The FDA provides guidance at
http://www.fda.gov/MedicalDevices/D...remarketNotification510k/ucm142651.htm#link_5. I have successfully submitted several Special 510(k)s using the following format.
1.0 Medical Device User Fee Cover Sheet (Form FDA 3601)
2.0 CDRH Premarket Review Submission Cover Sheet
? Standards Data Report for 510(k)s
3.0 Special 510(k) Cover Letter
? Basis for Special 510(k) Submission
? Administrative Information
4.0 Truthful and Accurate Statement
5.0 Device Information
? Submitter Info
? Manufacturer Info
? Device Name/Class/Classification/Panel
? Predicate Device
? Labeling and Intended Use
6.0 Device Description and Comparison
? Currently Cleared Device Overview and Description
? Proposed Device Overview and Description
? Device Comparison
7.0 Substantial Equivalence Discussion
8.0 Summary of Design Control Activities
? Risk Assessment Method
? Declaration of Conformity
? Design Verification Results
9.0 Sterilization and Shelf Life
10.0 Biocompatibility
11.0 Class III Summary and Certification ? Not Applicable
12.0 Appendices
? Appendix A: 510(k) Summary
? Appendix B: Proposed Labeling
? Appendix C: Indications for Use Statement
? Appendix D: Proposed Engineering Blueprints
? Appendix E: Declaration of Conformity with Design Controls
Be sure to include a Design Control Activities Summary (DCAS) table in section 8. and don't include any of the actual test data. It is kind of messed up, but I used to include both and with my last they made me send a letter telling them to not review the data. However, two weeks later when they had questions I was asked to provide the data for further explanation. Typical FDA for you. I would also recommend adding the checklist that is described in the FDA link. I have run into issues where the FDA said I was missing content, but they just couldn't find it. The checklist will direct them to the satisfaction of each requirement.
Good luck!
Paul