Acceptance and Filing Reviews for Premarket Approval Applications 2025

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Whats the difference between a 510K vs PMA? 510(k) clearance is authorisation from the FDA to market a medium-risk medical device, while PMA (premarket approval) is required for more high-risk and novel products.
Overview. Premarket approval (PMA) is the FDA process of scientific and regulatory review to evaluate the safety and effectiveness of Class III medical devices.
Within 180 days of the date of filing of the PMA (814.40), FDA will complete its review of the PMA and of the advisory committee`s report and recommendation and issue one of the following: an approval order under 814.44(d), an approvable letter under 814.44(e), a not approvable letter under 814.44(f), or.
PMA is the most stringent type of device marketing application that FDA requires. To market a Class III device, the premarket approval application (PMA) must establish a reasonable assurance of safety and effectiveness, as demonstrated by valid scientific evidence.
The PMA process can take between 9 and 36 months before approval is granted, and with the addition of required clinical studies, it may take several years before a product is approved.
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Generally the FDA does not allow pre-clearance/approval promotion, but it does tolerate a fair amount of communication about a product pre-clearance/approval. The following are a list of activities with a brief synopsis of what generally can and cannot be done by a medical device company prior to clearance/approval.

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