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RAC Device Practice Question Set 10
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Question Answer Explanation Under the FDA's QSR (Quality System Regulations), which of the following must be implemented for a medical device manufacturer? A. Clinical trials for all devices B. A validated system for design control C. An annual review by the FDA D. Pre-market clinical trials What does the term "substantial equivalence" refer to in the context of FDA 510(k) submissions? A. A new device that is identical to an existing device B. A new device that is similar in intended use and performance to a legally marketed device C. A device that meets all FDA safety requirements D. A device that is more effective than a legally marketed device Which of the following documents is required for a Premarket Approval (PMA) submission? A. 510(k) B. Design History File (DHF) C. Clinical Data Study Protocol D. Annual Report A startup has created an implantable cardiac device that provides real-time electrochemical monitoring of heart function. The technology is entirely new, and no predicate device exists. The device is classified as Class III due to its high-risk nature. What is the most appropriate premarket submission for this device? A) 510(k) B) PMA C) De Novo D) IDE B) PMA Why not IDE? IDE will be requitred to generate clinical data for this PMA. A company develops a wearable sensor that monitors hydration levels in real-time and provides alerts to prevent dehydration. The device has no existing predicate, but the company believes it poses low to moderate risk and does not meet the criteria for Class III. Which premarket pathway should they pursue? A) 510(k) B) PMA C) De Novo D) IDE C) De Novo Explanation: The De Novo pathway is designed for low to moderate-risk devices that do not have a predicate but do not pose high risk. Since the hydration monitoring device is novel but presents minimal safety concerns, the company should submit a De Novo request. If granted, this device would be classified as Class I or II and could serve as a predicate for future 510(k) submissions.
A hospital laboratory develops a genetic test to detect a rare disease. The test is developed and used exclusively within the same hospital without being sold or distributed outside. The hospital claims the test is an LDT and is exempt from IVDR requirements. Under the IVDR, which of the following statements is most accurate regarding the regulation of this LDT? A. LDTs are completely exempt from IVDR requirements. B. LDTs must comply with IVDR if they are used commercially. C. LDTs must follow IVDR requirements unless used under strict in-house conditions. D. LDTs are always regulated under IVDR regardless of use. C. LDTs must follow IVDR requirements unless used under strict in-house conditions. Explanation: Under IVDR Article 5(5), LDTs (also known as in-house tests) are generally exempt from IVDR requirements only if they are developed and used within the same healthcare institution, comply with an equivalent quality system, and there is no equivalent CE-marked test available. If the test is provided commercially, it falls under IVDR regulation. Who is responsible for ensuring compliance with GCP in a clinical trial? A) Sponsor B) Investigator C) IRB D) Manufacturer A) Sponsor What elements must be included in a protocol or clinical investigation plan submitted to the FDA? A) Trial objectives, design, and methodology B) Trial objectives, Demography C) Device Intended use, User profile D) Demography, Design and Methodology A) Trial objectives, design, and methodology Sponsors have a specified timeframe to inform the FDA of changes that impact an Investigational Device Exemption (IDE) application. A) True B) False A) True During routine postmarket surveillance, a manufacturer identifies a critical issue with a device's performance that poses a serious risk to users. Under FDA requirements, what action should the manufacturer take first? A. Submit a recall report within 30 days B. Notify the FDA of a Class I recall and take immediate corrective action C. Halt all sales and begin a market withdrawal D. Conduct a new risk assessment and take action if issues persist B. Notify the FDA of a Class I recall and take immediate corrective action