When trying to determine FDA medical device classification, there are a few ways to get information and feedback from the Agency. We are often asked how we choose between a Pre-Submission Request for Feedback (part of the Q-Submission Program) or a 513(g) Request for Information when determining medical device classification.  While both can provide valuable information, we have listed some of the distinctions of each below that help drive the decision.  We won’t call any of these “pros” or “cons” because it depends on the goals of our clients and the nuances of the particular medical device.

Clarity on Device Classification through a Pre-Submission (Pre-Sub):

• Nothing that the FDA or the company says is binding.
• You cannot directly ask for the classification of your device in a Pre-Sub but you may be able to ask similar questions that would give you insight on a classification. For example, you may propose a predicate device and then ask “Are there concerns with the predicate device proposed?”.  If no concerns are raised, this could be an indication the predicate could be used to prove substantial equivalence in a future 510(k) submission.
• There are no user fees for a Pre-Sub request.
• A Pre-Sub generally allows for 3-4 questions/topics.
• A Pre-Sub allows an opportunity for a teleconference or in person meeting.
• Response time for a Pre-Submission is 70 days (or 5 days prior to the scheduled meeting, if requested) and our recent Pre-Subs have all fallen within this time frame.
• After a Pre-Sub teleconference draft meeting minutes must be submitted to FDA as an amendment within 15 days.
• FDA may still suggest a 513(g) Request for Information.

513(g) Request for Information:

• While the decision is like a Pre-Sub and also non-binding, FDA will typically stay consistent with their proposed classification/response if there are no substantial changes later.
• If FDA gives you a product code/classification opinion for your device (assuming that one exists) you will have a potential path to market.
• There is a user fee associated with a 513(g) ($6,528 standard or $3,264 for small businesses* in fiscal year 2024).
• 513(g) requests do not offer the flexibility to ask questions on multiple topics or have any live dialog with FDA as the response is a written-only response.
• Response time for a 513(g) is intended to be within 60 days of receipt. (Important note: this timeline has not been met on any of our recent submissions).
• Requires draft labeling.
• FDA may still suggest a De Novo or PMA submission if a classification does not exist.

Both 513(g) and Pre-Submission requests have FDA-prescribed formats. CMD can help you balance the business and regulatory risk of these different pathways in addition to authoring the submissions and supporting the FDA interactions.

*Note that applying for “small business designation” with FDA requires 60 days to process and must be completed before you can leverage the small business pricing. Plan ahead!

The FDA has identified a list of Class I and Class II medical devices that are exempt from 510(k) and Good Manufacturing Practices (GMP) requirements, “subject to certain limitations.”  If a device is exempt from 510(k) submission requirements, it may also be exempt from GMP requirements (but not the other way around).  What do these two different scenarios mean for your organization and products?

Although FDA’s 510(k) program is the most commonly used device review pathway for medical devices in the US, not all devices need a formal submission to be legally marketed. Some medical devices are exempt from 510(k) clearance, meaning that manufacturers can market their device without clearance from the FDA. In addition, some of these exempt devices are also exempt from GMP requirements. What does this all mean? And is it going to save your company time and money?

You can determine whether a particular device is exempt from these requirements by searching the FDA’s Product Classification database.

In the following example, this product code is exempt from the 510(k) process, but still requires conformance to Good Manufacturing Practices:

Some Class I and Class II devices are exempt from both the 510(k) process and GMP requirements (with some limitations). Others are just exempt from 510(k), but not GMP. Let’s explore each of these cases further:

510(k) Exempt Only (but not GMP exempt)

Most Class I devices and some Class II devices fall into this category. What does this mean?

• FDA still expects that the Quality System Regulation (also referred to as GMP, cGMP, Good Manufacturing Practices, QSR or 21 CFR 820) is followed even though a 510(k) (premarket notification) submission is not required.
• These devices still require the implementation and use of a QSR-compliant quality system.
• You will still need to register your establishment and list your product(s) with the FDA

Our customers often ask “Do I need to follow all of the standards and guidance documents if I’m not submitting a 510(k)?” In general, the answer should be “yes.” Although FDA guidance and recognized standards aren’t a legal requirement, they represent FDA’s idea of safe and effective products. In addition, standards and guidances typically represent good engineering and quality practices and will result in a better device.  Lastly, a lack of adherence could lead to a finding in an audit or result in a device that causes harm.

510K Exempt and GMP Exempt

Some Class I devices fall into this category:

• Products in this category are exempt from the GMP/QSR regulation, except for the requirements for maintaining records (21 CFR 820.180) and complaint files (21 CFR 820.198)
• Use caution: devices are not exempt from GMP if the device labeled or otherwise represented as sterile, or if the device contains software.
• You will still need to register your establishment and list your products with the FDA.

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CMD can help your company strategize on the regulatory classification path of your device, including supporting discussions with the FDA and ensuring that time and effort is not spent complying with unnecessary regulations.