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Introduction................................................................................................ 225
' i2 m8 Z3 }6 LRegulatory Requirements Are Enforced by Law................................. 225/ z0 E% h v2 a( B: b; n
Make Regulatory Affairs Cost-Effective................................................ 225
: i% X& m* S! @* M" t6 u7 PRegulatory Requirements Improve Device Safety and1 X; |& r0 H+ u! M
Effectiveness ........................................................................................ 225( q1 ^ `3 E' t6 M3 o- p/ O
Regulatory Affairs Requires Good Judgment ...................................... 2262 `% [, O8 H$ Z
FDA Overview and Authority................................................................... 226
. `; E+ G" Z" K! }6 B2 zImportant FDA Jurisdiction Acts, History, and Assistance................. 227" v& O. j6 D0 Z
Online Assistance .................................................................................. 227
# ^- h* B: J6 EThe Basics: Short Discussion of Establishment Registration,0 L% h8 z$ i1 C v F( G9 @( M0 M/ Y7 |
Device Submissions, Device Listing, and Device
& u \0 ~) p$ K& fClassification............................................................................................. 228
3 \ b+ }# F+ [* Y4 C( |0 ~Establishment Registration .................................................................... 228
- g0 \/ K1 a9 p! EDevice Listing ........................................................................................ 228
1 O6 O7 a" G; [0 C+ L' ^Device Classification ............................................................................. 229
# L6 e2 b+ L9 Q( z" k+ _Device Functional Classification........................................................... 2303 A& U7 t+ Z: o. d; T A
510(k) Premarket Notification .............................................................. 230+ X; F; G1 ]/ [3 o$ s
Substantial Equivalence......................................................................... 2310 w6 p5 I" R7 z1 @
Premarket Approval Submission .......................................................... 232
: _" O, p ~- N: H+ qInvestigational Device Exemption and Supporting Studies ............... 2324 c; r# t$ e- _9 A# `! P$ c
Third-Party Submission Review by Accredited Parties....................... 233" k1 G1 }! c6 u
Importing into the U.S.......................................................................... 2340 [" [; I/ j( l; O4 h/ H
Initial Importers................................................................................. 234
0 H- O. O6 Z6 E, }# J: tExporting Devices ................................................................................. 2349 v( a! T3 [; o. F4 _! c& `/ m$ b
Certificates for Foreign Government............................................... 235
6 y; S5 A b! _/ }4 }+ J. H1 b; WAdditional Regulations by Different States.......................................... 2355 ^0 B/ i" Q8 y3 t$ F
Special Considerations............................................................................... 236/ l( w B& _: M
Exemptions from 510(k) and GMP Requirements.............................. 236
; {4 U1 ^2 X/ i& JClass I Devices .................................................................................. 2362 Z3 L& j# Z. [' ^/ q( ^6 G# x
Class II Devices................................................................................. 236
* Y$ b" z4 k/ M5 SSpecial 510(k) ........................................................................................ 237
( T% p$ E1 i7 a2 pAbbreviated 510(k)................................................................................ 238
1 f; t8 |) r- l6 C, uDe Novo
+ {) @4 P* u9 y* S7 J; h.................................................................................................. 238
8 X2 {# K) l+ k, Z, l" VProduct Development Protocol............................................................ 239 k# D v( a( `# D" h
Humanitarian Use Device/Humanitarian Device Exemption............. 239& ^8 |' g& X3 Q+ `- K7 U! w8 B7 M
Good Quality and Procedural Practices .................................................. 240
# ^( ~: U! ^$ g" h0 @0 mQuality System Regulations (QSR)....................................................... 240. P! F$ u2 l" u, | z1 W
Quality System Inspection Technique (QSIT)..................................... 241
+ i# x2 P( C- i7 xGood Clinical Practice .......................................................................... 241
( w6 l5 w# L* ?# X+ HGood Laboratory Practices ................................................................... 242
( }' G }1 h" b* Y D0 }* eRegulations ........................................................................................ 242
: S: E5 S" N G4 Z* xPreclinical Studies.................................................................................. 242
- }0 G8 e( ]. VSummary of Title 21 of the Code of Federal Regulations,
0 J9 n+ t) {7 OParts 800 to 1299, for Medical Devices ................................................. 243* u8 q9 s* }9 e2 K% W; }' V
Part 800: General Requirements........................................................... 2434 h% \% u2 F( d2 m% o8 u
Part 801: Labeling.................................................................................. 243. v0 M4 r7 }' G' K
Part 803: Medical Device Reporting (MDR)........................................ 244
+ C" Y; D3 b$ i" e7 D4 \Part 806: Medical Devices: Reports of Corrections
9 a! {- z4 A. ~2 X. R l; f7 p- Rand Removals ...................................................................................... 246
; V4 D3 Q/ T: `& t. S! PPart 807: Establishment Registration and Device Listing for; e. w* Z$ J9 @! W% u
Manufacturer and Individual Importers of Devices ......................... 246
& i) B* i0 V7 n7 C1 B8 FPart 808: Exemptions from Federal Preemption of State and
3 B! }- L5 V. _7 Q7 c' F; O ELocal Medical Device Requirements .................................................. 2486 V5 \7 Y- q3 n1 P4 [5 _
Part 809:9 n5 k( w5 G) X0 Z ~& u( k- G8 E
In Vitro* F7 S, F7 n- P5 X
Diagnostic Products for Human Use .................... 248
/ z5 ]/ { r; \Part 810: Medical Device Recall Authority.......................................... 2491 x0 E6 V# y8 }
Part 812: Investigational Device Exemptions...................................... 250
8 K; S( ?6 I$ U2 v$ zPart 820: Quality System Regulation.................................................... 257+ [& a4 c: [- |& Q9 c
Part 821: Medical Device Tracking Requirements .............................. 259) O) d8 ?! |9 N7 k
Part 822: Postmarket Surveillance ........................................................ 261
* O2 @) S z! R" C0 h8 v7 \1 f7 CPart 860: Medical Device Classification Procedures ........................... 262
) H+ Z, x9 J3 N) i8 U4 R1 EPart 861: Procedures for Performance Standards7 P0 m/ |# ] Z h+ L
Development ....................................................................................... 263
% \0 }: M5 B2 `Parts 862 to 1050................................................................................... 264
2 S3 X! a. v0 TAbbreviations.............................................................................................. 265& c5 {: V3 w% D6 j, _6 |
International and National Standard Abbreviations............................ 265
- z7 c8 Q% @4 e( L4 uRegulatory Abbreviations ...................................................................... 265 |
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