Regulatory Compliance: Key Terms and Decision Paradigm
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Questions and Answers

What type of software is exempt from the software guidance?

  • Software for which FDA intends to enforce compliance with regulatory control
  • Software for which FDA has stated it does not intend to enforce compliance with applicable regulatory control (correct)
  • Software that does not require 510(k) submission
  • Software that requires 510(k) submission
  • What should be done when there are multiple changes affecting labeling or hardware in addition to software?

  • Submit a new 510(k) without assessing the changes
  • Assess the changes using only the software modifications guidance
  • Assess the changes using only the general modifications guidance
  • Assess the changes using both guidances (correct)
  • What is required when adding a new mode to a software-only device?

  • Update of the device's labeling
  • Assessment of the change under the general modifications guidance
  • Assessment of the change under the software modifications guidance (correct)
  • Submission of a new 510(k) for the software modification
  • What is the purpose of the guiding principles in the guidances?

    <p>To provide essential principles for use of the documents</p> Signup and view all the answers

    What type of changes would require the use of both software modifications and general modifications guidance?

    <p>Changes to software and hardware that affect the device's labeling</p> Signup and view all the answers

    What is not addressed in the software guidance?

    <p>Software life cycle</p> Signup and view all the answers

    What is required when adding a new mode to an infusion pump?

    <p>Assessment of the change under both guidances</p> Signup and view all the answers

    What is the purpose of the guiding principles in the guidances?

    <p>To provide essential principles for use of the documents</p> Signup and view all the answers

    What was the main reason for updating the flow charts?

    <p>To serve as a companion to the text</p> Signup and view all the answers

    What does 'could significantly affect' refer to?

    <p>Key regulatory terms</p> Signup and view all the answers

    Which devices are excluded from both guidances mentioned?

    <p>PMA devices and 510(k) exempt devices</p> Signup and view all the answers

    What additional content was added to the appendix?

    <p>Documentation recommendations and examples</p> Signup and view all the answers

    What does the general guidance apply to?

    <p>Non-software changes to software devices</p> Signup and view all the answers

    What illustrates the complexity variation of documentation?

    <p>Documentation recommendations and examples in the appendix</p> Signup and view all the answers

    What paradigm was added to the decision-making process for all changes?

    <p>Risk assessment paradigm</p> Signup and view all the answers

    What ensures consistency between the two guidances?

    <p>Key principles underlying the decision paradigm</p> Signup and view all the answers

    What must be done when a change could significantly affect a device's safety or effectiveness?

    <p>A new 510(k) must be submitted</p> Signup and view all the answers

    How should multiple changes to a device be evaluated?

    <p>Individually first, then collectively</p> Signup and view all the answers

    When determining if a particular change requires a new 510(k), what should you compare the changed device to?

    <p>The device as previously found to be substantially equivalent</p> Signup and view all the answers

    What term is used to refer to the appropriate comparative device in the guidance document?

    <p>Original Device</p> Signup and view all the answers

    What trigger requires the submission of a new 510(k) due to multiple changes to a device?

    <p>The cumulative effect of individual changes triggering the regulatory threshold</p> Signup and view all the answers

    What must be ensured every time you make a change to a device, according to the guiding principles?

    <p>The modified device should be compared to the original device</p> Signup and view all the answers

    What aspect does the next guiding principle after multiple changes specifically address?

    <p>Documentation requirements</p> Signup and view all the answers

    What regulation requires that device changes be documented?

    <p>Quality system regulation</p> Signup and view all the answers

    Study Notes

    Key Updates and Improvements

    • The flow charts have been updated to align with the text and provide added clarity on key regulatory terms such as "could significantly affect."
    • The key principles underlying the decision paradigm have been updated, and changes have been made to the materials section.
    • A large number of illustrative examples have been added to provide better understanding.
    • An appendix with documentation recommendations and examples has been added to demonstrate how the complexity of documentation varies depending on the complexity of the device change.

    Scope of Guidances

    • Both guidances (general and software modifications) apply to legally marketed devices subject to 510(k) requirements.
    • PMA devices and 510(k) exempt devices are outside the scope of both guidances.
    • The general guidance applies to non-software changes to software devices or devices containing software.

    Guiding Principles

    • The regulation requires submission of a new 510(k) when a change could significantly affect safety or effectiveness.
    • Both safety and effectiveness should be considered in evaluating a device's risk profile.
    • A risk-based assessment should be performed as explained in Section E.
    • When evaluating simultaneous changes, they should be assessed both separately and together.
    • The cumulative effect of changes should be considered when determining whether a new 510(k) is required.

    Comparative Device and Risk Assessment

    • The original device is the device as previously found to be substantially equivalent in the most recently cleared 510(k).
    • When making a change, the modified device should be compared to the original device.
    • The cumulative effect of individual changes may trigger the regulatory threshold for submission, requiring a new 510(k).

    Documentation Requirements

    • Devices changes must be documented in compliance with the quality system regulation.
    • The scope and type of documentation may vary depending on the complexity of the device change.
    • The process of documenting decisions should be established as part of the quality system.

    Software Guidance

    • The software guidance does not apply to software for which FDA has stated that they do not intend to enforce compliance with applicable regulatory control.
    • The software guidance does not address other software-related concepts like the software life cycle, documentation, or validation principles.
    • When multiple changes affect labeling or hardware in addition to software, both guidances should be used, and if either guidance leads to a new 510(k) conclusion, submission of a new 510(k) is likely required.

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    Description

    This quiz assesses understanding of regulatory terms and decision-making principles, including the interpretation of key phrases like 'could significantly affect'.

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