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An FDA 510(k) is a premarket submission made to the U.S. Food and Drug Administration (FDA) to demonstrate that a medical device is substantially equivalent to a legally marketed predicate device.
It’s named after Section 510(k) of the Federal Food, Drug, and Cosmetic Act, which requires device manufacturers to notify the FDA at least 90 days before marketing a device in the United States.
Use the FDA Product Classification database:
o Identify product code, device classification (I, II, or III), and regulation number.
o Confirm that a 510(k) is the correct path (typically for most Class II devices and some Class I).
Must be legally marketed in the U.S. (pre-1976 or cleared via 510(k)).
Must have the same intended use and technological characteristics, or if different, the differences must not raise new safety/effectiveness concerns.
Ensure the device complies with applicable standards and guidelines.
Perform bench testing, biocompatibility, electrical safety, software validation, and clinical studies if needed.
Structure (can vary by format):
Cover Letter
Table of Contents
Indications for Use Statement
510(k) Summary or Statement
Device Description (materials, components, software, etc.)
Substantial Equivalence Comparison Table
Labeling (Instructions for Use, packaging, labels)
Performance Data
o Bench testing (e.g., mechanical, electrical)
o Software documentation (Level of Concern)
o Biocompatibility
o Clinical data (if applicable)
Sterilization and Shelf Life (if sterile)
Electromagnetic compatibility (EMC) & Electrical safety
Risk Analysis (per ISO 14971)
eSTAR: Interactive PDF template. Required for many Class II submissions.
Traditional PDF is still allowed for exempt categories.
MDUFA V FY2025 fee for 510(k): ~$22,500 (small business: ~ $5,600)
Register establishment & list device.
Submit electronically via CDRH Portal or ESG.
FDA checks:
o Completeness (per RTA checklist)
o Formatting and required sections
Review team evaluates:
o Substantial equivalence to predicate
o Completeness and adequacy of testing
Substantially Equivalent (SE) → 510(k) Clearance Letter (K######)
Not Substantially Equivalent (NSE) → Consider De Novo or PMA
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