21 C.F.R. Subpart D—FDA Review and Action


Title 21 - Food and Drugs


Title 21: Food and Drugs
PART 822—POSTMARKET SURVEILLANCE

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Subpart D—FDA Review and Action

§ 822.16   What will you consider in the review of my submission?

First, we will determine that the submission is administratively complete. Then, in accordance with the law, we must determine whether the designated person has appropriate qualifications and experience to conduct the surveillance and whether the surveillance plan will result in the collection of useful data that will answer the surveillance question.

§ 822.17   How long will your review of my submission take?

We will review your submission within 60 days of receipt.

§ 822.18   How will I be notified of your decision?

We will send you a letter notifying you of our decision and identifying any action you must take.

§ 822.19   What kinds of decisions may you make?
 ----------------------------------------------------------------------------------------------------------------               If your plan:                      Then we will send you:                 And you must:----------------------------------------------------------------------------------------------------------------(a) Should result in the collection of      An approval order, identifying     Conduct postmarket surveillance useful data that will address the           any specific requirements          of your device in accordance postmarket surveillance question            related to your postmarket         with the approved plan                                             surveillance(b) Should result in the collection of      An approvable letter identifying   Revise your postmarket useful data that will address the           the specific revisions or          surveillance submission to postmarket surveillance question after      information that must be           address the concerns in the specific revisions are made or specific     submitted before your plan can     approvable letter and submit it information is provided                     be approved                        to us within the specified                                                                                timeframe. We will determine the                                                                                timeframe case-by-case, based on                                                                                the types of revisions or                                                                                information that you must submit(c) Does not meet the requirements          A letter disapproving your plan    Revise your postmarket specified in this part                      and identifying the reasons for    surveillance submission and                                             disapproval                        submit it to us within the                                                                                specified timeframe. We will                                                                                determine the timeframe case-by-                                                                                case, based on the types of                                                                                revisions or information that                                                                                you must submit(d) Is not likely to result in the          A letter disapproving your plan    Revise your postmarket collection of useful data that will         and identifying the reasons for    surveillance submission and address the postmarket surveillance         disapproval                        submit it to us within the question                                                                       specified timeframe. We will                                                                                determine the timeframe case-by-                                                                                case, based on the types of                                                                                revisions or information that                                                                                you must submit----------------------------------------------------------------------------------------------------------------

§ 822.20   What are the consequences if I fail to submit a postmarket surveillance plan, my plan is disapproved and I fail to submit a new plan, or I fail to conduct surveillance in accordance with my approved plan?

The failure to have an approved postmarket surveillance plan or failure to conduct postmarket surveillance in accordance with the approved plan constitutes failure to comply with section 522 of the act. Your failure would be a prohibited act under section 301(q)(1)(C) of the act, and your device would be misbranded under section 502(t)(3) of the act. We have the authority to initiate actions against products that are adulterated or misbranded, and against persons who commit prohibited acts. Adulterated or misbranded devices can be seized. Persons who commit prohibited acts can be enjoined from committing such acts, required to pay civil money penalties, or prosecuted.

§ 822.21   What must I do if I want to make changes to my postmarket surveillance plan after you have approved it?

You must receive our approval in writing before making changes in your plan that will affect the nature or validity of the data collected in accordance with the plan. To obtain our approval, you must submit three copies of the request to make the proposed change and revised postmarket surveillance plan to the applicable address listed in §822.8. You may reference information already submitted in accordance with §822.14. In your cover letter, you must identify your submission as a supplement and cite the unique document number that we assigned in our acknowledgment letter for your original submission, specifically identify the changes to the plan, and identify the reasons and justification for making the changes. You must report changes in your plan that will not affect the nature or validity of the data collected in accordance with the plan in the next interim report required by your approval order.

§ 822.22   What recourse do I have if I do not agree with your decision?

(a) If you disagree with us about the content of your plan or if we disapprove your plan, or if you believe there is a less burdensome approach that will answer the surveillance question, you may request review of our decision by:

(1) Requesting a meeting with the Director, Office of Surveillance and Biometrics, Center for Devices and Radiological Health (CDRH), who generally issues the order for postmarket surveillance;

(2) Seeking internal review of the order under §10.75 of this chapter;

(3) Requesting an informal hearing under part 16 of this chapter; or

(4) Requesting review by the Medical Devices Dispute Resolution Panel of the Medical Devices Advisory Committee.

(b) You may obtain guidance documents that discuss these mechanisms from the CDRH Web site and from the CDRH Facts-on-Demand System (800–899–0381 or 301–827–0111).

§ 822.23   Is the information in my submission considered confidential?

We consider the content of your submission confidential until we have approved your postmarket surveillance plan. After we have approved your plan, the contents of the original submission and any amendments, supplements, or reports may be disclosed in accordance with the Freedom of Information Act. We will continue to protect trade secret and confidential commercial information after your plan is approved. We will not disclose information identifying individual patients. You may wish to indicate in your submission which information you consider trade secret or confidential commercial.

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