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510(k) SUBSTANTIAL EQUIVALENCE DETERMINATION DECISION MEMORANDUM. 510(k) Number: K172286 B. Purpose for Submission: To expand the use of previously cleared assay reagents for Factor V Leiden, Coagulation Factor
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How to fill out 510k substantial equivalence determination

01
Step 1: Begin by obtaining a copy of the current 510(k) Substantial Equivalence Determination form.
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Step 2: Read the instructions provided on the form carefully to ensure understanding of the requirements and associated documentation.
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Step 3: Gather all relevant scientific, technical, and clinical data that demonstrates the substantial equivalence of the new device to a legally marketed predicate.
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Step 4: Fill out the form accurately, providing complete and detailed information in each section.
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Step 5: Attach all supporting documentation, including test reports, product specifications, labeling information, and any other relevant data.
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Step 6: Review the completed form and attached documentation to ensure everything is in order and meets the required criteria.
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Step 7: Submit the filled-out form and supporting documentation to the appropriate regulatory authority, such as the US Food and Drug Administration (FDA).
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Step 8: Wait for a response from the regulatory authority regarding the acceptance and review of the submission.
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Step 9: Address any additional requests for information or clarification from the regulatory authority promptly and thoroughly.
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Step 10: Follow up on the status of the submission and provide any further required documentation or modifications as necessary.
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Step 11: Once the 510(k) Substantial Equivalence Determination is granted, adhere to any post-market surveillance requirements or reporting obligations.
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Step 12: Keep a record of the entire process, including all communication, to ensure compliance and facilitate future reference.

Who needs 510k substantial equivalence determination?

01
Any medical device manufacturer planning to introduce a new medical device into the market that is not exempt from the 510(k) requirements.
02
Any medical device manufacturer seeking marketing clearance for a modified medical device that significantly affects its safety or effectiveness.
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Any medical device manufacturer looking for regulatory approval to commercialize a medical device that is similar in intended use and technological characteristics to a legally marketed device.
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The 510k substantial equivalence determination is a premarket submission made to the FDA to demonstrate that a new medical device is substantially equivalent to a predicate device that is already legally marketed.
Any manufacturer who wants to introduce a new medical device to the market that is not exempt from the 510k requirements must file a 510k substantial equivalence determination.
To fill out a 510k substantial equivalence determination, the manufacturer must provide information about the new device, its intended use, performance data, and how it is similar to a predicate device.
The purpose of 510k substantial equivalence determination is to demonstrate that the new device is as safe and effective as a legally marketed predicate device, thereby allowing it to be marketed without the need for extensive clinical trials.
The information that must be reported on a 510k substantial equivalence determination includes device descriptions, materials used, performance data, labeling, and any differences between the new device and the predicate device.
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