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Explore the issuance and application of guidance documents in the medical devices sector, including levels of guidance and procedures for development. Learn about compliance guidance, equipment evaluations, and the reauthorization of the Mammography Quality Standards Act.
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Development, Issuance, and Use of Guidance Documents • Citizen petition from the Indiana Medical Devices Manufacturers Council • Federal Register - February 27, 1997 • standardize guidance development • provide for public comment • clarify the intent of the guidance
Definition of Guidance Documents • Documents that relate to • the processing, content and evaluation of regulatory submissions • the design, production, manufacturing, and testing of regulated products • inspection and enforcement procedures
Level 1 Guidance • First interpretations of statutory or regulatory requirements • Changes in interpretation or policy that are of more than a minor nature • Address unusually complex or controversial issues
Level 1 Guidance • Ten step procedure includes: • Sign off by Branch, Division, Office ,and Center • Sign off by Office of Policy and Office of Chief Counsel • 90 day public comment period • Revision after public comments • Sign off by Branch, Division, Office ,and Center • Sign off by Office of Policy and Office of Chief Counsel
Level 2 Guidance • Documents that do not meet the definition of Level 1 • Not first interpretations • Not major changes in interpretation • Not complex or controversial
Level 2 Guidance • Six step procedure includes: • Sign off by Branch, Division, and Office • Does not require a public comment period
Good Guidance Practices • Guidance represents one, but not necessarily the only way to meet the requirement • Guidance will appear on our Website http://www.fda.gov/cdrh/mammography Level 1 - Proposal then Final Level 2 - Final
Current Guidance Documents • Compliance Guidance Documents 1- 4 • Modification Documents 1+2 • Q/A Documentation • Gantry Motion • Inspection Questions
Current Guidance Documents • Preparing for MQSA Inspections • Mammography Facility Survey, Equipment Evaluation, and MedicalPhysicist Qualification Requirements Under MQSA • Policy Guidance Help Systemwww.FDA.gov/cdrh/mammography/robohelp/finalregs.htm
MQSA Reauthorization • MQSA originally authorized for 5 years • Reauthorization signed into law 10/9/98 • Extends the Act until 2002
MQSA Reauthorization • Lay summaries to ALL patients • Release of original mammograms ¾ temporary and permanent • Demonstration project to evaluate less than annual inspections ¾ will not begin before April 2001
...for more Information on MQSA • MQSA Internet home page: http://www.fda.gov/cdrh/mammography • MQSA facility hotline: 1-800-838-7715 • Inspector Hotline: Helpdesk@cdrh.FDA.gov 301-827-1241