Can you be granted FDA Breakthrough designation for an additional/different intended use claim after already receiving 510K clearance?

Mike W

Starting to get Involved
Basically is breakthrough device designation for an intended use claim ? or is the designation tied to the device? I suspect the latter, but just wanted to ask.

So to clarify. Let's say I (the manufacturer) have a device with an intended use claim and have identified a predicate device on the market (similar technology and intended use claim). I would then submit for 510K clearance.

After 510K clearance is granted (hypothetically), I decide to add a NEW intended use claim that my predicate device does not have, and no predicate with a similar intended use can be found. Also, I have not made any design changes to my device since it gained 510K clearance despite the fact I plan on adding a new intended use claim to it.

Would I be eligible to get a Breakthrough Device designation for this new claim for a device that already received 510k under a different intended use claim?

The thought process here is getting the initial 510K clearance for to become more attractive to investors, then Breakthrroughh device designation to achieve the automatic 65% reimbursement from CMS via new technology payment (NTAP) and or TCET pathway.
 
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Elsmar Forum Sponsor
I would think so. If you are adding an intended use claim beyond the scope of your currently approved 510(k) you would need to file for a new (or special) 510(k). If there is not a predicate device and the device meets the requirements of the Breakthrough Designation it stands to reason that you could file for breakthrough before filing for the new/special 510(k) due to a change in intended use claims. You can always find out for certain by submitting the Q-sub.
 
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