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United States

457 articles

Regulatory Strategy

Outsourced Device Testing: What Raw Data Must Your Contract Deliver?

A signed summary is not the deliverable. What protocols, complete reports, raw data, and archive terms medical device manufacturers must contract for premarket evidence and QMSR compliance.

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Post-Market Surveillance

VetMedGuide: Building a Useful Veterinary Device Field-Feedback Form

A manufacturer intake worksheet for veterinary analyzer complaints: separate instrument observation, species and matrix, clinic QC evidence, and unsupported causality.

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Clinical Evidence

EClinCloud EDC for Device Studies: Linking Versions, Deficiencies and Endpoints

Evaluate whether a configurable EDC study build can reconstruct device models, firmware versions, deficiencies, and endpoint records for FDA and EU MDR trials.

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Regulatory

FDA 2026 Container Closure Draft: Device-Constituent CCS, 510(k), & October Clock

FDA August 2026 container closure systems draft guidance: device-constituent CCS vs packaging, 510(k)/PMA vs NDA, Section V.B.3, and Docket FDA-2026-D-7957.

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Regulatory

ISO 20417:2026 Guide: FDA Rec# 5-149, July 1 2029 DoC Window & ISO 15223-1

Operational guide to ISO 20417:2026: FDA Rec# 5-149 complete recognition, the July 1 2029 DoC transition window, ISO 15223-1, 21 CFR 801, and EU MDR GSPR 23.

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Reimbursement & Market Access

CMS CY 2027 OPPS: Software as a Medical Service (SaMS) & Status Indicator O1

CMS-1850-P proposed SaMS policy: status indicator O1, Table 61 vs Table 62, CLFS-to-APC rate mismatch, and the August 31, 2026 comment deadline.

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Clinical Evidence

DHTs as Endpoints in Device Investigations: Investigational Device vs Measurement Tool

FDA DHT clinical investigation guide: investigational device vs remote measurement tool under 21 CFR 812, fit-for-purpose V&V, and August 2026 DDM status.

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Quality Systems

IEC 62353 Recurrent Testing After Repair: OEM IFU Duties vs IEC 60601-1 & NFPA 99

IEC 62353 in-service electrical safety testing: manufacturer IFU duties, IEC 60601-1 type test differences, CMS S&C 14-07 major repair rules, and NFPA 99.

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Regulatory

ISO 80369 Small-Bore Connector Conversion: 510(k), FDA Windows & Particular Parts

Manufacturer ISO 80369 conversion guide: route-specific particular parts, FDA recognition transition windows through Dec 17, 2028, and 510(k) change forks.

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Digital Health & AI

MHRA Ambient Voice Technology 2026: When an AI Scribe Is a Medical Device in Great Britain

MHRA and NHS England 2026 guidance on ambient voice technology (AVT): 9-example medical device qualification tree, Class I vs IIa, DCB0129, and UKCA strategy.

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Clinical Evidence

Medical Device Expanded Access: Emergency Use, Compassionate Use & Treatment IDE

Operational guide to US investigational device expanded access: emergency use, compassionate use IDE supplements, Treatment IDE (21 CFR 812.36), and IRB rules.

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EU MDR / IVDR

NSAI NB 0050 Medical Devices Divestment 2026: Stay vs Transfer Playbook

Playbook for NSAI NB 0050 clients on the 2026 divestment: confirmed facts, stay-vs-transfer tree, MDR Article 58, IVDR Article 53, MDSAP.

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Clinical Evidence

Medical Device Trial Master File (TMF) and ISF Guide: ISO 14155, FDA, and EU MDR

Complete guide to medical device TMF and ISF: ISO 14155:2026 Annex E essential documents, 21 CFR 812.140, EU MDR archiving, and device-unique artifacts.

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Clinical Evidence

IVDR Performance Study Requirements: Application vs Notification, Timelines, and Reporting

Comprehensive guide to IVDR Chapter VI performance studies: Article 58 application triggers, Article 70 PMPF notifications, Article 66 timelines, leftover samples, and safety reporting.

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Clinical Evidence

ClinicalTrials.gov Registration and Results Reporting for Medical Device Trials

Comprehensive guide to medical device clinical trial registration and results reporting: 42 CFR Part 11 ADCT criteria, 21-day clocks, Form FDA 3674, 2026 CMP updates, and EU MDR Article 77.

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Clinical Evidence

Informed Consent for Medical Device Clinical Trials: 21 CFR 50, EFIC & EU MDR Article 63

Complete guide to informed consent in medical device clinical trials: 21 CFR Part 50 & Part 812, 50.22 minimal-risk waiver, 50.24 EFIC, and EU MDR Article 63.

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Clinical Evidence

Safety Reporting in Medical Device Clinical Trials: US IDE, EU MDR & ISO 14155

Complete guide to safety reporting in medical device clinical trials: 21 CFR 812.150 UADE clocks, EU MDR Article 80, MDCG 2020-10/1 Rev.1, and ISO 14155 GCP rules.

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Clinical Evidence

Risk-Based Monitoring for Medical Device Clinical Trials: FDA, EU MDR & ISO 14155 Guide

Comprehensive guide to risk-based monitoring (RBM) in medical device clinical trials: 21 CFR 812.40, FDA 2023 Q&A, EU MDR Annex XV, ISO 14155:2026, and BIMO audit evidence.

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Clinical Evidence

Protocol Deviations in Medical Device Clinical Trials: FDA Guidance and EU Rules

Comprehensive guide to protocol deviations in medical device clinical trials: FDA draft guidance, 21 CFR 812, EU MDR Article 75, ISO 14155:2026, and BIMO metrics.

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Clinical Evidence

Sham Controls in Medical Device Trials: Design, Ethics, and FDA/EU Expectations

Comprehensive guide to sham controls in medical device clinical trials: 21 CFR 860.7, EU MDR Article 62, Helsinki ethics, blinding protocols, and alternatives.

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