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Responsibilities
Responsibilities
Responsibilities of Sponsors for Significant Risk Device Studies
General responsibilities (§812.40)
Sponsors are responsible for selecting qualified investigators and
providing them with the information that they need to conduct the investigation properly.
They must also ensure proper monitoring of the investigation and IRB review and approval,
submit an IDE application to FDA for significant risk device studies, and inform the IRB
and FDA promptly of any significant new information about the investigation.
FDA and IRB approval
(§812.42)
A sponsor cannot begin an investigation or any part of an investigation
until an IRB and FDA have both approved the application or supplemental
application.
Selecting Investigators
(§812.43)
A sponsor is responsible for selecting investigators qualified by
training and experience to investigate the device.
Selecting Monitors
(§812.43)
A sponsor must select monitors qualified by training and experience to
monitor the investigational study in accordance with the IDE and other applicable FDA
regulations.
Device Control
(§812.43)
A sponsor can ship investigational devices only to qualified
investigators participating in the investigation.
Investigator Agreements
(§812.43)
A sponsor must obtain a signed agreement from each participating
investigator that includes;
- the investigator's curriculum vitae,
- a statement of the investigator's relevant experience, including the dates, location,
extent, and type of experience, where applicable,
- an explanation of the circumstances that led to termination of a study if the
investigator was involved in an investigation or other research that was terminated,
- a statement of the investigator's commitment to:
- conduct the investigation in accordance with the agreement, the investigational
plan, the IDE and other applicable FDA regulations, and conditions of approval
imposed by the reviewing IRB or FDA,
- supervise all testing of the device involving human subjects. and
- ensure that the requirements for obtaining informed consent are met.
- sufficient accurate financial disclosure information to allow the sponsor to submit a
complete and accurate certification or disclosure statement as required under 21 CFR 54,
Financial Disclosure by Clinical Investigators. The sponsor shall also obtain a commitment
from the clinical investigator to promptly update this information if any relevant changes
occur during the course of the investigation and for one year following completion of the
study. (The financial certification or disclosure is submitted in the PMA or Premarket
Notification 510(k) application. It should not be submitted in the IDE application.)
Informing investigators
(§ 812.45)
A sponsor must supply all investigators participating in the
investigation with copies of the investigational plan and a report of prior investigations
of the device.
Monitoring
(§ 812.46)
Securing Compliance
A sponsor who discovers that an investigator is not complying with the
signed agreement, the investigational plan, the IDE requirements, any other applicable FDA
regulations, or any conditions of approval imposed by the reviewing IRB or FDA must
promptly either secure compliance, or discontinue shipments of the device to the
investigator and terminate the investigator's participation in the investigation. A
sponsor must also require that the investigator dispose of or return the device, unless
this action would jeopardize the rights, safety, or welfare of a subject.
Unanticipated Adverse Device Effects
The sponsor must immediately conduct an evaluation of any unanticipated
adverse device effect. A sponsor who determines that an unanticipated adverse device
effect presents an unreasonable risk to subjects must terminate all investigations or
parts of the investigations presenting that risk as soon as possible. Termination must
occur no later than 5 working days after the sponsor makes this determination and no later
than 15 working days after the sponsor first received notice of the effect.
Resumption of Terminated Studies
For significant risk device investigations, a sponsor may not resume a
terminated investigation without IRB and FDA approval. For a nonsignificant risk device
investigation, a sponsor may not resume a terminated investigation without IRB approval.
If the nonsignificant risk study was terminated for unanticipated adverse device effects,
the sponsor must also obtain FDA approval.
Sponsor records
(§ 812.140)
The sponsor must maintain accurate and complete records relating to the
investigation. These records include;
- all correspondence including required reports,
- records of shipment of the device,
- records of disposition of the device
- signed investigator agreements including financial disclosure information,
- records concerning complaints and adverse device effects whether anticipated or not,
- any other records that FDA requires to be maintained by regulation or by specific
requirement for a category of investigation or a particular investigation.
See Records for additional information on recordkeeping requirements.
Sponsor Reports
(§812.150)
The sponsor must provide the following reports in a timely manner to
FDA, the IRB's, and/or the investigators.
- Unanticipated Adverse Device Effects
- Withdrawal of IRB Approval
- Withdrawal of FDA Approval
- Current List of Investigators
- Progress Reports
- Recalls and Device Disposition
- Final Report
- Informed consent
- Significant Risk Device Determination
- Other Reports
See Reports for more information
regarding required reports.
Labeling
(§812.5)
Under §812.5 an investigational device or its immediate package must
bear a label with the following information:
- the name and place of business of the manufacturer, packer, or distributor;
- the quantity of contents, if appropriate; and
- the statement, "CAUTION Investigational device. Limited by Federal (or United
States) law to investigational use."
The label must also describe all relevant contraindications, hazards,
adverse effects, interfering substances or devices, warnings, and precautions.
The labeling of an investigational device must not contain any false or
misleading statements nor imply that the device is safe or effective for the purposes
being investigated.
The
sponsor should provide detailed information on device labeling in the investigational
protocol. This information may vary depending on the device and the nature of
the study. Product labeling should be sufficient
to ensure stability of the test article for the duration of the study (storage
requirements, calibration procedures), bear sufficient directions for proper
administration, and detail procedures to follow in the event of patient injury.
Promotion of Investigational Devices (§812.7)
Under §812.7, a sponsor, investigator, or any person acting for or
on behalf of a sponsor or investigator cannot:
- Promote or test market an investigational device, until after FDA has approved the
device for commercial distribution.
- Commercialize an investigational device by charging the subjects or investigators a
higher price than that necessary to recover costs of manufacture, research, development,
and handling.
- Unduly prolong an investigation. If data developed by the investigation indicate that
premarket approval (PMA) cannot be justified, the sponsor must promptly terminate the
investigation.
- Represent that an investigational device is safe or effective.
However, the sponsor may advertise for research subjects to solicit their participation
in a study. Appropriate advertising methods include but is not necessarily limited
to: newspaper, radio, TV, bulletin boards, posters, and flyers that are intended
for prospective subjects.
Advertisements should be reviewed and approved by the IRB to assure that it
is not unduly coercive and does not promise a certainty of cure beyond what
is outlined in the consent and the protocol. No claims should be made, either
explicitly or implicitly, that the device is safe or effective for the purposes
under investigation, or that the test article is known to be equivalent or superior
to any other device.
FDA considers direct advertising for study subjects to be the start of the
informed consent and subject selection process.
Additional guidance is available
in the following guidance documents:
"Information Sheets: Guidance
for Institutional Review Boards and Clinical Investigators, 1998 - Recruiting
for Study Subjects"
http://www.fda.gov/oc/ohrt/irbs/toc4.html
Preparing Notices of Availability
of Investigational Medical Devices and for Recruiting Study Subjects
http://www.fda.gov/cdrh/comp/2229.html
http://www.fda.gov/cdrh/comp/2229.pdf
Responsibilities of Sponsors of Nonsignificant Risk
Device Studies
Sponsors of nonsignificant risk studies must comply with the abbreviated IDE
requirements set forth in (§812.2(b). The sponsor must:
- Label the device in accordance with §812.5.
Under §812.5 an investigational
device or its immediate package must bear a label with the following information:
- the name and place of business of the manufacturer, packer, or distributor;
- the quantity of contents, if appropriate; and
- the statement, "CAUTION Investigational device. Limited by Federal (or United
States) law to investigational use."
The label must also describe all relevant contraindications, hazards,
adverse effects, interfering substances or devices, warnings, and precautions.
The labeling of an investigational device must not contain any false or
misleading statements nor imply that the device is safe or effective for the purposes
being investigated.
The sponsor should provide detailed information on device
labeling in the investigational protocol. This information may vary depending
on the device and the nature of the study. Product labeling should be sufficient
to ensure stability of the test article for the duration of the study (storage
requirements, calibration procedures), bear sufficient directions for proper
administration, and detail procedures to follow in the event of patient injury.
- Obtain IRB approval of the investigation
as a nonsignificant risk device study after presenting the reviewing IRB with
a brief explanation of why the device is not a significant risk device and
maintain such approval.
- Ensure that each investigator participating in an investigation of the device obtains
informed consent under 21 CFR 50 for each subject under the investigators care and
documents the consent, unless documentation is waived by an IRB under §56.109(c).
- Comply with the requirements of §812.46 with respect to monitoring investigations.
Securing
Compliance
A sponsor who discovers that an investigator is not complying with the
signed agreement, the investigational plan, the IDE requirements, any other applicable FDA
regulations, or any conditions of approval imposed by the reviewing IRB or FDA must
promptly either secure compliance, or discontinue shipments of the device to the
investigator and terminate the investigator's participation in the investigation. A
sponsor must also require that the investigator dispose of or return the device, unless
this action would jeopardize the rights, safety, or welfare of a subject.
Unanticipated Adverse Device Effects
The sponsor must immediately conduct an evaluation of any unanticipated
adverse device effect. A sponsor who determines that an unanticipated adverse device
effect presents an unreasonable risk to subjects must terminate all investigations or
parts of the investigations presenting that risk as soon as possible. Termination must
occur no later than 5 working days after the sponsor makes this determination and no later
than 15 working days after the sponsor first received notice of the effect.
Resumption of Terminated Studies
For significant risk device investigations, a sponsor may not resume a
terminated investigation without IRB and FDA approval. For a nonsignificant risk device
investigation, a sponsor may not resume a terminated investigation without IRB approval.
If the nonsignificant risk study was terminated for unanticipated adverse device effects,
the sponsor must also obtain FDA approval.
- Maintain certain records and submit required reports.
The following records must be maintained in one location and available
for FDA inspection [§812.140(b)(4)]:
- the name and intended use of the device;
- the objectives of the investigation;
- a brief explanation of why the device is not a significant risk device;
- the name and address of each investigator;
- the name and address of each IRB;
- a statement of the extent to which the good manufacturing practices (21 CFR 820) will be
followed in manufacturing the device.
- any other information required by FDA
The sponsor must maintain records concerning complaints and adverse device effects
whether anticipated or not [§812.140(b)(5)].
The sponsor must provide the following reports in a timely manner to
FDA, the IRB's, and/or the investigators [§812.150(b) (1) through (3) and (5) through
(10)].
- Unanticipated Adverse Device Effects
- Withdrawal of IRB Approval
- Withdrawal of FDA Approval
- Progress Reports
- Recalls and Device Disposition
- Final Report
- Informed consent
- Significant Risk Device Determination
- Other Reports
See Reports for more
information regarding the required reports.
- Ensure that participating
investigators maintain the records of each subjects case history and exposure to the
device under §812.140(a)(3)(i) and ensure that participating investigators make the
following required reports:
- Unanticipated Adverse Device Effects [§812.150(a)(1)]
- Withdrawal of IRB Approval [§812.150(a)(2)]
- Informed consent [§812.150(a)(5)]
- Other reports requested by a reviewing IRB or FDA [§812.150(a)(7)]
See Reports for more
information about required reports.
- Comply with the
prohibitions in §812.7 against promotion and other practices
Under § 812.7, a sponsor, investigator, or any person acting for or on
behalf of a sponsor or investigator cannot:
- Promote or test market an investigational device, until after FDA has approved the
device for commercial distribution.
- Commercialize an investigational device by charging the subjects or investigators a
higher price than that necessary to recover costs of manufacture, research, development,
and handling.
- Unduly prolong an investigation. If data developed by the investigation indicate that
premarket approval (PMA) cannot be justified, the sponsor must promptly terminate the
investigation.
- Represent that an investigational device is safe or effective.
However, the sponsor may advertise for research subjects to solicit their
participation in a study. Appropriate advertising methods include but is not
necessarily limited to: newspaper, radio, TV, bulletin boards, posters, and
flyers that are intended for prospective subjects.
Advertisements should be reviewed and approved by the IRB to assure that
it is not unduly coercive and does not promise a certainty of cure beyond
what is outlined in the consent and the protocol. No claims should be made,
either explicitly or implicitly, that the device is safe or effective for
the purposes under investigation, or that the test article is known to be
equivalent or superior to any other device.
FDA considers direct advertising for study subjects to be the start of the
informed consent and subject selection process.
Additional guidance is available
in the following guidance documents:
"Information Sheets: Guidance
for Institutional Review Boards and Clinical Investigators, 1998 - Recruiting
for Study Subjects"
http://www.fda.gov/oc/ohrt/irbs/toc4.html
Preparing Notices of Availability
of Investigational Medical Devices and for Recruiting Study Subjects
http://www.fda.gov/cdrh/comp/2229.html
http://www.fda.gov/cdrh/comp/2229.pdf
Responsibilities of Investigators for Significant
Risk Device Studies
The investigator is responsible for protecting the rights, safety, and
welfare of subjects. An investigator must conduct the investigation in accordance with the
signed agreement with the sponsor, the investigational plan, the IDE regulation and other
applicable FDA regulations, and any conditions of approval imposed by an IRB and FDA.
(§812.100)
While waiting approval of an IDE application, an investigator may
determine whether or not potential subjects would be interested in participating in an
investigation, but cannot request written informed consent or allow any subjects to
participate before obtaining IRB and FDA approval. (§812.110)
Informed Consent
An investigator is responsible for obtaining informed consent under
21 CFR Part 50.
Supervision of device use
(§812.110)
An investigator can permit use of the investigational device only
with subjects under his/her supervision and cannot not supply an investigational device to
any person not authorized under the IDE regulation to receive it.
Financial Disclosure
(§812.110)
The clinical investigator must disclose to the sponsor sufficient
accurate financial information to allow the IDE applicant (or sponsor) to submit
certification or disclosure of financial interests under 21 CFR 54. The investigator must
update the information if any relevant changes occur during the course of the
investigation and for one year following completion of the study.
Device Disposal
(§812.110)
Upon completion or termination of a clinical investigation or the
investigator's part of the investigation or at the sponsor's request, an investigator must
return to the sponsor any remaining supply of the device or dispose of the device as the
sponsor directs.
Records
(812.140)
The investigator must maintain accurate and complete records
relating to the investigation. These records include;
- all correspondence including required reports,
- records of receipt, use, or disposition of the investigational device,
- records of each subject's case history and exposure to the device,
- the protocol and documentation (date and reason) for each deviation from the protocol,
- any other records that FDA requires to be maintained by regulation or by specific
requirement for a category of investigation or a particular investigation.
See Records for additional information on recordkeeping requirements.
Investigator Reports (812.150)
The investigator must provide the following reports in a timely manner
to the sponsor and/or the IRB.
- Unanticipated Adverse Device Effects
- Withdrawal of IRB Approval
- Progress Reports
- Deviations from the Investigational Plan
- Informed Consent
- Final Report
- Other Reports
See Reports for more
information regarding required reports.
Responsibilities of Investigators for Nonsignificant Risk
Device Studies
Informed Consent
An investigator is responsible for obtaining informed consent under 21 CFR Part 50.
Records
Clinical investigators must maintain the records of each subjects case history
and exposure to the device under §812.140(a)(3)(i). Case histories include case report
forms and supporting data, including signed and dated consent forms and medical records,
including progress notes of the physician, the individuals hospital chart(s), and
the nurses notes. Records must include documents demonstrating informed consent and,
for any use of a device the investigator without informed consent, any written concurrence
of a licensed physician and a brief description of the circumstances justifying the
failure to obtain informed consent. The case history of each individual must document that
informed consent was obtained prior to participation in the study.
Reports
Clinical investigators must make the following required reports:
- Unanticipated Adverse Device Effects [§812.150(a)(1)]
- Withdrawal of IRB Approval [§812.150(a)(2)]
- Informed consent [§812.150(a)(5)]
- Other reports requested by a reviewing IRB or FDA [§812.150(a)(7)]
See Reports for additional information regarding specific reports.
Financial Disclosure
If the data in a nonsignificant risk device study is submitted in a marketing
application, then 21 CFR 54, Financial Disclosure, applies. The clinical investigator must
disclose to the sponsor sufficient accurate financial information to allow the IDE
applicant (or sponsor) to submit certification or disclosure of financial interests. The
investigator must update the information if any relevant changes occur during the course
of the investigation and for one year following completion of the study. (§ 812.110)
Responsibilities of Monitors
The sponsor is responsible for selecting monitors qualified by
training and experience to monitor the investigational study. Monitors may be employees of
the sponsor or an organization contracted by the sponsor to perform the duties of the
study monitor.
The monitor is responsible for securing compliance with the
requirements of the IDE regulation (§ 812.46). The monitor must assure that the
investigators are complying with the signed agreement, the investigational plan, the IDE
requirements, any other applicable FDA regulations, or any conditions of approval imposed
by the reviewing IRB or FDA.
The IDE regulation requires that the sponsor identify the name and
address of the monitor and provide written monitoring procedures [§812.25(e)]. While the
IDE regulation does not specify the content of the written monitoring procedures, FDA has
published a guideline, "Guideline for The Monitoring of Clinical Investigations,
January 1988" on acceptable approaches to monitoring clinical investigations
involving FDA-regulated products.
References:
21
CFR 812 Subpart C
21 CFR 812 Subpart E
21 CFR 812.140
21 CFR 812.150
Sponsor's Responsibilities For Significant Risk Device Investigations (Nov.
1995)
http://www.fda.gov/cdrh/manual/sponsor.html
Investigators' Responsibilities For Significant Risk Device Investigations
(Nov. 1995)
http://www.fda.gov/cdrh/manual/invest.html
Guideline for The Monitoring of Clinical Investigations
http://www.fda.gov/ora/compliance_ref/bimo/clinguid.html
Guidance for Clinical Trial Sponsors on the Establishmentand Operation of
Clinical Trial Data Monitoring Committees (Draft)
http://www.fda.gov/cber/gdlns/clindatmon.htm
http://www.fda.gov/cber/gdlns/clindatmon.pdf
Guidance on IDE Policies and Procedures
http://www.fda.gov/cdrh/ode/idepolcy.pdf
http://www.fda.gov/cdrh/ode/idepolcy.html
"Information Sheets: Guidance for Institutional Review Boards and Clinical
Investigators, 1998 - Recruiting for Study Subjects"
http://www.fda.gov/oc/ohrt/irbs/toc4.html
Preparing Notices of Availability of Investigational Medical Devices and
for Recruiting Study Subjects
http://www.fda.gov/cdrh/comp/2229.html
http://www.fda.gov/cdrh/comp/2229.pdf
Last
modified date July 21, 2003
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