                  contact information to be made publicly               collaborate with us in addressing this
                                               third party may not wish to be posted,                  available, you can provide this                       important public health issue (See Pub.
                                               such as medical information, your or                    information on the cover sheet and not                L. 110–85; 42 U.S.C. 282 note).
                                               anyone else’s Social Security number, or                in the body of your comments and you                     FDA guidance documents entitled
                                               confidential business information, such                 must identify this information as                     ‘‘Premarket Assessment of Pediatric
                                               as a manufacturing process. Please note                 ‘‘confidential.’’ Any information marked              Medical Devices,’’ ‘‘Providing
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                                               that if you include your name, contact                  as ‘‘confidential’’ will not be disclosed             Information about Pediatric Uses of
                                               information, or other information that                  except in accordance with 21 CFR 10.20                Medical Devices,’’ and ‘‘Leveraging
                                               identifies you in the body of your                      and other applicable disclosure law. For              Existing Clinical Data for Extrapolation
                                               comments, that information will be                      more information about FDA’s posting                  to Pediatric Uses of Medical Devices,’’
                                               posted on https://www.regulations.gov.                  of comments to public dockets, see 80                 provide background information
                                                 • If you want to submit a comment                     FR 56469, September 18, 2015, or access               regarding pediatric medical device
                                               with confidential information that you                  the information at: https://www.gpo.gov/              development (Refs. 1 to 3).


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                                               7054                          Federal Register / Vol. 83, No. 33 / Friday, February 16, 2018 / Notices

                                               II. Topics for Discussion at the Public                 number of participants from each                      go/connectpro_overview. FDA has
                                               Meeting                                                 organization. Registrants will receive                verified the website addresses in this
                                                 As mandated by section 502(d) of the                  confirmation when they have been                      document as of the date this document
                                               FDA Reauthorization Act of 2017                         accepted. If time and space permit,                   publishes in the Federal Register, but
                                               (FDARA), this FDA meeting on the                        onsite registration on the day of the                 websites are subject to change over time.
                                                                                                       public workshop will be provided                         Transcripts: Please be advised that as
                                               development and labeling of pediatric
                                                                                                       beginning at 7:30 a.m. We will let                    soon as a transcript of the public
                                               medical devices is being convened with
                                                                                                       registrants know if registration closes               meeting is available, it will be accessible
                                               representatives from the medical device
                                                                                                       before the day of the public meeting.                 at https://www.regulations.gov. It may
                                               industry, academia, recipients of
                                                                                                          If you need special accommodations                 be viewed at the Dockets Management
                                               funding under section 305 of the                        due to a disability, please contact Peggy             Staff (see ADDRESSES). A link to the
                                               Pediatric Medical Device Safety and                     Roney at the Center for Devices and                   transcript will also be available on the
                                               Improvement Act of 2007, medical                        Radiological Health, Food and Drug                    internet at https://www.fda.gov/
                                               provider organizations, and                             Administration, 10903 New Hampshire                   MedicalDevices/NewsEvents/
                                               organizations representing patients and                 Ave., Bldg. 32, Rm. 5231, Silver Spring,              WorkshopsConferences/default.htm.
                                               consumers (see Pub. L. 110–85; 42                       MD 20993–0002, 301–796–5671,                          (Select this public workshop from the
                                               U.S.C. 282 note).                                       Peggy.Roney@fda.hhs.gov, no later than
                                                 As directly outlined in FDARA, the                                                                          posted events list.)
                                                                                                       June 1, 2018.
                                               meeting shall include consideration of                     Requests for Oral Presentations:                   IV. References
                                               ways to: (1) Improve research                           During online registration, you may                     The following references are on
                                               infrastructure and research networks to                 indicate if you wish to present during a              display at the Dockets Management Staff
                                               facilitate the conduct of clinical studies              public comment session and which                      (see ADDRESSES) and are available for
                                               of devices for pediatric populations that               topic(s) you wish to address. FDA will                viewing by interested persons between
                                               would result in the approval or                         do its best to accommodate requests to                9 a.m. and 4 p.m., Monday through
                                               clearance, and labeling of medical                      make public comments. Individuals and                 Friday; they are also available
                                               devices for such populations; (2)                       organizations with common interests are               electronically at https://
                                               appropriately use extrapolation under                   urged to consolidate or coordinate their              www.regulations.gov.
                                               section 515A(b) of the FD&C Act (21                     presentations, and request time for a
                                               U.S.C. 360e–1(b)); (3) enhance the                                                                              1. FDA’s guidance for Industry and FDA
                                                                                                       joint presentation, or submit requests for            Staff: ‘‘Premarket Assessment of Pediatric
                                               appropriate use of postmarket registries                designated representatives to participate             Medical Devices,’’ available at https://
                                               and data to increase pediatric medical                  in the focused sessions. We encourage                 www.fda.gov/downloads/MedicalDevices/
                                               device labeling; (4) increase FDA                       persons who are interested in making an               DeviceRegulationandGuidance/
                                               assistance to medical device                            oral presentation during a public                     GuidanceDocuments/ucm089742.pdf.
                                               manufacturers in developing devices for                 comment session to indicate their intent                2. FDA’s guidance for Industry and FDA
                                               pediatric populations that are approved                 on the registration form by 3 p.m.                    Staff: ‘‘Providing Information about Pediatric
                                               or cleared, and labeled, for their use;                 Eastern Time on June 29, 2018. Based                  Uses of Medical Devices,’’ available at
                                               and (5) identify current barriers to                                                                          https://www.fda.gov/downloads/
                                                                                                       on the number of applicants for oral                  MedicalDevices/DeviceRegulation
                                               pediatric device development and                        presentations, FDA will distribute the                andGuidance/GuidanceDocuments/
                                               incentives to address such barriers.                    available time equally among all                      UCM339465.pdf.
                                                 A detailed agenda will be posted on                   presenters and inform selected                          3. FDA’s guidance for Industry and FDA
                                               the following website in advance of the                 presenters of the public presentation                 Staff: ‘‘Leveraging Existing Clinical Data for
                                               workshop at https://www.fda.gov/                        agenda by July 6, 2018. If selected for               Extrapolation to Pediatric Uses of Medical
                                               MedicalDevices/NewsEvents/                              presentation, any presentation materials              Devices,’’ available at https://www.fda.gov/
                                               WorkshopsConferences/default.htm.                       must be emailed to Victoria Wagman at                 ucm/groups/fdagov-public/@fdagov-meddev-
                                               Select this event from the list of items                Victoria.wagman@fda.hhs.gov no later                  gen/documents/document/ucm444591.pdf.
                                               provided.                                               than July 13, 2018. No commercial or                    Dated: February 12, 2018.
                                               III. Participating in the Public Meeting                promotional material will be permitted                Leslie Kux,
                                                                                                       to be presented or distributed at the
                                                  Registration: To register for the public                                                                   Associate Commissioner for Policy.
                                                                                                       public meeting.
                                               meeting, please visit FDA’s Medical                        Streaming Webcast of the public                    [FR Doc. 2018–03215 Filed 2–15–18; 8:45 am]
                                               Devices News & Events—Workshops &                       meeting: This public meeting will also                BILLING CODE 4164–01–P
                                               Conferences calendar at https://                        be webcast. The webcast link will be
                                               www.fda.gov/MedicalDevices/                             available on the registration web page
                                               NewsEvents/WorkshopsConferences/                        after August 6, 2018. Please visit FDA’s              DEPARTMENT OF HEALTH AND
                                               default.htm. (Select this public                        Medical Devices News & Events—                        HUMAN SERVICES
                                               workshop from the posted events list.)                  Workshops & Conferences calendar
                                               Please provide complete contact                                                                               Food and Drug Administration
                                                                                                       (https://www.fda.gov/MedicalDevices/
                                               information for each attendee, including                NewsEvents/WorkshopsConferences/                      [Docket Nos. FDA–2016–E–2512 and FDA–
                                               name, title, affiliation, address, email,               default.htm) and select this event from               2016–E–2511]
                                               and telephone number.                                   the list of items provided. Organizations
                                                  Registration is free, and in-person                  are requested to register all participants            Determination of Regulatory Review
                                               attendance is based on space                            but view using one connection per                     Period for Purposes of Patent
daltland on DSKBBV9HB2PROD with NOTICES




                                               availability, with priority given to early              location.                                             Extension; COTELLIC
                                               registrants. Persons interested in                         If you have never attended a Connect               AGENCY:    Food and Drug Administration,
                                               attending this public meeting must                      Pro event before, test your connection at             HHS.
                                               register by August 6, 2018, 3 p.m.                      https://collaboration.fda.gov/common/                 ACTION:   Notice.
                                               Eastern Time. Early registration is                     help/en/support/meeting_test.htm. To
                                               recommended because seating is                          get a quick overview of the Connect Pro               SUMMARY: The Food and Drug
                                               limited; therefore, FDA may limit the                   program, visit https://www.adobe.com/                 Administration (FDA or the Agency) has


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Document Created: 2018-02-16 00:55:43
Document Modified: 2018-02-16 00:55:43
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice of public meeting; request for comments.
DatesThe public meeting will be held on August 13 and August 14, 2018, from 9 a.m. to 5 p.m. Submit either electronic or written comments on this public meeting by September 14, 2018. See the SUPPLEMENTARY INFORMATION section for registration information.
ContactVictoria Wagman, Center for Devices and Radiological Health, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 66, Rm. 5562, Silver Spring, MD 20993, 301-796- 6581, [email protected]
FR Citation83 FR 7052 

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