Medical Devices
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Toxicology Risk Assessment Committee #G89-1 (blue book memo) (Text Only)
This guidance was written prior to the February 27, 1997 implementation of FDA’s Good Guidance Practices, GGP’s. It does not create or confer rights for or on any person and does not operate to bind FDA or the public. An alternative approach may be used if such approach satisfies the requirements of the applicable statute, regulations, or both. This guidance will be updated in the next revision to include the standard elements of GGP’s.
General Program Memorandum G89-1
August 9, 1989
Toxicology Risk Assessment Committee
Please read the attached memorandum, endorsed by the Center Director,
that proposed the establishment of a Center-wide Toxicology Risk
Assessment Committee.
The primary purpose of this Committee will be to provide assessments of
the potential toxic risks posed by products that are the subjects of
marketing applications. The Committee will be a key element in our
review process for some of the applications that present difficult
toxicology questions. It will review the applications that are
potentially problematic, that present sensitive, highly visible issues,
or that may result in precedent-setting toxicology decisions. The
Committee will also review toxicology-related product approval guidance
documents.
The attached memorandum describes the operating procedures to the
extent that they have been developed. Clearly, there remain some
unanswered questions on selection criteria and policy issues, and the
specific operating procedures are yet to be formulated. However,
because of the need to expedite the formation and operation of the
Committee as a working body, it is our plan to actually begin and
resolve many of the open procedural questions as the Committee
proceeds. The members of the initial Committee will formulate and
propose specific procedures.
Listed below are the members of the initial Committee.
Jerome Donlon, OD, ODE (Co-chair)
Raju Kammula, DOED, ODE (Co-chair)
William D. Galloway, DLS, OST
Hoan-My Do Luu, DSRD, ODE
Nirmal K. Mishara, DSRD, ODE
Phyllis M. Silverman, DBS, OST
Pei Sung, DMMS, OST
Dr. Jacobson and I selected the members whose names were among those
submitted by Division Directors in ODE and OST. Because of the nature
of the expertise needed on the Committee, its members will come
primarily from ODE and OST. From time to time the chairperson and
Committee members will rotate off the Committee, as new experts are
identified and as there is a need to relieve those who have been
serving for a period of time. The Committee may call upon other staff
in ODE and OST for assistance as necessary.
The establishment of the Toxicology Risk Assessment Committee is
effective immediately. ODE Division Directors are directed to identify
applications that need its review and refer them to Dr. Donlon.
Attachment
ATTACHMENT
July 27, 1989
From: Director, Office of Device Evaluation, CDRH
Director, Office of Science and Technology, CDRH
Toxicology Risk Assessment Committee
To: Director, Center for Devices and Radiological Health, FDA
THROUGH: Deputy Director, Center for Devices and
Radiological Health, FDA /s/
Purpose
We are writing to propose the establishment of a CDRH Toxicology Risk
Assessment Committee and to briefly describe its purpose and operating
procedures.
Background
As you know, the Office of Device evaluation (ODE) receives a wide
variety of device marketing applications that pose questions of toxic
risk to patients. ODE attempts to review these with scientific rigor
and consistency, although this is difficult because the toxicology
expertise within ODE is dispersed among the divisions with some
divisions lacking entirely in this scientific area. Additional
expertise exists within OST, but at present there is no established
mechanism to bring the combined expertise of ODE and OST to bear on the
"tough questions" that can arise in the toxicology area, and that often
cut across ODE divisions. For this reason, we propose the
establishment of a central body of experts, drawn from both Officers
which can be relied on as needed for expert toxic risk
assessments/consultations.
Operating Procedures
The primary function of the Committee would be to provide advice to the
ODE operating divisions about toxicity data as a part of the product
review process. Its members would be asked to review IDE, 510(k) and
PMA applications that present significant or precedent-setting
toxicology questions, and to review toxicology-related product approval
guidance documents. The Committee members would be asked to render
opinions, based on scientific assessments, of the potential toxic risks
associated with the products under review; they would not be asked to
make recommendations about product approvals. The decisions on product
approvals typically would continue to be made within the ODE divisions
on the basis of an evaluation of all of the device's risks and
benefits.
The Committee would be composed of about seven people, primarily from
ODE and OST, who are experts in toxicology, materials and statistics.
We expect that the membership would rotate according to changing needs
and the availability of experts. ODE and OST would jointly determine
the appropriate membership.
Also, the Committee would have the prerogative of calling upon other
Center resources as needed. Currently, some special government
employee (SGE) toxicologists are cleared through Committee Management
and are available as consultants to our advisory panels. We plan to
use these individuals as resources for the Toxicology Risk Assessment
Committee. The SGEs would advise this Committee in addition to
reporting to the advisory panels. We expect that in some cases the
Committee would report on its risk assessments during the advisory
panel meetings.
We propose that the Committee be managed by ODE. The Committee would
report directly to the Office of the ODE Director. However, on
particular assignments it would respond to the Director of the ODE
division seeking an assessment. The Committee would write its own
procedures and responsibilities, with the understanding that it must
usually respond to requests for reviews within two to three weeks. The
risk assessments performed by the Committee will become part of the
official files of the applications which are being reviewed.
The Toxicology risk Assessment Committee would not replace, nor would
its function overlap with, the current PMS Toxicology Committee, which
would presumably continue to serve as a forum for information exchange,
problem identification, and Center-wide strategic planning. It would,
however, allow for the discontinuation of ODE's Toxicology Working
Group.
We believe this Committee would be comparable to the Office of
Compliance and Surveillance's (OCS's) Health Hazard Evaluation
Committee, which draws its membership from other offices within the
Center, and meets in response to specific needs to assess the risks
caused by defective products, but is managed by OCS.
If you concur with this proposal ODE will issue the attached "blue
book" policy (which will have this memorandum attached) to establish
the Committee and to direct ODE Division Directors to identify
applications which need review.
\s\
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