REGULATORY WATCHCAT De novo Post Mortem 2 - Disclosure and Accountability

Watchcat

Trusted Information Resource
#1
860.5(g)(1) The existence of a De Novo request may not be disclosed by FDA before an order granting the De Novo request is issued, unless it previously has been publicly disclosed or acknowledged by the De Novo requester.

For years I’ve tried to come up with a reason for this, other than to spare CDRH from being transparently accountable for each and every submission it receives. I haven’t been able to come up with one, but I’m still open to the possibility. It seems clear to me that CDRH is not going to endanger confidential or proprietary information (or “national security”) by disclosing the mere existence of a De novo request, e.g., by posting a DEN number and date received. The same is true when it comes to posting the date it was accepted for review or the date it was refused or declined or whatever. This is accountability in its most basic form; why not do it?

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Watchcat

Trusted Information Resource
#3
Well, that's half of it, and, IMO, the reasonable half.

CDRH is always going to serve it's own interests. It's the nature of organizations. A colleague emailed me yesterday to make just that point. I said I was fine with that. I’m not so fine with lame rationales. But mostly I’m not fine with no one on the industry side demanding transparency and accountability. I mean really demanding, not just humming the tune. They have a few lobbyists, you know. Why would CDRH do it if industry accepts it not doing it? That wouldn't even be smart, IMO.

Of course, there is the possibility that industry really thinks some harm will come to it if CDRH posts DEN number and date of receipt. But I doubt it. Some of its ramora, maybe. Speaking of a few lobbyists, there are no few that seem to come up with things to "push back" about, just so they can tell industry they are pushing back, but have no idea what actually serves industry well.

I now don't know why they even bother with the MDUFA negotiations. Perhaps sort of a broad sword mentality, that if they don't at least negotiate, then CDRH will set user fees sky high and its commitments a year or more out. But not serious enough about it to really want accountability on the commitments.
 

Ed Panek

QA RA Small Med Dev Company
Leader
Super Moderator
#4
Doesn't FDA have to prepare to Congress presentations on what it is doing with taxpayers' monies? I think with COVID they were not able to say "nothing" in terms of audits for very long; hence the remote assessments that are taking place.
 

Watchcat

Trusted Information Resource
#5
Doesn't FDA have to prepare to Congress presentations on what it is doing with taxpayers' monies?
Yes, and it is periodically audited by the GAO. But the MDUFA fees are not taxpayers' monies. And, under my scenarios, it's not like CDRH is doing anything untoward with money, so nothing to pick up on there. If it has done the work it says it did (which I would expect is the case), and just fidgets with the dates, I don't see how that is of any interest to anyone but industry.
 

Ed Panek

QA RA Small Med Dev Company
Leader
Super Moderator
#6
On a bit of a different thread, how are the 510(k) third-party reviewers performing to your knowledge?
 

Watchcat

Trusted Information Resource
#7
Very recently, I saw that FDA had decertified one for fraud. :( Not sure which one.

I don't have any recent information on the performance of the rest, but I've thought that they might be a bit more appealing now, given FDA's extra workload.
 
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