Pediatric circulatory support: an FDA perspective.
ASAIO J
; 51(5): 533-5, 2005.
Article
en En
| MEDLINE
| ID: mdl-16322713
ABSTRACT
The Department of Health and Human Services, at the direction of Congress, has recently begun to address concerns regarding the development of medical devices designed specifically for the pediatric population, including devices for pediatric mechanical circulatory support, as evidenced by the National Institutes of Health's (NIH) funding of several development contracts. Food and Drug Administration (FDA) approval for marketing of these devices will typically follow either of two regulatory pathways the Humanitarian Device Exemption (HDE) or the Premarket Application (PMA). An HDE is limited both in the extent of clinical use and economic benefit to the manufacturer, but does not require data derived from a clinical trial for market approval. A PMA allows for use in a larger patient population and offers economic benefit for the manufacturer; it does, however, almost always necessitate data derived from a clinical trial. The HDE and PMA require demonstration of a reasonable assurance of safety. In addition, an HDE requires a demonstration of probable benefit, whereas a PMA requires a demonstration of a reasonable assurance of effectiveness. The evidence that can be used to support an HDE or a PMA approval may include both preclinical and clinical data. Types of preclinical tests needed depend upon the device design and its intended use, because circulatory support devices are all unique.
Buscar en Google
Banco de datos:
MEDLINE
Asunto principal:
United States Food and Drug Administration
/
Corazón Auxiliar
/
Aprobación de Recursos
Tipo de estudio:
Clinical_trials
/
Prognostic_studies
Límite:
Child
/
Child, preschool
/
Humans
/
Infant
/
Newborn
País/Región como asunto:
America do norte
Idioma:
En
Año:
2005
Tipo del documento:
Article