{"id":10566,"date":"2011-07-29T15:35:15","date_gmt":"2011-07-29T19:35:15","guid":{"rendered":"http:\/\/blogs.nejm.org\/cardioexchange\/?post_type=news&#038;p=10566"},"modified":"2011-07-29T15:35:15","modified_gmt":"2011-07-29T19:35:15","slug":"controversial-iom-report-highly-critical-of-510k-process","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/cardioexchange\/2011\/07\/29\/controversial-iom-report-highly-critical-of-510k-process\/","title":{"rendered":"Controversial IOM Report Highly Critical of 510(k) Process"},"content":{"rendered":"<p><a href=\"http:\/\/www.iom.edu\/Reports\/2011\/Medical-Devices-and-the-Publics-Health-The-FDA-510k-Clearance-Process-at-35-Years.aspx\">The Institute of Medicine (IOM) has released a report<\/a> highly critical of the FDA&#8217;s 510(k) medical device clearance process and called on the FDA to develop &#8220;a new framework that used both premarket clearance and improved postmarket surveillance of device performance to provide reasonable assurance of the safety and effectiveness of Class II devices.&#8221; The IOM said the current process is unable to provide &#8220;a reliable premarket screen of the safety and effectiveness&#8221; of these devices.<\/p>\n<p>The FDA&#8217;s director of the Center for Devices and Radiological Health said in\u00a0<a href=\"http:\/\/www.fda.gov\/NewsEvents\/Newsroom\/PressAnnouncements\/ucm265908.htm\">a press release<\/a> that &#8220;the 510(k) process should not be eliminated&#8221; but also said that the FDA was &#8220;open to additional proposals and approaches for continued improvement of our device review programs.&#8221; The IOM report had originally been commissioned by the FDA.<\/p>\n<p><a href=\"http:\/\/www.nytimes.com\/2011\/07\/28\/health\/28institute.html?_r=1\">As reported earlier this week in the <em>New York Times<\/em><\/a>, the IOM report was the subject of a preemptive attack by the medical device industry before the report was even released. AdvaMed, the medical device industry association,\u00a0<a href=\"http:\/\/www.advamed.org\/MemberPortal\/About\/NewsRoom\/NewsReleases\/PR-IOM72911.htm\">released a statement<\/a> rejecting the conclusions of the report, saying they &#8220;do not deserve serious consideration.&#8221;<\/p>\n<p>Additional Resources:<\/p>\n<ul>\n<li><a href=\"http:\/\/www.iom.edu\/~\/media\/Files\/Report%20Files\/2011\/Medical-Devices-and-the-Publics-Health-The-FDA-510k-Clearance-Process-at-35-Years\/510k%20Clearance%20Process%202011%20Report%20Brief.pdf\">IOM Report &#8212; brief version (PDF)<\/a><\/li>\n<li><a href=\"http:\/\/www8.nationalacademies.org\/onpinews\/newsitem.aspx?RecordID=13150\">IOM press release<\/a><\/li>\n<li><a href=\"http:\/\/www.fda.gov\/NewsEvents\/Newsroom\/PressAnnouncements\/ucm265908.htm\">FDA press release<\/a><\/li>\n<li><a href=\"http:\/\/www.nytimes.com\/2011\/07\/30\/business\/study-calls-approval-process-for-medical-devices-flawed.html?smid=tw-nytimeshealth&amp;seid=auto\"><em>New York Times<\/em> story on the IOM report<\/a><\/li>\n<li><a href=\"http:\/\/online.wsj.com\/article\/SB10001424053111903635604576475851329856920.html?mod=rss_Health\"><em>Wall Street Journal<\/em> story on the IOM report<\/a><\/li>\n<li><a href=\"http:\/\/www.iom.edu\/~\/media\/Files\/Report%20Files\/2011\/Medical-Devices-and-the-Publics-Health-The-FDA-510k-Clearance-Process-at-35-Years\/510k%20Clearance%20Process%202011%20Report%20Brief.pdf\">NPR&#8217;s Health Blog: Shots<\/a><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>The Institute of Medicine (IOM) has released a report highly critical of the FDA&#8217;s 510(k) medical device clearance process and called on the FDA to develop &#8220;a new framework that used both premarket clearance and improved postmarket surveillance of device performance to provide reasonable assurance of the safety and effectiveness of Class II devices.&#8221; The [&hellip;]<\/p>\n","protected":false},"author":196,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[13,1,14,9],"tags":[928,719,222,887],"class_list":["post-10566","post","type-post","status-publish","format-standard","hentry","category-electrophysiology","category-general","category-heart-failure","category-interventional-cardiology","tag-advamed","tag-devices","tag-fda-approvals","tag-iom"],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/10566","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/users\/196"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/comments?post=10566"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/10566\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/media?parent=10566"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/categories?post=10566"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/tags?post=10566"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}