In the United States, all medical devices’ safety and effectiveness are regulated by the Food and Drug Administration (FDA). The regulatory pathways for medical devices – 510(k) clearance and PMA (Pre-Market Approval) – are built on the following risk classifications:
Class I with exceptions – low-risk products that do not need to have a quality management system or meet certain regulatory requirements.
Class I without exceptions – low-risk medical devices need to meet all applicable requirements and have a quality management system.
Medical devices Class II – devices with special controls for “labelling, guidance, tracking, plan, performance standards, and post-market observation”.
Class III devices with/without premarket approval – products that continue or support human life, are embedded, or present a significant risk of illness or injury.
Most Class I medical devices can be self-enrolled, but a large amount of Class II devices require a 510(k) premarket notification submission. And for Class III medical devices, a PMA submission is often required.
Manufacturers must follow Current Good Manufacturing Practice (CGMP) regulations when developing their medical devices. The FDA examiners use the CGMP regulations to decide whether a manufacturer has the facilities and know-how to deliver and pack their product. Additionally, all medical devices must have a unique device identifier (UDI) that is understandable by both machines and humans.
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