Transcript klepinski_3

Presented by
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©2007 Fredrikson & Byron P.A.
• There are basic differences in promotion
of 510(k) vs. PMA devices
• FDA jurisdiction is different and
policies/guidance differ
©2007 Fredrikson & Byron P.A.
• The Food, Drug, and Cosmetic Act
(FDCA) does not give FDA authority over
ads for devices that are not “restricted”
• Most 510(k) products are not restricted
• This is why FDA calls all materials for
510(k) devices “labeling”
©2007 Fredrikson & Byron P.A.
• Because the major control is over
labeling, FDA focuses its compliance
actions on whether a claim is outside the
indications for use in the clearance
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• Despite FDA’s wishes to control
statements outside a clearance, FDA has
issued guidance indicating that it is
acceptable to display and advertise
510(k) devices before clearance
• You need to state it’s regulatory status
• You cannot take orders or offer to take
orders
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• If Ace had simply promoted off label for
pediatric use, FDA would most likely
have viewed it as promoting an indication
for which the device was not cleared
• By filing a 510(k), Ace can use the
guidance concerning promotion of a new
device before clearance
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• CDRH views PMA products in much the
same manner as CDER views drugs
• No promotion before approval
• This is not explicit in the FDCA
• FDA is saying it is inherently false or
misleading to promote a PMA device before
approval
• This blanket approach is clearly, absolutely
unconstitutional, but who among us wants to
bring the case?
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•
For the PMA product, Ace should be
using the available tools that FDA
guidance and policy have provided, e.g.
1.
2.
3.
4.
Press Release
Notice of Availability Ads
CME conferences
Distribution of peer-reviewed articles
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• This is a common exception to FDA
promotional rules
• SEC and other agencies require that material
information be disseminated (and disseminated
equally)
• FDA recognizes this need and allows truthful
statements that they would otherwise object to
in promotional material
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• Any ads for the PMA product before
release should follow the Notice of
Availability guidance
• No claims that the device is safe or
effective
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• Display of the unapproved product is
acceptable at trade shows
• PMA products should follow the Notice of
Availability guidance
• 510(k) products should have a statement that
the 510(k) is pending, or equivalent
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• If done following guidance, most of these
activities may be done without FDA
concern
• It would be really easy to do them in a
manner that FDA would view as entirely
illegal
©2007 Fredrikson & Byron P.A.