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RAC Device Practice Question Set 3- US
Typology: Quizzes
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Question Answer Explanation A medical device sponsor identifies a serious adverse event (SAE) during a clinical trial. What should they do? A) Ignore it if it only happened once B) Report it to the FDA and IRB as required C) Stop the entire clinical trial immediately D) Hide the data to prevent delays in approval B) Report it to the FDA and IRB as required Report to FDA within 10 working days. A medical device is undergoing an FDA 510(k) submission, where the predicate device is a similar product already on the market. The clinical trial shows that the new device has a lower complication rate than the predicate. What is the BEST outcome for the FDA review? A) The FDA will automatically approve the device due to its improved safety profile B) The FDA may require additional clinical trials to prove substantial equivalence C) The FDA will approve the device as long as the device does not introduce new safety concerns D) The FDA will classify the device as a Class III device requiring PMA C) The FDA will approve the device as long as the device does not introduce new safety concerns A company has developed a novel implantable neurostimulator to treat a rare neurological disorder. No predicate device exists, and the technology is unlike any currently approved devices. The company wants to bring this device to the U.S. market. Which regulatory pathway should the company pursue, and what are the key submission requirements they must fulfill? A) 510(k) Premarket Notification - Demonstrate substantial equivalence to a predicate device B) PMA (Premarket Approval) - Provide valid scientific evidence of safety and effectiveness, including clinical data C) De Novo Classification Request - Demonstrate that the device is low to moderate risk and does not have a predicate D) HDE (Humanitarian Device Exemption) - Show that the device treats a condition affecting fewer than 8,000 patients per year in the U.S. B) PMA (Premarket Approval) - Provide valid scientific evidence of safety and effectiveness, including clinical data Device is Noval, No predicate so 510(k) is ruled out. Implantable neurostimulator, high risk, thus De Novo is ruled out. Company wants to market the product in US thus HDE is ruled out.
A company has developed a novel bioresorbable implant for spinal fusion procedures. Unlike traditional spinal implants, this device is designed to gradually degrade and be replaced by natural bone tissue over time, reducing the need for follow- up surgeries. The company intends to market the device in both the U.S. and EU. The device has no clear predicate device in the U.S., and its novel degradation properties make it significantly different from existing spinal implants. What is the most appropriate regulatory pathway for U.S. market entry? A) 510(k) Premarket Notification B) Premarket Approval (PMA) C) De Novo Classification Request D) Humanitarian Device Exemption (HDE) B) Premarket Approval (PMA) Since the bioresorbable implant is intended for spinal fusion—a high- risk, life-supporting application—the device is likely a Class III device, requiring PMA. The lack of a predicate and the novel degradation feature mean it cannot follow the 510(k) or De Novo routes. PMA submission requires clinical trial data demonstrating long-term safety and effectiveness. A company has developed an AI-powered ophthalmology software that analyzes retinal scans and provides automated screening recommendations for diabetic retinopathy. The software does not make a definitive diagnosis but offers a risk-based assessment for ophthalmologists. The company intends to market the software in both the U.S. and EU. Which is the most appropriate U.S. regulatory pathway? A) 510(k) Premarket Notification B) Premarket Approval (PMA) C) De Novo Classification Request D) MDDS (Medical Device Data System) Exemption C) De Novo Classification Request Justification for De Novo: AI-powered diagnostic software is a relatively new technology. It is likely that there is no exact predicate device for this specific type of software. Because the software is performing an analysis, and providing risk assessments, it is beyond the scope of a simple data transfer. The De Novo pathway allows the FDA to establish a new classification and special controls for this type of device.
What is NOT a reason for the FDA to order postmarket surveillance of an approved device? a) The device is manufactured outside the United States b) The device has significant use in pediatric populations c) The device is intended to be implanted for more than one year d) Failure of the device would likely have serious health consequences a) The device is manufactured outside the United States