When developing a new orthopedic device or product, you need to consider the most appropriate FDA pathway to take. Most of us have the most experience with 510(k)s but there are 4 other pathways. Let's review. The US Food and Drug Administration (FDA) has several regulatory pathways for medical devices to be cleared for marketing in the United States. They include: 1/510(k) clearance: This is the most common pathway for medical devices to be cleared by the FDA. A device is eligible for 510(k) clearance if it is substantially equivalent to a legally marketed device that is already on the market. Examples:
Knee replacement implants Intervertebral spinal fusion devices Lumbar artificial disc replacements
2/De Novo classification: This pathway is for new medical devices that do not have a predicate device to reference for substantial equivalence. De Novo is an expedited review process for low- to moderate-risk medical devices. Examples:
3D printed spinal implants Novel joint reconstruction devices
3/Premarket Approval (PMA): This is the most stringent regulatory pathway for medical devices. PMA is required for high-risk medical devices, such as implantable devices, and involves a c...
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