Medical Device Prototype Development
Medical
devices in the United States are classified according to their perceived risk.
The Food and Drug Administration (FDA) uses a 3-tier system to classify
progressively higher risk devices (identified from low to high risk as Class I,
II or III devices). As expected, the process to create novel medical prototypes
benefits greatly from the understanding of the broader regulatory structure
surrounding the health industry. When it goes on the market with a new device, it
will be classified as Class I, II or III, so let's take a closer look at what
this all means.
About
medical device classifications:
•
Class I medical devices (subject to general controls with and without
exemptions): the lowest risk classification that a medical device prototyping can be
labeled by the FDA is class I. Class I devices are only subject to
"general controls ". What are general controls? These are the means
by which the FDA can regulate medical devices, and cover topics such as device
registration, wrong marks, prohibited devices, good manufacturing practices and
more. General controls are a mechanism through which the FDA exercises control
over the manufacture and marketing of medical devices.
An
example of a class I device could include medical wrap or handheld medical
instruments:
•
Class II medical devices (subject to general controls and special controls with
and without exemptions): Class II medical devices are those devices that
present a moderate risk to the user and for which "general controls"
are not sufficient for Ensure safety and effectiveness. Class II devices are
subject to both "General Controls" and "Special Controls."
Typically, Class II devices require FDA pre-marketing approval (PMA) or
approval through the 510 (k) process before a device can be legally marketed.
Determining what process (none at all, 510 (k) or PMA) is required is the most
important determining factor for the overall development timeline and total
investment in the project.
An
example of a class II device could include acupuncture needles or an electric
wheelchair:
•
Class III medical devices (subject to general controls and pre-marketing
approval): Class III medical devices are those with the highest associated
risk. They include things like pacemakers, coronary stents and heart valves,
all devices that sustain / sustain life, of substantial importance to prevent
the degradation of human health, or that present a significant risk to the
user. Typically, Class III devices require FDA pre-marketing approval (PMA)
before they can be legally marketed. They are also subject to "General
Controls." Obtaining PMA approval is a lengthy process that requires
clinical data demonstrating the safe and effective use of the device in your
target population.
An
example of a class III device could include a pacemaker.
According
to the FDA, to determine the classification of your device, you can "go
directly to the classification database and look for a part of the device name
or, if you know the device panel (medical specialty) to which your device
belongs, go directly to the list of that panel and identify your device and the
corresponding regulations ".
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