94-30422. Medical Devices; Substantial Equivalence; 510(K) Summaries and 510(K) Statements; Class III Summaries; Confidentiality of Information  

  • [Federal Register Volume 59, Number 239 (Wednesday, December 14, 1994)]
    [Unknown Section]
    [Page 0]
    From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
    [FR Doc No: 94-30422]
    
    
    [[Page Unknown]]
    
    [Federal Register: December 14, 1994]
    
    
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    DEPARTMENT OF HEALTH AND HUMAN SERVICES
    
    Food and Drug Administration
    
    21 CFR Part 807
    
    [Docket No. 91N-0388]
    
     
    
    Medical Devices; Substantial Equivalence; 510(K) Summaries and 
    510(K) Statements; Class III Summaries; Confidentiality of Information
    
    AGENCY: Food and Drug Administration, HHS.
    
    ACTION: Final rule.
    
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    SUMMARY: The Food and Drug Administration (FDA) is issuing this final 
    rule to implement the provisions of the Safe Medical Devices Act of 
    1990 (the SMDA) that require all persons who submit a premarket 
    notification (510(k)) to provide to FDA, as part of the submission, an 
    adequate summary (510(k) summary) of any information respecting safety 
    and effectiveness or a statement (510(k) statement) that such 
    information will be made available upon request by any person. This 
    rule also implements the requirement of the SMDA that 510(k) submitters 
    claiming substantial equivalence to a class III preamendments device 
    for which FDA has not yet called for premarket approval submit a class 
    III summary and certify that they have conducted a search of safety and 
    effectiveness data. In addition, this rule amends the device 
    regulations governing the confidentiality of certain premarket 
    notification submissions to conform to the SMDA. This rule also 
    provides that persons who submit a premarket notification must certify 
    that, to the best of their knowledge, all information is truthful and 
    accurate and that no material fact has been omitted.
    
    EFFECTIVE DATE: March 14, 1995.
    
    FOR FURTHER INFORMATION CONTACT: Heather S. Rosecrans, Center for 
    Devices and Radiological Health (HFZ-404), Food and Drug 
    Administration, 9200 Corporate Blvd., Rockville, MD 20850, 301-594-
    1190.
    
    SUPPLEMENTARY INFORMATION:
    
    I. Background
    
        In the Federal Register of April 28, 1992 (57 FR 18062), FDA issued 
    an interim rule implementing the provisions of the SMDA that require 
    persons who submit premarket notifications under section 510(k) of the 
    Federal Food, Drug, and Cosmetic Act (the act) (21 U.S.C. 360(k)) to 
    include an adequate summary of any information on safety and 
    effectiveness (510(k) summary) or a statement (510(k) statement) that 
    such information will be made available upon request by any person. The 
    interim rule also implemented the requirement that 510(k) submitters 
    claiming substantial equivalence to a class III preamendments device 
    for which FDA has not yet called for premarket approval certify (class 
    III certification) that they have conducted a search of safety and 
    effectiveness data concerning the device and submit a summary of, and a 
    citation to, all adverse safety and effectiveness information 
    respecting the device (class III summary). In addition, the interim 
    rule amended the device regulations governing the confidentiality of 
    certain premarket notification submissions to conform to the SMDA. The 
    interim rule also provided that persons who submit a premarket 
    notification must certify that the data and information are truthful 
    and accurate and that no material fact has been omitted. FDA stated 
    that the interim rule would become effective on May 28, 1992.
        Interested persons were given until June 29, 1992, to comment on 
    the interim rule. In the Federal Register of June 1, 1992 (57 FR 
    23059), this comment period was extended until August 27, 1992, in 
    response to a petition filed by a trade association. The effective date 
    was stayed by FDA until the comments were reviewed and a new rule was 
    published and made effective.
    
    II. Comments
    
        The agency received 19 comments from trade associations, 
    manufacturers, a supplier, and a medical device consultant. A summary 
    of the comments and the agency's response to them is provided below:
        1. One comment from a manufacturer questioned why Sec. 807.87(i)(2) 
    (21 CFR 807.87(i)(2)) of the interim rule stated that information that 
    already has been submitted to FDA under section 519 of the act (21 
    U.S.C. 360i) is not the type of information that would be included in a 
    class III summary. Section 519(a) of the act (21 U.S.C. 360i(a)) 
    authorizes FDA to issue regulations requiring the manufacturers of 
    devices to maintain and provide records to ensure that devices are not 
    adulterated, misbranded, unsafe, or ineffective.
        The SMDA (513(f)(3)) of the act (21 U.S.C. 360c(f)(3)) specifically 
    excludes all adverse safety and effectiveness data that have been 
    submitted to FDA under section 519 of the act from class III summaries 
    (summaries submitted by manufacturers claiming substantial equivalence 
    to a class III preamendments device for which FDA has not yet called 
    for a PMA). Although the statute does not require manufacturers to 
    submit such data more than once, the agency understands that a class 
    III summary may include information that has previously been submitted 
    under section 519 of the act.
        2. Many comments argued that the certification requirement in 
    Sec. 807.87(j) of the interim rule should be deleted because FDA can 
    utilize existing programs and statutes to ensure that erroneous 
    information is not submitted to the agency. One comment further argued 
    that FDA cannot require the regulated community to certify the 
    completeness of any 510(k) submission because that completeness is 
    subject to a variety of interpretations.
        As noted in the preamble to the interim rule, this certification 
    requirement was added in response to a July 1990 report by the Office 
    of the Inspector General (OIG) on internal controls covering the 510(k) 
    review process. In that report, the OIG stated that, ``because the 
    generic drug approval scandal has raised concern about industry's 
    behavior under the so-called `honor system,' we believe that the 510(k) 
    process needs a program to help ensure that what industry reports on 
    paper is in fact accurate.'' The OIG recommended requiring industry to 
    certify the accuracy of data submitted in 510(k) submission documents 
    in order to enhance the integrity of the 510(k) premarket notification 
    process. (See page 22 of OIG report). The agency believes that such a 
    requirement provides additional assurance that the data submitted are 
    complete and accurate. However, in response to the comment that 
    concerned the inability of any individual to know if information is 
    complete, FDA has modified the language in Sec. 807.87(j) to include 
    the phrase ``to the best of his or her knowledge.'' This certification 
    should be made by an industry representative, preferably the official 
    correspondent of the firm.
        3. Several comments complained that FDA improperly expanded the 
    scope of the information required by the SMDA for summaries ``of any 
    information respecting safety and effectiveness'' by requiring such 
    summaries to contain ``data and information supporting a finding of 
    substantial equivalence, including all adverse safety and effectiveness 
    information.'' A few comments noted that FDA's decision to treat all 
    information submitted in support of a substantial equivalence 
    determination as ``safety and effectiveness'' information seems 
    contrary to the notion that ``substantial equivalence'' determinations 
    are, on their face, determinations of ``equivalence,'' and not of 
    safety and effectiveness. One comment cited an FDA publication on 
    510(k) requirements, which stated, ``The purpose of data, such as 
    clinical data, for a premarket notification submission is to 
    demonstrate that the device is equivalent in performance to the 
    preamendments device. FDA does not intend that the data determine the 
    device's safety and effectiveness.'' See ``Premarket Notification: 
    510(k) Regulatory Requirements for Medical Devices,'' HHS Publication 
    FDA 90-4158, August 1990, p. 2. Another comment stated that information 
    concerning device design, intended use, or technological 
    characteristics is useful information which may support a determination 
    of substantial equivalence, but may not support a determination of 
    safety and effectiveness.
        FDA believes that Congress clearly intended the concept of 
    ``substantial equivalence'' to include some inquiry into the safety and 
    effectiveness of a new device, and that such inquiries into safety and 
    effectiveness are often inseparable from other bases of determining 
    substantial equivalence. The Report by the Committee on Interstate and 
    Foreign Commerce on the Medical Device Amendments of 1976 (House 
    Report) indicates that ``substantial equivalence'' is to be assessed 
    not only in relation to physical characteristics and intended use, but 
    sometimes also in terms of safety and effectiveness. The committee 
    believed that the term ``substantially equivalent'' ``should be 
    construed narrowly where necessary to assure the safety and 
    effectiveness of a device but not so narrowly where differences between 
    a new device and a marketed device do not relate to safety and 
    effectiveness.'' (H. Rept. No. 94-853, p. 36.)
        The 1976 amendments, therefore, provided FDA with statutory 
    authority to consider the safety and effectiveness of a device when 
    determining whether such a device is substantially equivalent to a 
    predicate device. The legislative history of the 1990 amendments states 
    Congress' express intent to codify FDA's interpretation of the term 
    ``substantial equivalence,'' including the agency's determination that 
    substantial equivalence requires a finding of comparable safety and 
    effectiveness (S. Rept. 513, 101st Cong., 2d sess. 41 (1990)). 
    Accordingly, Sec. 807.3 (21 CFR 807.3), which defines a 510(k) summary 
    to be ``a summary * * * of the safety and effectiveness information 
    contained in a premarket notification submission upon which a 
    determination of substantial equivalence can be based'' merely codifies 
    the agency's long-standing interpretation, approved by Congress, that 
    safety and effectiveness can be an integral part of a substantial 
    equivalence determination. The agency has concluded, therefore, that 
    the requirement that summaries of safety and effectiveness data include 
    information supporting a finding of substantial equivalence is 
    consistent with legislative intent and agency practice.
        4. One comment stated that FDA should revise the language on page 
    18062 of the interim rule which reads, ``FDA's decision regarding the 
    existence of substantial equivalence will be based on all the 
    information contained in the 510(k), not only the information contained 
    in the summary,'' to read as follows: ``FDA's decision regarding the 
    existence of substantial equivalence will be based on all the 
    information contained in a 510(k).'' This comment believed that the 
    510(k) summary is intended to be a synopsis of safety and effectiveness 
    information for requestors, and is not intended for the use of FDA 
    reviewers when arriving at determinations of substantial equivalence. 
    Therefore, this comment suggested that the phrase ``510(k) safety and 
    effectiveness summary'' be inserted in lieu of the term ``510(k) 
    summary'' throughout the rule.
        FDA agrees in part with this comment. As stated in the interim 
    rule, FDA's decision regarding the existence of substantial equivalence 
    will be based on all the information contained in the 510(k), not only 
    the information contained in the summary. However, the agency does not 
    agree that a change in terminology would significantly increase the 
    clarity of the rule and does not believe that the term ``510(k) 
    summary'' needs to be replaced with ``510(k) safety and effectiveness 
    summary'' throughout the rule.
        5. One comment stated that the portion of the 510(k) summary 
    required in Sec. 807.92(a)(5) (21 CFR 807.92(a)(5)), ``statement of 
    intended use,'' should include definitions of the differences between 
    the submitter's new device and the legally marketed device, if the 
    indication statements are not the same. This comment further stated 
    that the brief discussion of nonclinical tests required as part of the 
    510(k) summary under Sec. 807.92(b)(1) should include references. The 
    comment further stated that the requirement should state clearly that 
    conclusions drawn from test results should compare the device with 
    legally marketed devices (Sec. 807.92(a)(3)).
        The agency agrees in part with this comment. FDA believes that the 
    interim rule required sufficient detail about the intended use of the 
    device and its predicate. However, the agency has revised 
    Sec. 807.92(a)(5) on intended use to clarify that substantial 
    equivalence claims can only be made to predicates that are legally 
    marketed. With respect to the comment that conclusions from test 
    results should compare the device with legally marketed devices, 
    Sec. 807.92(b)(3) does require ``conclusions drawn from the nonclinical 
    and clinical tests that demonstrate that the device is as safe, as 
    effective, and performs as well as or better than the legally marketed 
    device * * *.'' Therefore, no revision of this provision is warranted.
        6. One comment recommended that 510(k) summaries need include only 
    information required by Sec. 807.92(b)(3), which concerns conclusions 
    drawn from nonclinical and clinical tests that demonstrate comparable 
    safety, effectiveness, and performance of a new device to a legally 
    marketed device, as intended by Congress. Another comment also 
    recommended reducing the amount of information required in a 510(k) 
    summary, noting that information of a descriptive nature is sufficient 
    in most cases to allow a determination of substantial equivalence. This 
    comment argued that requiring 510(k) summaries to include clinical and 
    preclinical data in cases where such data are not necessary, would 
    require needless and costly data preparation and FDA review.
        The agency has always required 510(k) submissions to include 
    descriptive data that are necessary to understand the indication, 
    physical composition, method of operation, specifications, or 
    performance claims of the device. Also, the agency has always required 
    any descriptive data about the legally marketed device that are 
    necessary to understand the characteristics of the device to which the 
    new device is being compared. A legally marketed device to which a new 
    device may be compared is a predicate device (device legally marketed 
    prior to May 28, 1976, or a device which has been classified from class 
    III to class II or class I), or a device which has been found to be 
    substantially equivalent through the 510(k) premarket notification 
    process. In order to clarify the definition of a legally marketed 
    device to which a new device may be compared for a determination 
    regarding substantial equivalence, the agency is amending 
    Sec. 807.92(a)(3) to include this definition of a legally marketed 
    device.
        The new requirement for 510(k) summaries does not change or add to 
    the type of information that must be included in a 510(k) submission. 
    However, FDA has modified the language of Sec. 807.92(a)(4) to clarify 
    that descriptive information required for a 510(k) summary is expected 
    to be a condensed and summarized version of information in a 510(k) 
    submission, similar to labeling or promotional descriptions.
        To date, the agency has required or used clinical investigation 
    data in less than 10 percent of its premarket notification submissions. 
    The agency generally requires clinical data when the description of a 
    new device indicates an important difference in comparison to marketed 
    devices within its type, i.e., new material or method of operation of 
    the new device. The agency may also require performance data when 
    descriptive characteristics of the new device are not sufficiently 
    precise to ensure that the new device, when manufactured according to 
    its description, will be comparable to the legally marketed device.
        The legislative history of the SMDA explicitly supports FDA's 
    practice of requesting additional data in this regard in order to 
    determine substantial equivalence.
    
        The determination of comparable safety and effectiveness is at 
    times easy, where the newer device and its predicate use the same 
    technologies. More difficult judgments occur when the technologies 
    of the devices differ. In this latter situation, FDA will not make a 
    substantial equivalence determination without data, including 
    clinical data, that demonstrates comparable safety and effectiveness 
    (S. Rept. 513, 101st Cong., 2d sess. 28 (1990)).
    
        7. One comment suggested that the agency release the entire 510(k), 
    excluding trade secret and specific patient information, in lieu of 
    requiring safety and effectiveness summaries. In the alternative, this 
    comment suggested making the information required by Sec. 807.92(b) 
    part of the 510(k) cover letter supplied by the 510(k) submitter, and 
    then making the entire cover letter releasable because that letter 
    would ordinarily include the information requested in Sec. 807.92(a).
        The agency disagrees. The release of either the entire 510(k), 
    excluding trade secret information and patient identifiers, or release 
    of the 510(k) cover letter, in lieu of the 510(k) submitter's 510(k) 
    summary would be inconsistent with the SMDA. Section 513(i) of the SMDA 
    expressly requires 510(k) submitters to submit summaries of information 
    that are intended for public disclosure respecting safety and 
    effectiveness or to state that such information will be made available 
    upon request by any person (21 U.S.C. 360c(i)(3)). There is no basis in 
    the legislation to require FDA to create summaries or substitutes for 
    summaries. However, if 510(k) submitters choose to have the entire 
    510(k), excluding patient identifiers and trade secret and confidential 
    commercial information, released in lieu of a 510(k) summary, they may 
    elect to submit a 510(k) statement and then release that information 
    themselves in response to requests from the public.
    
    A. Trade Secret/Confidential Information
    
        8. A few comments stated that FDA is precluded by the Freedom of 
    Information Act (the FOIA), 5 U.S.C. 552, and the act from divulging 
    trade secret information. Many comments believed that virtually all of 
    the technological information required by the interim rule to be made 
    public can qualify as trade secret information, even under the narrow 
    definition of ``trade secret'' adopted by the D.C. Court of Appeals in 
    Public Citizen Health Research Group v. Food and Drug Administration, 
    704 F.2d 1280, 1288 (D.C. Cir. 1983). Specifically, these comments 
    argued that the ``significant physical and performance characteristics 
    of the device such as device design, materials used, and physical 
    properties,'' constitute a commercially valuable plan, formula, or 
    process. Similarly, the chemical composition of various reagents and 
    controls, to the extent that nonactive ingredients are involved, would 
    also implicate the types of information that are normally closely 
    guarded as trade secrets by a 510(k) submitter.
        The agency does not intend that submitters include trade secret or 
    confidential commercial information in the 510(k) summaries, which 
    Congress expressly intended for public disclosure. In addition, ``the 
    using by any person to his own advantage, or revealing, other than to * 
    * * the Department, or to the courts * * * any information acquired 
    under authority of section * * * 510 * * * concerning any method or 
    process which as a trade secret is entitled to protection'' is 
    prohibited under the act. (See section 301(j) of the act (21 U.S.C. 
    331(j))). The requirements set forth in Sec. 807.92(a)(4) and (a)(6) 
    have been modified to reflect the agency's intention that trade secret 
    and confidential commercial information be protected. For example, the 
    agency now states in Sec. 807.92(a)(4) that information concerning a 
    device's description may be information that a firm would disclose in 
    its device labeling or promotional material. The term ``statement'' in 
    Sec. 807.92(a)(6) has been replaced with ``summary'' to reflect the 
    agency's expectation that information provided concerning technological 
    characteristics will be provided in summary fashion, in a form that is 
    clear, concise, and adequate, but not so detailed as to disclose trade 
    secret information. As stated in the interim rule, if a premarket 
    notification submission contains only descriptive information to 
    support substantial equivalence, the 510(k) summary for that submission 
    would be required to contain only general information about the device 
    and a summary of the descriptive information that demonstrates the new 
    device is as safe and effective as the device to which the sponsor is 
    requesting substantial equivalence.
        If a 510(k) submitter, however, fails to comply with the provisions 
    concerning 510(k) summaries or 510(k) statements, the agency may 
    provide the public with a purged copy of the 510(k) submission prepared 
    by agency staff. Under these circumstances, FDA would not follow 
    predisclosure notification procedures established for responses to FOIA 
    requests for 510(k) records.
        9. One comment stated that because the interim rule transcends the 
    provisions of the FOIA, there must be an independent legal basis 
    authorizing disclosure of trade secret information prohibited from 
    release by the Trade Secrets Act (the TSA), 18 U.S.C. 1905. Citing 
    Chrysler Corp. v. Brown, 441 U.S. 281 (1979), this comment argued that 
    while ``properly promulgated, substantive agency regulations have the 
    `force and effect of law','' an interpretative regulation does not have 
    the force and effect of law necessary to obviate the restrictions in 
    the TSA. Id. at p. 295 and 302. Thus, for agency action to qualify as 
    ``authorized by law,'' under TSA, ``* * * it must have certain 
    substantive characteristics and be the product of certain procedural 
    requisites.'' Id. at p. 301. This comment noted that, in the preamble 
    to the interim rule, FDA concluded that the regulation is not a 
    substantive rule. Therefore, this comment argued, the regulation cannot 
    qualify as a regulation authorized by law under the TSA. Furthermore, 
    the comment continued, even if the interim rule had been labeled a 
    substantive rule, it would still not have the ``force and effect'' of 
    law because it was signed by the Acting Deputy Commissioner for Policy 
    who lacks authority to unilaterally issue rules under either the TSA or 
    the FOIA.
        The agency disagrees. FDA's statutory authority for requiring 
    disclosure of particular information in a 510(k) summary is section 513 
    of the act, in which Congress expressly required release to any person 
    of such summaries. Congress also specifically authorized the Secretary 
    of the Department of Health and Human Services (the Secretary) to 
    establish the content of those summaries. The agency, therefore, 
    believes that a regulation promulgated to implement that section may 
    provide proper authorization for disclosure.
        However, whether or not the analysis set forth in the comment 
    submitted to the agency is correct, the objections raised by that 
    comment are now irrelevant. As explained above, FDA does not expect 
    510(k) summaries to include trade secret or confidential commercial 
    information. In addition, the agency is modifying its statement, in the 
    interim rule, that a dispute over the adequacy of information provided 
    by a 510(k) statement submitter should require the release to the 
    requestor of confidential commercial information that is also 
    considered safety and effectiveness information. The agency has 
    concluded that a dispute over the adequacy of information provided in 
    support of a 510(k) statement should not require automatic disclosure 
    by the submitter of information that is properly protected from public 
    release. However, if the agency determines that a submitter is 
    attempting to undermine the 510(k) statement process by providing 
    information to requestors that is untimely or inadequate, such actions 
    will be deemed a prohibited act under section 301(q)(2) and (p) of the 
    act, and the agency will use a variety of means, including its 
    enforcement tools, to end violations. For example, in response to valid 
    complaints from requestors, FDA may choose to make purged copies of the 
    510(k) publicly available. (See also section III. of this document).
        10. One comment stated that FDA's apparent abandonment of any 
    effort toward confidentiality raises serious concerns about proprietary 
    interests, intellectual property protection, liability issues, and 
    market timing. Indeed, another comment argued that the disclosure of 
    trade secret or confidential information results in a taking without 
    just compensation.
        As noted in paragraphs 8 and 9 of this document, FDA recognizes its 
    obligation to protect information that is exempt or prohibited from 
    public disclosure, and the agency does not expect 510(k) summaries to 
    include such information.
        11. A few comments stated that the interim rule will compel small 
    manufacturers to seek costly patent protection and discourage 
    innovation. One comment noted that many small entrepreneurs believe 
    that the expense of seeking patent protection is not warranted if the 
    characteristics of an otherwise patentable invention cannot be easily 
    ascertained through reverse engineering. However, this comment 
    continued, the effect of the interim rule would compel these small, 
    start-up companies to seek expensive and unnecessary patent protection 
    to protect trade secrets.
        This final rule clarifies FDA's position that trade secret and 
    confidential commercial information need not be included in a 510(k) 
    statement or 510(k) summary. The agency takes this opportunity, 
    however, to remind manufacturers and submitters of 510(k)'s that 
    details about manufacture, composition, specification, performance, and 
    testing that are included in labeling or promotional materials cannot 
    be considered confidential under any circumstances.
    
    B. 510(k) Summaries and Predisclosure Notification
    
        12. One comment disputed the notion that information contained in a 
    510(k) submission is exempt from predisclosure requirements set forth 
    in Executive Order 12600. This comment believed that this exemption 
    should apply only to the information contained in a 510(k) summary, 
    rather than to the information contained in the actual 510(k) 
    submission. This comment maintained that a submitter should be afforded 
    the opportunity to submit a 510(k) summary prior to disclosure of the 
    information contained in a 510(k) submission.
        FDA agrees. The premarket notification submission ordinarily is 
    subject to predisclosure notification under Executive Order 12600. 
    However, 510(k) summaries are prepared by submitters who know that 
    these summaries are intended for public disclosure. In light of the 
    statute and the agency's implementing regulation, submitters can have 
    no reasonable expectation that such documents will be withheld. 
    Accordingly, it would be unnecessary and inappropriate to subject 
    510(k) summaries to predisclosure notification. It is the 510(k) 
    submitter's obligation to prepare either a 510(k) summary of any 
    information respecting safety and effectiveness or provide a 510(k) 
    statement that the 510(k) submitter will make such information 
    available upon request.
        With respect to the decision about whether to submit a 510(k) 
    summary or 510(k) statement, FDA is correcting the statement in the 
    preamble to the interim rule that this decision by the 510(k) submitter 
    may not be changed once the 510(k) submission has been received by FDA. 
    Instead, FDA now clarifies that a 510(k) submitter who elects to submit 
    a 510(k) summary when the premarket notification submission is filed, 
    may, before a substantial equivalence determination is reached, submit 
    either a revised 510(k) summary or a 510(k) statement in lieu of the 
    510(k) summary. Likewise, a 510(k) submitter who elects to submit a 
    510(k) statement when the premarket notification submission is filed, 
    may, before the substantial equivalence determination is reached, 
    submit a 510(k) summary in lieu of the 510(k) statement.
    
    C. 510(k) Statements
    
        13. Several comments said that Sec. 807.93 (21 CFR 807.93) places a 
    manufacturer who submits a 510(k) statement at risk to provide all 
    information, including trade secret or confidential commercial 
    information that relates to safety and effectiveness. Indeed, FDA 
    specifically concluded that manufacturers could not withhold such 
    information (see 57 FR 18062 at 18064).
        The interim rule specifically requested comments on this issue and, 
    as noted above, the agency has changed its earlier interpretation.
        14. A few comments noted that there is no rational basis for FDA to 
    treat 510(k) statements differently than 510(k) summaries for 
    confidentiality purposes. These comments asserted that Congress 
    provided two distinct options for 510(k) submitters in the SMDA, the 
    510(k) summary or the 510(k) statement. However, if FDA continues with 
    its current interpretation, the 510(k) statement undoubtedly would fall 
    into disuse because 510(k) submitters would choose not to release their 
    trade secret or confidential commercial information. Another comment 
    stated that FDA should clearly state that the selection of a 510(k) 
    statement by the submitting firm should be equally acceptable to the 
    agency and should not adversely affect the review process of the 
    510(k).
        FDA agrees with these comments. The SMDA was not intended to deter 
    the submission of a 510(k) statement. Indeed, it provided 510(k) 
    submitters with two alternatives. The disparate treatment of the 510(k) 
    statement and 510(k) summary for confidentiality purposes in the 
    interim rule was incorrect. However, while FDA can implement disclosure 
    of 510(k) summaries that have been filed with the agency, FDA does not 
    have similar control over disclosure of information promised by 510(k) 
    statements. As stated above, noncompliance with the commitment made in 
    a 510(k) statement will be deemed prohibited acts under section 301 
    (q)(2) and (p) of the act and FDA will use its enforcement powers to 
    obtain compliance.
        15. One comment stated that the certification language in 
    Sec. 807.93 contradicts FDA's prior advice concerning 510(k) 
    statements. The comment noted FDA's previous statement that 510(k) 
    statements should be submitted instead of 510(k) summaries until FDA 
    determined the content of 510(k) summaries, and FDA's previous 
    statement that trade secret and confidential commercial information 
    contained in a 510(k) that was the subject of a 510(k) statement need 
    not be disclosed to the public. Another comment stated that fairness 
    required the agency to clarify that the 510(k) submitters who relied on 
    existing laws and regulations, and on previous FDA advice concerning 
    confidentiality prior to the effective date of any interim rule 
    changing such protections, are entitled to withhold trade secret and 
    confidential commercial information.
        FDA believes the concerns raised by this comment have been 
    addressed above. As noted in response to previous comments, the agency 
    does not intend to require 510(k) submitters to make public disclosures 
    of true trade secret or confidential commercial information.
        16. Several comments proposed changes to the wording for 
    certification of 510(k) statements under Sec. 807.93. One comment 
    suggested: ``I certify * * * will make available all information 
    included in this premarket notification on safety and effectiveness, 
    except trade secret and/or confidential information, that supports a 
    finding of substantial equivalence * * *.''
        Other comments suggested revising Sec. 807.93 to read as follows:
    
        I certify that (contact person for the premarket notification) 
    will make available all information included in this premarket 
    notification on safety and effectiveness as identified in 
    Sec. 807.92 of this rule that supports a finding of substantial 
    equivalence within thirty (30) days of request by any person. The 
    information I agree to make available does not include confidential 
    patient identifiers.
    
        FDA has incorporated elements of all these comments into the final 
    rule. The agency has modified the certification requirement so that it 
    is consistent with FDA's regulations prohibiting the disclosure of 
    trade secret and confidential commercial information. The statement 
    also has been changed to clarify that the commitment to release 
    information only becomes effective after a device has been determined 
    to be substantially equivalent. The agency has also amended the 
    certification language in Sec. 807.93 to reflect FDA's expectation that 
    the official correspondent in the firm will prepare the certification 
    on behalf of the firm.
        The certification now states:
    
        I certify that, in my capacity as (the position held in company 
    by person required to submit the premarket notification, preferably 
    the official correspondent in the firm), of (company name), I will 
    make available all information included in this premarket 
    notification on safety and effectiveness within 30 days of request 
    by any person if the device described in the premarket notification 
    submission is determined to be substantially equivalent. The 
    information I agree to make available will be a duplicate of the 
    premarket notification submission, including any adverse safety and 
    effectiveness information, but excluding all patient identifiers, 
    and trade secret and confidential commercial information as defined 
    in 21 CFR 20.61.
    
        17. The agency received comments that indicated uncertainty about 
    the scope of the obligation of a 510(k) statement submitter to respond 
    to requests for safety and effectiveness information that are made 
    after the ownership of the 510(k) has changed, the device is no longer 
    marketed, or the firm is no longer in business.
        The legislative history of the SMDA is silent on this issue. The 
    agency has concluded that the firm submitting the 510(k) statement has 
    a continuing obligation to comply with the 510(k) statement commitment, 
    unless the firm relieves itself of this obligation by requiring the new 
    510(k) holder to submit a 510(k) statement in accordance with 
    Sec. 807.93 to the agency in the situation where there has been a 
    transfer of ownership of a 510(k). In those cases, the original 510(k) 
    holder should inform any requesters of the transfer of obligation that 
    accompanied the transfer of ownership. If a firm ceases to market the 
    device, but continues to do business, it must continue to comply with 
    requests for information. However, if the firm goes out of business and 
    there has been no transfer of ownership, the agency will, upon 
    sufficient written notification, relieve the firm of its obligation to 
    honor requests for safety and effectiveness information from the 
    premarket notification submission. Under these circumstances, FDA will 
    release the entire premarket notification submission excluding patient 
    identifiers and any information that remains trade secret or 
    confidential commercial information.
        18. Another comment suggested that the regulation identify the 
    kinds of documents that the public may have access to when requesting 
    safety and effectiveness information from a 510(k) statement submitter. 
    This comment noted that this could be accomplished by codifying the 
    statement in the preamble, ``FDA believes that the information a 
    submitter is required to furnish should be taken only from the 
    information contained in the premarket notification submission.''
        FDA believes that the concern raised by this comment has been 
    addressed by the change in the language of Sec. 807.93. That regulation 
    clearly restricts the obligation of a 510(k) submitter to provide only 
    information that is contained in the premarket notification. The 
    regulation requires 510(k) holders who submit statements to provide 
    requestors with a duplicate of their premarket notification submission, 
    including any adverse information, but excluding patient identifiers 
    and trade secret or confidential information. (See 21 CFR 807.93(c)). 
    FDA believes that the establishment of this procedure for 510(k) 
    statement submitters is in furtherance of the act. The regulation 
    ensures that disclosures will be uniform to all requesters, that 
    preparation of the information for disclosure need be done only one 
    time by the submitter, and that confidential commercial and trade 
    secret information remains protected. FDA notes that 510(k) submissions 
    for any device found to be substantially equivalent have been available 
    to the public under the FOIA since 1976.
        19. One comment stated that FDA should permit a 510(k) statement to 
    appear without any certification language, using a format such as the 
    following: ``Information in this 510(k) respecting safety and 
    effectiveness will be made available upon request by any person.'' 
    Another comment noted that section 513(i) of the statute does not 
    require this statement to be made in the form of a ``certification.''
        Although the statute does not expressly require ``certification,'' 
    FDA does not agree that certification language should be eliminated 
    from the 510(k) statement. The agency believes that certification 
    provides additional assurance that submitters will comply with their 
    statutory obligations.
    
    D. Timeframes
    
        20. A couple of comments argued that there is no basis for the 
    agency's choice of a 30-day time limit for 510(k) statement submitters 
    to respond to requests for safety and effectiveness information. One 
    comment requested that FDA revise this timeframe to 90 days. Other 
    comments noted that there is no indication that the agency has 
    considered the burden that such a timeframe imposes upon a submitter, 
    or whether the burden could be offset by charging requesters for the 
    review time, assembly time, duplication, and mailing of the 
    information.
        FDA believes that the equal choice provided by the statute for 
    510(k) submitters to submit either 510(k) summaries or 510(k) 
    statements indicates the intent of Congress that information should be 
    available to requesters at the same time after a finding of substantial 
    equivalence, without regard to the 510(k) submitter's choice of 510(k) 
    summary or 510(k) statement.
        The agency has determined that imposing a 30-day timeframe on 
    510(k) statement submitters is not unduly burdensome. The agency 
    expects that 510(k) submitters who elect to file 510(k) statements will 
    begin purging the 510(k) submission at the time they file their 
    premarket notification submission.
        The agency recognizes that some firms that currently have a 510(k) 
    under review may not have purged copies of their 510(k) submissions 
    ready for disclosure. Section 519(a)(i) of the act states that FDA 
    shall not impose requirements unduly burdensome to a device 
    manufacturer, taking into account the cost of complying with such 
    requirements and the need for protection of the public health and the 
    implementation of the act. The agency is establishing an effective date 
    of 90 days for this final rule. The agency believes that this will give 
    510(k) statement submitters whose 510(k)'s are under review, sufficient 
    time to prepare this information. After the 90 days have elapsed, the 
    agency will expect companies to comply with requests for information 
    within 30 days of receiving such requests.
        The agency believes that 510(k) submitters may not charge 
    requestors for compiling and disseminating the data because such 
    charges would be inconsistent with congressional intent. Charges to 
    requestors could discourage disclosure of information Congress has 
    determined should be made available to the public. In addition, it 
    would be difficult for the agency to determine or monitor reasonable 
    fees for disclosure by 510(k) submitters. If a 510(k) submitter decides 
    that the preparation and dissemination of this information is too 
    costly, the firm may elect to submit a 510(k) summary in lieu of a 
    510(k) statement. A 510(k) summary can be submitted to the agency in 
    lieu of a 510(k) statement at any time before the substantial 
    equivalence determination is made. In that case, costs associated with 
    release of information to requestors will be standardized and 
    implemented by FDA.
        21. Another comment suggested that the timeframe for providing 
    requestors with safety and effectiveness data in support of a 
    substantial equivalence determination should be 30 business days, 
    rather than 30 calendar days, and that all requests should be addressed 
    in writing to the official correspondent of the company. This comment 
    also suggested that the agency include language in the regulation that 
    would prohibit disclosure of this information to a company's 
    competitors without a substantiating justification. The comment also 
    stated that the rationale for the request should be known to the 
    company, and that all costs associated with the request should be borne 
    by the requestor.
        The agency has determined that 30 calendar days, rather than 30 
    business days, is an appropriate timeframe because it is FDA's 
    expectation that such information will be prepared at or near the time 
    of the premarket notification submission. (See FDA's response to 
    comment 26 of this document). FDA also disagrees with the suggestion 
    that the agency's regulation should limit access to the data. There is 
    no provision in the statute that requires requestors to provide a 
    rationale for making their request for safety and effectiveness 
    information, or precludes them from sharing this information with any 
    other person, including competitors. Indeed, under FDA's current 
    regulations, the contents of a 510(k) submission are available for 
    public disclosure after FDA makes a determination of substantial 
    equivalence, so long as patient identifiers, trade secret, and 
    confidential commercial information are deleted. Such disclosures under 
    the FOIA are made without regard to the purpose or identity of the 
    requestor.
        The new regulation, therefore, is entirely consistent with current 
    agency disclosure practices and should be familiar to many companies 
    who have previously prepared 510(k) submissions for public disclosure. 
    The agency believes that these final regulations and FDA's other public 
    information regulations protect trade secret and confidential 
    commercial information from public disclosure by providing 510(k) 
    submitters the opportunity to delete proprietary information from their 
    records. Accordingly, competitors will not gain an unfair competitive 
    advantage when 510(k) statement submitters release the information they 
    have pledged to disclose.
        FDA does agree that all requests for information should be made to 
    the official correspondent of the company or the person whose name 
    appears on the list of premarket notification submissions found 
    substantially equivalent. This list is available from the Dockets 
    Management Branch (HFA-305), Food and Drug Administration, rm. 1-23, 
    12420 Parklawn Dr., Rockville, MD 20857. The agency believes that 
    directing the request to one person within the firm will expedite the 
    dissemination of this information. The agency has modified 
    Sec. 807.93(b) accordingly. The issue of payment by requestors of 
    information to 510(k) submitters who have made 510(k) statements has 
    been addressed previously in paragraph 21 of this document.
    
    E. Class III Summaries and Certifications
    
        22. Many comments argued that the statute only requires a ``class 
    III summary'' to include information about the predicate device 
    referenced in the 510(k), and not about the generic type of device. 
    Another comment noted that a search for and summary of adverse safety 
    and effectiveness data concerning a generic device type will yield 
    substantial information that is not relevant to the 510(k) device or to 
    its predicate device(s), because design and functional variations can 
    make comparisons within an entire device type meaningless. These 
    comments believed that FDA should limit the search and summary 
    requirements to the device that is the subject of the 510(k) and its 
    predicate device(s), as Congress intended.
        FDA disagrees with this interpretation of the statute. Section 
    513(f)(3)(C) states that ``the manufacturer shall certify * * * that 
    the manufacturer has conducted a reasonable search of all information 
    known or otherwise available to the manufacturer respecting such other 
    device and has included * * * a summary of and a citation to all 
    adverse safety and effectiveness data respecting such other device * * 
    *.'' FDA's requirement to include information concerning the ``type of 
    device'' is consistent with the language in the statute which requires 
    that ``all'' adverse safety and effectiveness data be submitted. 
    Furthermore, determinations regarding substantial equivalence 
    frequently require FDA to compare the safety and effectiveness 
    information for a new 510(k) submission with the safety and 
    effectiveness information concerning another device that has been found 
    substantially equivalent through the 510(k) premarket notification 
    process. (See 21 U.S.C. 360(i)(1)(A)). If the agency limited the scope 
    of the class III summary only to information concerning the predicate 
    chosen by the submitter, firms might fail to become aware of relevant 
    safety and effectiveness problems associated with the type of the 
    device they wish to market, including devices that have been found 
    substantially equivalent. In addition, the agency might not obtain 
    other information relevant to determining substantial equivalence.
        23. Many comments stated that Sec. 807.94 (21 CFR 807.94) requires 
    the manufacturer to certify not only that he has conducted a reasonable 
    search for adverse safety and effectiveness information, but also that 
    he has absolutely included all such information in the summary. These 
    comments pointed out that a manufacturer could never know with 
    certainty that the information is complete or accurate, and therefore 
    would become subject to new and personal criminal liability based on 
    factors beyond his knowledge or control.
        In response to these concerns, the agency has modified Sec. 807.94 
    to clarify that the class III certification is being made by the 
    individual on behalf of the firm who submitted the 510(k) and that the 
    class III summary is complete and accurate ``to the best of (the 
    certifier's) knowledge.''
    
    F. 21 CFR 807.95--Confidentiality of Information
    
        24. Many comments stated that FDA should revise the confidentiality 
    section of the regulation to allow manufacturers to preserve the 
    confidentiality of their 510(k) submission until the company is ready 
    to begin marketing the device. These comments contended that this could 
    be accomplished by granting manufacturers a provisional determination 
    of substantial equivalence, leaving the final determination until the 
    manufacturer is ready to market the device. One comment noted that, 
    previously, a submitter provided certification and was able to maintain 
    the confidentiality of its intention to market a device until such time 
    as the device was actually ready to be commercialized. This comment 
    further stated that the public disclosure of information about new 
    devices as mandated by Congress is of potential importance only when a 
    device is in a position to be marketed--a date which may be later than 
    the 30 days after a determination of substantial equivalence has been 
    made.
        Another comment noted that it is unlikely that a device 
    manufacturer would make an early submission for a premarket 
    notification if it knows that competitors might gain access to 
    confidential product and marketing information. As a result, the 
    premarket notification process would be lengthened because submitters 
    would wait to make such submissions in order to prevent others from 
    gaining a competitive edge. This comment asserted that even though the 
    SMDA requires FDA to make certain information available about a 510(k) 
    notification within 30 days of a substantial equivalence determination, 
    this does not mean that confidentiality under Sec. 807.95(c) cannot be 
    maintained.
        FDA acknowledges that, in the past, manufacturers could request 
    that a 510(k) clearance remain confidential until the device was 
    actually marketed. However, the agency can no longer provide such 
    extended confidentiality because of the statutory requirement that 
    510(k) summaries be available to the public within 30 days of the 
    issuance of a determination that such device is substantially 
    equivalent to another device. Even if the alternative suggested were 
    more practical, the agency believes it lacks authority to extend this 
    timeframe to the date a 510(k) submitter expects to begin marketing.
    
    G. Procedures
    
        25. One comment suggested that FDA consider formalizing 
    administrative procedures by which companies submit premarket 
    notifications, by which FDA reviews original premarket notifications 
    and subsequent amendments thereto, and by which substantial equivalence 
    orders are issued. Another comment contended that the issuance of 
    formal administrative procedures would significantly ``balance the 
    playing field'' for FDA management, for FDA reviewers, and for 
    industry.
        Administrative procedures are in place for submission, management, 
    and review of premarket notifications. (See part 807 (21 CFR part 807) 
    subpart E). FDA agrees that educational efforts concerning these 
    procedures should be continued. The agency has issued numerous 
    regulatory, guidance, and policy documents concerning premarket 
    notifications and will continue to issue similar documents. These 
    documents are available through the Center for Devices and Radiological 
    Health's Division of Small Manufacturers Assistance. In addition, it is 
    the agency's expectation that this final rule will further clarify the 
    requirements for premarket notification 510(k) summaries and 510(k) 
    statements.
        26. One comment requested FDA to provide an amendment process for 
    510(k) summaries that would permit the submitter of a 510(k) summary to 
    amend it at any point in the review of the 510(k) prior to FDA's 
    determination of substantial equivalence.
        FDA will accept amendments to 510(k) summaries until such time as 
    FDA makes a determination of substantial equivalence and has amended 
    Sec. 807.92(a) to state this policy. Additionally, firms that elect to 
    submit 510(k) statements at the time they file the premarket 
    notification may change their minds and submit a 510(k) summary before 
    the substantial equivalence determination is made. (See also response 
    to paragraph 13 of this document).
    
    H. Miscellaneous
    
        27. One comment from a manufacturer noted that, in the preamble to 
    the interim rule, a change in material would be considered a 
    significant difference for purposes of determining substantial 
    equivalence (see 57 FR 18062 at 18063). The comment stated that not all 
    changes in materials are ``significant.'' The comment further stated 
    that the interim rule provided no guidance or formal procedures that 
    would be applied to demonstrate equivalence or determine what 
    constitutes a significant change. The comment contended that existing 
    Sec. 807.87(g) appropriately addresses the issue of significant change.
        FDA agrees that there are existing regulations that address the 
    definition of ``significant change.'' The agency believes that the 
    criteria for a ``significant change'' are set forth in 
    Sec. 807.81(a)(3) (21 CFR 807.81(a)(3)). In addition, examples of what 
    constitutes a significant change, as well as a detailed discussion of 
    FDA's decisionmaking process for 510(k) applications, is contained in 
    ``FDA's Guidance on the Premarket Notification Review Program'' and 
    FDA's recent draft guidance, ``Deciding when to submit a 510(k) for a 
    change to an existing device.'' These publications are available from 
    the Division of Small Manufacturers Assistance, Center for Devices and 
    Radiological Health (HFZ-220), Food and Drug Administration, 5600 
    Fishers Lane, Rockville, MD 20857, 800-638-2041 or 301-443-6597.
        The regulation that is the subject of this rulemaking is not 
    intended to supplant current regulations and guidelines concerning 
    significant change. The new regulation builds on existing regulations 
    and guidance in order to implement the section of the SMDA that directs 
    the Secretary to establish the requirements for 510(k) summaries under 
    section 513(i)(3)(B) of the act.
    
    I. Effective Date
    
        28. One comment stated that 60 days after date of publication is a 
    reasonable effective date for the interim rule. Other comments argued 
    that more time would be needed, particularly for companies who utilize 
    the 510(k) statement and need to be in a position to comply with the 
    30-day timeframe for responding to requestors.
        The agency is establishing a 90-day effective date after date of 
    publication for all provisions in this rule, for the reasons discussed 
    in paragraph 20 of this document.
    
    III. Enforcement
    
        FDA emphasizes that it is the 510(k) submitter's responsibility to 
    prepare adequate 510(k) summaries, or to respond appropriately to 
    requests for information from the public when the submitter has chosen 
    to submit a 510(k) statement. If FDA determines that a submitter of a 
    510(k) summary or 510(k) statement has failed to comply properly with 
    these regulations, FDA may provide the public with a purged copy of the 
    510(k) submission prepared by agency staff. Under these circumstances, 
    FDA would not follow predisclosure notification procedures established 
    for responses to FOIA requests for 510(k) submissions. Failure to 
    comply with the requirements established by section 513(i) of the SMDA 
    is a prohibited act under section 301(q)(2) and (p) of the act, and the 
    agency will use its enforcement powers to deter noncompliance. 
    Violations under section 301 of the act may be subject to seizure or 
    injunction pursuant to sections 302(a) and 304(a) of the act (21 U.S.C. 
    332(a) and 334(a) respectively). In addition, a 510(k) submitter 
    responsible for violating section 301 of the act may be subject to 
    civil penalties under section 303(f) of the act (21 U.S.C. 333(f)) and 
    criminal prosecution under section 303(a) of the act (21 U.S.C. 
    333(a)).
    
    IV. Environmental Impact
    
        The agency has determined under 21 CFR 25.24(e)(2) 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.
    
    V. Analysis of Impacts
    
        An analysis of the costs and benefits of this regulation, conducted 
    under Executive Order 12291, was discussed in the interim rule and the 
    substance of that analysis has not changed. Executive Order 12291 has 
    been superseded by Executive Order 12866.
        FDA has examined the impacts of the final rule under Executive 
    Order 12866 and the Regulatory Flexibility Act (Pub. L. 96-354). 
    Executive Order 12866 directs agencies to assess all costs and benefits 
    of available regulatory alternatives and, when regulation is necessary, 
    to select regulatory approaches that maximize net benefits (including 
    potential economic, environmental, public health and safety, and other 
    advantages; distributive impacts; and equity). The agency believes that 
    this rule is consistent with the regulatory philosophy and principles 
    identified in the Executive Order. In addition, the rule is not a 
    significant regulatory action as defined by the Executive Order and so 
    is not subject to review under the Executive Order.
        The Regulatory Flexibility Act requires agencies to analyze 
    regulatory options that would minimize any significant impact of a rule 
    on small entities. The provisions of the final rule, including the 
    codification of the content requirements for 510(k) summaries, 510(k) 
    statements, class III summaries, and class III certifications should 
    assist submitters in organizing their submissions by giving submitters 
    a framework for organizing the discussion of substantial equivalence. 
    The regulation may be used as a checklist by submitters whenever they 
    submit a 510(k) summary, a 510(k) statement, a class III summary, or a 
    class III certification. This should result in better submissions and 
    more efficient review. The costs of the rule will be spread among 
    several thousand marketers in any year. For these reasons, the agency 
    certifies that the rule will not have a significant economic impact on 
    a substantial number of small entities. Therefore, under the Regulatory 
    Flexibility Act, no further analysis is required.
    
    VI. Paperwork Reduction Act of 1980
    
        Sections 807.87(h) and 807.87(i) of this final rule contain 
    reporting requirements that were submitted for review and approval to 
    the Director of the Office of Management and Budget (OMB), as required 
    by section 3504(h) of the Paperwork Reduction Act of 1980. The 
    requirements were approved and assigned OMB control number 0910-0281 
    and are in conformance with the Paperwork Reduction Act of 1980 (44 
    U.S.C. Ch. 35). The annual burden for reporting is as follows:
    
                                               Annual Burden for Reporting                                          
    ----------------------------------------------------------------------------------------------------------------
                                                          No. of                                                    
               CFR section                No. of       responses per   Total annual      Hours per      Total hours 
                                        respondents     respondent       responses       response                   
    ----------------------------------------------------------------------------------------------------------------
    Summaries 807.87(h).............           1,645               1           1,645           23             37,835
    Statements 807.87(h)............           3,055               1           3,055             .65           1,986
    Citations 807.87(i).............             500               1             500           42             21,000
                                     -------------------------------------------------------------------------------
        Total.......................  ..............  ..............  ..............  ..............          60,821
    ----------------------------------------------------------------------------------------------------------------
    
    List of Subjects in 21 CFR Part 807
    
        Confidential business information, Medical devices, Reporting and 
    recordkeeping requirements.
        Therefore, under the Federal Food, Drug, and Cosmetic Act and under 
    authority delegated to the Commissioner of Food and Drugs, the interim 
    rule amending 21 CFR part 807, which published in the Federal Register 
    of April 28, 1992 (57 FR 18062), and stayed at 57 FR 23059, is adopted 
    effective March 14, 1995 as a final rule with the following changes:
    
    PART 807--ESTABLISHMENT REGISTRATION AND DEVICE LISTING FOR 
    MANUFACTURERS AND DISTRIBUTORS OF DEVICES
    
        1. The authority citation for 21 CFR part 807 continues to read as 
    follows:
    
        Authority: Secs. 301, 501, 502, 510, 513, 515, 519, 520, 701, 
    704 of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 331, 351, 
    352, 360, 360c, 360e, 360i, 360j, 371, 374).
    
        2. Section 807.3 is amended by revising the first sentence of 
    paragraph (n) and paragraphs (o) and (q) to read as follows:
    
    
    Sec. 807.3  Definitions.
    
    * * * * *
        (n) 510(k) summary (summary of any information respecting safety 
    and effectiveness) means a summary, submitted under section 513(i) of 
    the act, of the safety and effectiveness information contained in a 
    premarket notification submission upon which a determination of 
    substantial equivalence can be based * * *.
        (o) 510(k) statement means a statement, made under section 513(i) 
    of the act, asserting that all information in a premarket notification 
    submission regarding safety and effectiveness will be made available 
    within 30 days of request by any person if the device described in the 
    premarket notification submission is determined to be substantially 
    equivalent. The information to be made available will be a duplicate of 
    the premarket notification submission, including any adverse safety and 
    effectiveness information, but excluding all patient identifiers, and 
    trade secret or confidential commercial information, as defined in 
    Sec. 20.61 of this chapter.
    * * * * *
        (q) Class III summary means a summary of the types of safety and 
    effectiveness problems associated with the type of device being 
    compared and a citation to the information upon which the summary is 
    based. The summary must be comprehensive and describe the problems to 
    which the type of device is susceptible and the causes of such 
    problems.
        3. Section 807.87 is amended by revising the first sentence of 
    paragraph (i)(2) and paragraph (j), and by adding a parenthetical 
    statement at the end of the section to read as follows:
    
    
    Sec. 807.87  Information required in a premarket notification 
    submission.
    
    * * * * *
        (i) * * *
        (2) For which no final regulation requiring premarket approval has 
    been issued under section 515(b) of the act, a summary of the types of 
    safety and effectiveness problems associated with the type of devices 
    being compared and a citation to the information upon which the summary 
    is based (class III summary). * * *
        (j) A statement that the submitter believes, to the best of his or 
    her knowledge, that all data and information submitted in the premarket 
    notification are truthful and accurate and that no material fact has 
    been omitted.
    * * * * *
    (Information collection requirements in this section were approved 
    by the Office of Management and Budget (OMB) and assigned OMB 
    control number 0910-0281)
    
        4. Section 807.92 is amended by revising the introductory text of 
    paragraph (a), paragraphs (a)(3), (a)(4), (a)(5), (a)(6), (b), and by 
    adding new paragraph (d) to read as follows:
    
    
    Sec. 807.92  Content and format of a 510(k) summary.
    
        (a) A 510(k) summary shall be in sufficient detail to provide an 
    understanding of the basis for a determination of substantial 
    equivalence. FDA will accept summaries as well as amendments thereto 
    until such time as FDA issues a determination of substantial 
    equivalence. All 510(k) summaries shall contain the following 
    information:
    * * * * *
        (3) An identification of the legally marketed device to which the 
    submitter claims equivalence. A legally marketed device to which a new 
    device may be compared for a determination regarding substantial 
    equivalence is a device that was legally marketed prior to May 28, 
    1976, or a device which has been reclassified from class III to class 
    II or I (the predicate), or a device which has been found to be 
    substantially equivalent through the 510(k) premarket notification 
    process;
        (4) A description of the device that is the subject of the 
    premarket notification submission, such as might be found in the 
    labeling or promotional material for the device, including an 
    explanation of how the device functions, the scientific concepts that 
    form the basis for the device, and the significant physical and 
    performance characteristics of the device, such as device design, 
    material used, and physical properties;
        (5) A statement of the intended use of the device that is the 
    subject of the premarket notification submission, including a general 
    description of the diseases or conditions that the device will 
    diagnose, treat, prevent, cure, or mitigate, including a description, 
    where appropriate, of the patient population for which the device is 
    intended. If the indication statements are different from those of the 
    legally marketed device identified in paragraph (a)(3) of this section, 
    the 510(k) summary shall contain an explanation as to why the 
    differences are not critical to the intended therapeutic, diagnostic, 
    prosthetic, or surgical use of the device, and why the differences do 
    not affect the safety and effectiveness of the device when used as 
    labeled; and
        (6) If the device has the same technological characteristics (i.e., 
    design, material, chemical composition, energy source) as the predicate 
    device identified in paragraph (a)(3) of this section, a summary of the 
    technological characteristics of the new device in comparison to those 
    of the predicate device. If the device has different technological 
    characteristics from the predicate device, a summary of how the 
    technological characteristics of the device compare to a legally 
    marketed device identified in paragraph (a)(3) of this section.
        (b) 510(k) summaries for those premarket submissions in which a 
    determination of substantial equivalence is also based on an assessment 
    of performance data shall contain the following information:
        (1) A brief discussion of the nonclinical tests submitted, 
    referenced, or relied on in the premarket notification submission for a 
    determination of substantial equivalence;
        (2) A brief discussion of the clinical tests submitted, referenced, 
    or relied on in the premarket notification submission for a 
    determination of substantial equivalence. This discussion shall 
    include, where applicable, a description of the subjects upon whom the 
    device was tested, a discussion of the safety or effectiveness data 
    obtained from the testing, with specific reference to adverse effects 
    and complications, and any other information from the clinical testing 
    relevant to a determination of substantial equivalence; and
        (3) The conclusions drawn from the nonclinical and clinical tests 
    that demonstrate that the device is as safe, as effective, and performs 
    as well as or better than the legally marketed device identified in 
    paragraph (a)(3) of this section.
    * * * * *
        (d) Any other information reasonably deemed necessary by the 
    agency.
        5. Section 807.93 is revised to read as follows:
    
    
    Sec. 807.93  Content and format of a 510(k) statement.
    
        (a)(1) A 510(k) statement submitted as part of a premarket 
    notification shall state as follows:
    
        I certify that, in my capacity as (the position held in company 
    by person required to submit the premarket notification, preferably 
    the official correspondent in the firm), of (company name), I will 
    make available all information included in this premarket 
    notification on safety and effectiveness within 30 days of request 
    by any person if the device described in the premarket notification 
    submission is determined to be substantially equivalent. The 
    information I agree to make available will be a duplicate of the 
    premarket notification submission, including any adverse safety and 
    effectiveness information, but excluding all patient identifiers, 
    and trade secret and confidential commercial information, as defined 
    in 21 CFR 20.61.
    
        (2) The statement in paragraph (a)(1) of this section should be 
    signed by the certifier, made on a separate page of the premarket 
    notification submission, and clearly identified as ``510(k) 
    statement.''
        (b) All requests for information included in paragraph (a) of this 
    section shall be made in writing to the certifier, whose name will be 
    published by FDA on the list of premarket notification submissions for 
    which substantial equivalence determinations have been made.
        (c) The information provided to requestors will be a duplicate of 
    the premarket notification submission, including any adverse 
    information, but excluding all patient identifiers, and trade secret 
    and confidential commercial information as defined in Sec. 20.61 of 
    this chapter.
        6. Section 807.94 is revised to read as follows:
    
    
    Sec. 807.94  Format of a class III certification.
    
        (a) A class III certification submitted as part of a premarket 
    notification shall state as follows:
    
        I certify, in my capacity as (position held in company), of 
    (company name), that I have conducted a reasonable search of all 
    information known or otherwise available about the types and causes 
    of safety or effectiveness problems that have been reported for the 
    (type of device). I further certify that I am aware of the types of 
    problems to which the (type of device) is susceptible and that, to 
    the best of my knowledge, the following summary of the types and 
    causes of safety or effectiveness problems about the (type of 
    device) is complete and accurate.
    
        (b) The statement in paragraph (a) of this section should be signed 
    by the certifier, clearly identified as ``class III certification,'' 
    and included at the beginning of the section of the premarket 
    notification submission that sets forth the class III summary.
        7. Section 807.95 is amended by revising paragraph (d) to read as 
    follows:
    
    
    Sec. 807.95  Confidentiality of information.
    
    * * * * *
        (d) FDA will make a 510(k) summary of the safety and effectiveness 
    data available to the public within 30 days of the issuance of a 
    determination that the device is substantially equivalent to another 
    device. Accordingly, even when a 510(k) submitter has complied with the 
    conditions set forth in paragraphs (b) and (c) of this section, 
    confidentiality for a premarket notification submission cannot be 
    granted beyond 30 days after FDA issues a determination of equivalency.
    * * * * *
        Dated: November 30, 1994.
    William K. Hubbard,
    Interim Deputy Commissioner for Policy.
    [FR Doc. 94-30422 Filed 12-13-94; 8:45 am]
    BILLING CODE 4160-01-P
    
    
    

Document Information

Published:
12/14/1994
Department:
Food and Drug Administration
Entry Type:
Uncategorized Document
Action:
Final rule.
Document Number:
94-30422
Dates:
March 14, 1995.
Pages:
0-0 (1 pages)
Docket Numbers:
Federal Register: December 14, 1994, Docket No. 91N-0388
CFR: (16)
21 CFR 807.92(a)(5)
21 CFR 807.92(a)(3)
21 CFR 807.92(a)(6)
21 CFR 807.92(a)
21 CFR 807.81(a)(3)
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