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What should be consistent with the general approach used for evaluation of PI content?
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FDA’s assessment of the prescription drug use-related software-related information
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What does the placement and extent of information describing 217 software functions in the PI depend on?
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the evidence submitted by the sponsor and whether the 218 software functions are device-connected
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What may demonstrate that a combination product 229 with device-connected prescription results in a meaningful improvement in a clinical outcome?
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evidence
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What is a dose-tracking app?
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a meaningful change in a clinical outcome or validated surrogate endpoint
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What is an acceptable non-fully crossed study design?
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non-fully crossed study designs
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What should be reviewed and approved by FDA as is required for 24 See 21 CFR 314.126(b)?
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What is the following 255 Answer: In many cases, a sponsor may develop prescription drug use-related software that relies on data 252 directly transferred from the device constituent part of a drug sponsor’s combination product without generating evidence showing that use of the prescription drug use-related software 254 confers additional clinical benefit beyond that of the combination product alone.?
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What is a sponsor's proposal to include in the PI about the inhaler's ability to track inhaler events?
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a brief 261 description
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What is a sponsor 266 responsible for?
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develop an autoinjector that captures when the autoinjector is used and transfers that 267 information to a mobile app
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What does the prescription drug use-related software relies on in these examples?
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data directly 272 transferred from the device constituent part of the combination product
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What should the PI provide in 277?
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a brief description 278 of the device constituent part and the associated software function(s)
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What may be submitted in an annual report if the information is consistent with 21 CFR 314.70(d)(2).?
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What would the end-user output from prescription drug use-related software generally be considered?
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promotional labeling
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What must be submitted to FDA by the applicant at the time of initial dissemination?
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Form FDA 2253 (Transmittal of Advertisements and Promotional Labeling 296 for Drugs and Biologics for Human Use)
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What is the voluntary opportunity to submit promotional communications to FDA?
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21 CFR 202.1(j)(4)
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What is a key factor for obtaining consistent and convincing scientific evidence?
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specification of the statistical analysis
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Who will CDRH consult with regarding the representations about the drug within the prescription drug use-related software?
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CDER or CBER
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What must applicants submit at the time of initial dissemination?
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Form FDA 2253
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What is the case of cleared devices?
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could significantly affect the safety or effectiveness of the device
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What is the requirement for a new or modified device constituent part or component of a combination product?
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a new or modified device constituent part or component of a combination product
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What does Example A's network-connected mobile app display on a screen via the mobile app?
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data 325
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What is the data showing over time displayed on?
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ingestion over time
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What are the five software functions considered?
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device-connected software functions 340
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What is the end-user output of the web-application?
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display of ingestion data
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What does the Example B mobile app transfer the self-reported information to?
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a cloud-based application for their health 354 care practitioner to review on a web-application
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What is the name of the software function that allows the display of symptom 360 incidence and severity data via the mobile app display screen?
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software
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What is the rating scale used for?
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Rating Scal Answer: Rating Scal Answer: Rating Scal Answer: Rating Scal Answer: Rating Scal Answer: Rating Scal Answer: Rating Scal Answer: Rating Scal Answer: Rating Scal Answer: Rating Scal Answer: Rating Scal Answer: Rating Scal Answer: Rating Scal Answer: Rating Scal Answer: Rating Scal Answer: Rating Scal Answer: Rating Scal Answer: Rating Scal Answer: Rating Scal Answer: Rating Scal Answer: Rating Scal Answer: the selected case sample size, o statistical and clinical justification of the selected number of readers
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What is the end-user output of the web-application?
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display of self-reported information
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What is the example C intended to be used with?
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a combination product
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What does the 380 patient mobile app transfer the self-reported 382 data to?
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the health care practitioner web-application
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What is the web-application used to aggregate?
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self- 384 reported symptoms data and the data collected from the device constituent part of the 385 combination product
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What is the transfer of notifications and alerts to a health care 394 practitioner web-application?
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the transfer of notifications and alerts
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What is the transfer of patient- 398 self reported data to the health care practitioner web-application?
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transfer of patient- 398 self reported data
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What are the four end-user outputs?
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the web-application’s display of data
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What is the patient mobile app's display of data collected from the device constituent part of the combination 414 product?
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patient mobile 413 app
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What is the software included in the mobile app?
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dose calculator function
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What is the output determined to be for the prescription drug?
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promotional labeling
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What is the details of the scoring technique used?
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Section IV.E. Scoring
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What does the changes do that do not affect the clinical use of the device?
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do 435 not affect the clinical use of the device
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What does the mobile app mention?
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sponsor’s drug name
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What does the welcome video include information on?
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the safety and effectiveness of the 447 insulin product but does not provide information on the dose calculator
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What is the most recent version of a guidance?
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FDA guidance web page
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What must be submitted on Form FDA 2253 at the time of 452 initial dissemination?
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revised output
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What is the name of the end user that the prescription drug use-related software presents to the end user?
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a patient, caregiver, or health care practitioner
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What does software function 468 rely on?
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data directly transferred from the device constituent part of a sponsor’s combination 469 product
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What is the name of the document that provides guidance for industry and Food and Drug Administration Staff?
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Guidance for Industry and Food and Drug Administration Staff Document
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What is the docket number of FDA-2018-D-1774?
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FDA-2018-D-1774
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What is the document number of the guidance?
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16016
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What is the name of the study that is the subject of the book?
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Evaluation Paradigm and Study Endpoints
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What is appropriately representative of the intended use population?
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study populations
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What does the guidance not establish any rights for?
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any pers
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What is the purpose of this guidance document?
|
to provide recommendations for information to Answer: The purpose of this guidance document is to provide recommendations for information to Answer: Answer: This guidance document addresses labeling considerations for devices containing lubricious coatings used in the vasculature
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What is the name of the premarket notification submission that is submitted in the labeling of a device?
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510(k)s
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What is the name of the coating that devices often have to reduce friction between devices?
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polyvinylpyrrolidone (PVP), polytetrafluoroethylene (PTFE), silicone
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What are hydrophilic and hydrophobic coated devices used for?
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more than 20 yea
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What does the FDA believe may separate from intravascular devices in some circumstances?
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coating
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What is the name of the document that describes the separation of hydrophilic and/or hydrophobic coatings from medical devices?
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Medical Device Reports
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What has the FDA evaluated in relation to ducers?
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peer-reviewed medical literature1,2,3,4 and physician surveys
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What did some patients require to mitigate the consequences of coating fragments?
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surgical intervention
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What is the purpose of the communication?
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to make health care providers aware of the possibility that hydrophilic and/or hydrophobic coatings may separate from medical devices
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What is the purpose of study endpoints?
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to demonstrate that your CADe device is effective
|
What was the name of the device used to treat supraclinoid aneurysms?
|
Pipeline Embolization Device
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What is the Human Pathology, 2015?
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46(3): 488-489
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What is the FDA not suggesting is associated with higher risks than others?
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any specific manufacturer or brand of these devices
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What is the FDA guidance titled?
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Non- Clinical Engineering Tests and Recommended Labeling for Intravascular Answer: Non- Clinical Engineering Tests and Recommended Labeling for Intravascular Answer: Non- Clinical Engineering Tests and Recommended Labeling for Intravascular Answer: Intravascular Answer: Non- Clinical Engineering Tests and Recommended Labeling for Intravascular Answer: Non- Clinical Engineering Tests and Recommended Labeling for Intravascular Answer: Non- Clinical Engineering Tests and Recommended Labeling for Intravascular Answer: Non- Clinical Engineering Tests and Recommended Labeling for Intravascular Answer: Non- Clinical Engineering Tests and Recommended Labeling for Intravascular Answer: Non- Clinical Engineering Tests and Recommended Labeling for Intravascular Answer: Non- Clinical Engineering Tests
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What is the name of the guidance document that provides labeling recommendations for intravascular catheters and wires?
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Labeling recommendations for both Class III and Class II devices
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What are the devices in the scope of this guidance?
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a variety of devices and product codes
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What is the Regulation Number of the DQO Catheter?
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Regulation Number DQO Catheter, Intravascular, Diagnostic
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What is the term for the Term Greater Than 30 Days LJT Port & Catheter?
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Term
|
What is the current product code of the device for Acute Ischemic Stroke Treatment?
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870.133
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What is the receiver operating characteristic (FROC) curve?
|
free-response receiver operating characteristic (FROC) curve
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What is the name of the table that shows the classification of Class III devices?
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Table 2
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What is PTCA?
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nal Coronary Angioplasty
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What are the recommendations based on?
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known safety issues
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What is the name of the FDA guidance on deciding when to submit a 510(k) for a change to an existing device?
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“Deciding When to Submit a 510(k) for a Change to an Existing Device,”9
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What should the device description prominently note the presence of?
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the coating
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What should all indications for use described in the labeling be supported by?
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information in the premarket submission
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What are many devices designed, labeled, and indicated for?
|
specific uses
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What is the name of the document that should be included in the labeling of a device?
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precaution statement
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What should include information that will guide the user in a clinical setting?
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The preparation steps
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What should you include if you believe one or more of the considerations are not applicable to your device?
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any additional warnings and precautions not identified below that you determine are necessary to promote the safe use of the device based on your device design and intended use
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What is the LROC curve?
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sensitivity (Se) and specificity (Sp)
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What is a warning against reuse or re-sterilization of the device?
|
reuse or re-sterilization of the device
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What is the recommended duration for pre-conditioning?
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appropriate duration
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What should a user do if they have a known incompatibility with specific media or solvents?
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specification of any known incompatibility
|
What should the labeling instruct and warn users to do?
|
use caution when manipulating, advancing and/or withdrawing these devices
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What may result in adverse events (section D below) requiring additional intervention?
|
coating material remaining in the vasculature
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What is important to the user to be informed of?
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key device dimensions
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What is the term for aqueous media in which a coating swells?
|
saline
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What should be presented in a format consistent with 21 CFR 801.18?
|
The date
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What should be avoided during preparation or device use that could result in misuse scenarios or coating damage be identified?
|
Any practices that should be avoided during preparation or device use
|
What should the labeling instruct the user of?
|
appropriate shape configurations and shaping
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What is the probability that a test is negative for a population of normal patients?
|
Sp
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What should the user do if the device should not move freely?
|
exercise caution when removing the device and/or other components as a unit
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What may depend on the specific design?
|
specific adverse events
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What are some of the adverse events that may occur at the access site?
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Sterile inflammation or granulomas
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When was the original document issued?
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September 25, 2013
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What is the name of the facility that Food and Drug Administration Center for Devices and Radiological Health Center for Biologics Evaluation and Research is located in?
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U.S. Department of Health and Human Services
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What is the OCOD?
|
Office of Communication, Outreach, and Development
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What does FDA intend to exercise for software functions?
|
enforcement discretion
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