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510(k) SUBSTANTIAL EQUIVALENCE DETERMINATION DECISION MEMORANDUM ASSAY AND INSTRUMENT COMBINATION TEMPLATE A. 510(k) Number: k160944 B. Purpose for Submission: New device C. Measured: Capillary whole
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How to fill out 510k substantial equivalence determination

How to fill out 510k substantial equivalence determination:
01
Begin by referencing the Code of Federal Regulations (CFR) 21 Part 807 Subpart E to gather information on the required content and format of the 510k submission.
02
Provide the necessary administrative information, such as your company name, product trade name, and contact details. Include any previous 510k numbers or related submissions if applicable.
03
Clearly identify the predicate device(s) and describe the similarities and differences between your device and the predicate(s). Include detailed technical specifications, such as materials, design features, and intended use.
04
Conduct a comprehensive risk assessment of your device and compare it to the predicate device(s). Provide detailed information on any potential risks, mitigations, and labeling instructions to address those risks.
05
Include a detailed description of any performance or clinical testing you have conducted on your device. Provide test protocols, results, and analysis to demonstrate substantial equivalence to the predicate(s).
06
If your device utilizes software or electronic interfaces, outline the design, functionality, and validation of the software system. Include any software documentation, test/validation reports, and relevant standards compliance.
07
Prepare a comprehensive labeling section that includes all instructions for use, warnings, precautions, and contraindications. Ensure that all labeling meets the labeling requirements outlined in CFR 21 Part 801.
08
Compile a comprehensive summary of the supporting data, including any published literature, clinical studies, or post-market surveillance information that supports the substantial equivalence determination.
09
Complete all required forms and attachments, such as the FDA Form 3514 or the Bioresearch Monitoring Information System (BMIS) cover sheet.
Who needs 510k substantial equivalence determination:
01
Medical device manufacturers intending to market a new device that is not exempt from 510k submission regulations.
02
Manufacturers seeking to introduce modifications to an existing device that may significantly affect its safety or effectiveness.
03
Companies introducing a device that relies on a different technological principle compared to the predicate device.
04
Manufacturers seeking marketing clearance for replacement parts or components of a legally marketed device that do not meet the criteria for a "class I" or "class II" exemption.
05
International manufacturers intending to market a device in the United States for the first time.
It is essential to consult the FDA's current guidance documents and seek professional advice to ensure compliance and accuracy when filling out the 510k substantial equivalence determination.
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What is 510k substantial equivalence determination?
This determination is a pre-market submission made to FDA to demonstrate that a new medical device is substantially equivalent to a predicate device that is legally marketed.
Who is required to file 510k substantial equivalence determination?
Any manufacturer intending to market a new medical device in the U.S. is required to file a 510k substantial equivalence determination.
How to fill out 510k substantial equivalence determination?
The manufacturer needs to provide information on the new device and compare it to a predicate device, demonstrating that they are substantially equivalent in terms of safety and efficacy.
What is the purpose of 510k substantial equivalence determination?
The purpose is to show that the new device is as safe and effective as a legally marketed device, thus allowing its marketing in the U.S. without the need for clinical testing.
What information must be reported on 510k substantial equivalence determination?
The submission must include device description, intended use, technical specifications, comparison to predicate device, and any performance data or testing results.
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