[Federal Register Volume 83, Number 33 (Friday, February 16, 2018)]
[Notices]
[Pages 7052-7054]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-03215]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2018-N-0404]


Pediatric Medical Device Development; Public Meeting; Request for 
Comments

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice of public meeting; request for comments.

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SUMMARY: The Food and Drug Administration (FDA, the Agency, or we) is 
announcing the following public meeting entitled ``Pediatric Medical 
Device Development.'' The purpose of the public meeting is to identify 
strategies to enhance the medical device ecosystem to cultivate 
development and innovation of devices that serve the unique needs of 
pediatric populations. (The Federal Food, Drug, and Cosmetic Act (FD&C 
Act) defines pediatric patients, for medical device purposes, as age 21 
years or younger at the time of diagnosis or treatment and specifies 
categories of pediatric subpopulations.) Topics for discussion will 
include ways to improve research infrastructure and research networks 
to facilitate the conduct of clinical studies of pediatric devices, 
extrapolation, use of postmarket registries and data to increase 
pediatric medical device

[[Page 7053]]

labeling, assistance to medical device manufacturers in developing 
devices for pediatric populations, and identifying barriers to 
pediatric device development and incentives to address such barriers.

DATES: The public meeting will be held on August 13 and August 14, 
2018, from 9 a.m. to 5 p.m. Submit either electronic or written 
comments on this public meeting by September 14, 2018. See the 
SUPPLEMENTARY INFORMATION section for registration information.

ADDRESSES: The public meeting will be held at FDA's White Oak Campus, 
10903 New Hampshire Ave., Bldg. 31 Conference Center, Rm. 1503 (the 
Great Room), Silver Spring, MD 20993-0002. Entrance for the public 
meeting participants (non-FDA employees) is through Building 1 where 
routine security check procedures will be performed. For parking and 
security information, please refer to https://www.fda.gov/AboutFDA/WorkingatFDA/BuildingsandFacilities/WhiteOakCampusInformation/ucm241740.htm.
    You may submit comments as follows. Please note that late, untimely 
filed comments will not be considered. Electronic comments must be 
submitted on or before September 14, 2018. The https://www.regulations.gov electronic filing system will accept comments until 
midnight Eastern Time at the end of September 14, 2018. Comments 
received by mail/hand delivery/courier (for written/paper submissions) 
will be considered timely if they are postmarked or the delivery 
service acceptance receipt is on or before that date.

Electronic Submissions

    Submit electronic comments in the following way:
     Federal eRulemaking Portal: https://www.regulations.gov. 
Follow the instructions for submitting comments. Comments submitted 
electronically, including attachments, to https://www.regulations.gov 
will be posted to the docket unchanged. Because your comment will be 
made public, you are solely responsible for ensuring that your comment 
does not include any confidential information that you or a third party 
may not wish to be posted, such as medical information, your or anyone 
else's Social Security number, or confidential business information, 
such as a manufacturing process. Please note that if you include your 
name, contact information, or other information that identifies you in 
the body of your comments, that information will be posted on https://www.regulations.gov.
     If you want to submit a comment with confidential 
information that you do not wish to be made available to the public, 
submit the comment as a written/paper submission and in the manner 
detailed (see ``Written/Paper Submissions'' and ``Instructions'').

Written/Paper Submissions

    Submit written/paper submissions as follows:
     Mail/Hand delivery/Courier (for written/paper 
submissions): Dockets Management Staff (HFA-305), Food and Drug 
Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.
     For written/paper comments submitted to the Dockets 
Management Staff, FDA will post your comment, as well as any 
attachments, except for information submitted, marked and identified, 
as confidential, if submitted as detailed in ``Instructions.''
    Instructions: All submissions received must include the Docket No. 
FDA-2018-N-0404 for ``Pediatric Medical Device Development; Public 
Meeting; Request for Comments.'' Received comments, those filed in a 
timely manner (see ADDRESSES), will be placed in the docket and, except 
for those submitted as ``Confidential Submissions,'' publicly viewable 
at https://www.regulations.gov or at the Dockets Management Staff 
between 9 a.m. and 4 p.m., Monday through Friday.
     Confidential Submissions--To submit a comment with 
confidential information that you do not wish to be made publicly 
available, submit your comments only as a written/paper submission. You 
should submit two copies total. One copy will include the information 
you claim to be confidential with a heading or cover note that states 
``THIS DOCUMENT CONTAINS CONFIDENTIAL INFORMATION.'' The Agency will 
review this copy, including the claimed confidential information, in 
its consideration of comments. The second copy, which will have the 
claimed confidential information redacted/blacked out, will be 
available for public viewing and posted on https://www.regulations.gov. 
Submit both copies to the Dockets Management Staff. If you do not wish 
your name and contact information to be made publicly available, you 
can provide this information on the cover sheet and not in the body of 
your comments and you must identify this information as 
``confidential.'' Any information marked as ``confidential'' will not 
be disclosed except in accordance with 21 CFR 10.20 and other 
applicable disclosure law. For more information about FDA's posting of 
comments to public dockets, see 80 FR 56469, September 18, 2015, or 
access the information at: https://www.gpo.gov/fdsys/pkg/FR-2015-09-18/pdf/2015-23389.pdf.
    Docket: For access to the docket to read background documents or 
the electronic and written/paper comments received, go to https://www.regulations.gov and insert the docket number, found in brackets in 
the heading of this document, into the ``Search'' box and follow the 
prompts and/or go to the Dockets Management Staff, 5630 Fishers Lane, 
Rm. 1061, Rockville, MD 20852.

FOR FURTHER INFORMATION CONTACT: Victoria Wagman, Center for Devices 
and Radiological Health, Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 66, Rm. 5562, Silver Spring, MD 20993, 301-796-
6581, [email protected].

SUPPLEMENTARY INFORMATION:

I. Background

    For more than a decade, legislative changes and regulatory process 
improvements have been implemented to facilitate development of medical 
devices that serve the unique needs of pediatric populations. The FD&C 
Act defines pediatric patients, for medical device purposes, as age 21 
years or younger at the time of diagnosis or treatment and specifies 
categories of pediatric subpopulations (see section 520(m)(6)(E) of the 
FD&C Act (21 U.S.C. 360j(m)(6)(E))). Nevertheless, children and those 
who care for them continue to have limited medical device options. FDA 
seeks to identify opportunities to support development and innovation 
of medical devices designed and labeled for children. Engaging in such 
opportunities will not only serve children and their families but 
optimize the medical device ecosystem for all. The Agency invites all 
stakeholders, including representatives from the medical device 
industry, academia, recipients of funding under section 305 of the 
Pediatric Medical Device Safety and Improvement Act of 2007, medical 
provider organizations, and organizations and individuals representing 
patients and consumers to collaborate with us in addressing this 
important public health issue (See Pub. L. 110-85; 42 U.S.C. 282 note).
    FDA guidance documents entitled ``Premarket Assessment of Pediatric 
Medical Devices,'' ``Providing Information about Pediatric Uses of 
Medical Devices,'' and ``Leveraging Existing Clinical Data for 
Extrapolation to Pediatric Uses of Medical Devices,'' provide 
background information regarding pediatric medical device development 
(Refs. 1 to 3).

[[Page 7054]]

II. Topics for Discussion at the Public Meeting

    As mandated by section 502(d) of the FDA Reauthorization Act of 
2017 (FDARA), this FDA meeting on the development and labeling of 
pediatric medical devices is being convened with representatives from 
the medical device industry, academia, recipients of funding under 
section 305 of the Pediatric Medical Device Safety and Improvement Act 
of 2007, medical provider organizations, and organizations representing 
patients and consumers (see Pub. L. 110-85; 42 U.S.C. 282 note).
    As directly outlined in FDARA, the meeting shall include 
consideration of ways to: (1) Improve research infrastructure and 
research networks to facilitate the conduct of clinical studies of 
devices for pediatric populations that would result in the approval or 
clearance, and labeling of medical devices for such populations; (2) 
appropriately use extrapolation under section 515A(b) of the FD&C Act 
(21 U.S.C. 360e-1(b)); (3) enhance the appropriate use of postmarket 
registries and data to increase pediatric medical device labeling; (4) 
increase FDA assistance to medical device manufacturers in developing 
devices for pediatric populations that are approved or cleared, and 
labeled, for their use; and (5) identify current barriers to pediatric 
device development and incentives to address such barriers.
    A detailed agenda will be posted on the following website in 
advance of the workshop at https://www.fda.gov/MedicalDevices/NewsEvents/WorkshopsConferences/default.htm. Select this event from the 
list of items provided.

III. Participating in the Public Meeting

    Registration: To register for the public meeting, please visit 
FDA's Medical Devices News & Events--Workshops & Conferences calendar 
at https://www.fda.gov/MedicalDevices/NewsEvents/WorkshopsConferences/default.htm. (Select this public workshop from the posted events list.) 
Please provide complete contact information for each attendee, 
including name, title, affiliation, address, email, and telephone 
number.
    Registration is free, and in-person attendance is based on space 
availability, with priority given to early registrants. Persons 
interested in attending this public meeting must register by August 6, 
2018, 3 p.m. Eastern Time. Early registration is recommended because 
seating is limited; therefore, FDA may limit the number of participants 
from each organization. Registrants will receive confirmation when they 
have been accepted. If time and space permit, onsite registration on 
the day of the public workshop will be provided beginning at 7:30 a.m. 
We will let registrants know if registration closes before the day of 
the public meeting.
    If you need special accommodations due to a disability, please 
contact Peggy Roney at the Center for Devices and Radiological Health, 
Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 32, Rm. 
5231, Silver Spring, MD 20993-0002, 301-796-5671, 
[email protected], no later than June 1, 2018.
    Requests for Oral Presentations: During online registration, you 
may indicate if you wish to present during a public comment session and 
which topic(s) you wish to address. FDA will do its best to accommodate 
requests to make public comments. Individuals and organizations with 
common interests are urged to consolidate or coordinate their 
presentations, and request time for a joint presentation, or submit 
requests for designated representatives to participate in the focused 
sessions. We encourage persons who are interested in making an oral 
presentation during a public comment session to indicate their intent 
on the registration form by 3 p.m. Eastern Time on June 29, 2018. Based 
on the number of applicants for oral presentations, FDA will distribute 
the available time equally among all presenters and inform selected 
presenters of the public presentation agenda by July 6, 2018. If 
selected for presentation, any presentation materials must be emailed 
to Victoria Wagman at [email protected] no later than July 
13, 2018. No commercial or promotional material will be permitted to be 
presented or distributed at the public meeting.
    Streaming Webcast of the public meeting: This public meeting will 
also be webcast. The webcast link will be available on the registration 
web page after August 6, 2018. Please visit FDA's Medical Devices News 
& Events--Workshops & Conferences calendar (https://www.fda.gov/MedicalDevices/NewsEvents/WorkshopsConferences/default.htm) and select 
this event from the list of items provided. Organizations are requested 
to register all participants but view using one connection per 
location.
    If you have never attended a Connect Pro event before, test your 
connection at https://collaboration.fda.gov/common/help/en/support/meeting_test.htm. To get a quick overview of the Connect Pro program, 
visit https://www.adobe.com/go/connectpro_overview. FDA has verified 
the website addresses in this document as of the date this document 
publishes in the Federal Register, but websites are subject to change 
over time.
    Transcripts: Please be advised that as soon as a transcript of the 
public meeting is available, it will be accessible at https://www.regulations.gov. It may be viewed at the Dockets Management Staff 
(see ADDRESSES). A link to the transcript will also be available on the 
internet at https://www.fda.gov/MedicalDevices/NewsEvents/WorkshopsConferences/default.htm. (Select this public workshop from the 
posted events list.)

IV. References

    The following references are on display at the Dockets Management 
Staff (see ADDRESSES) and are available for viewing by interested 
persons between 9 a.m. and 4 p.m., Monday through Friday; they are also 
available electronically at https://www.regulations.gov.

    1. FDA's guidance for Industry and FDA Staff: ``Premarket 
Assessment of Pediatric Medical Devices,'' available at https://www.fda.gov/downloads/MedicalDevices/DeviceRegulationandGuidance/GuidanceDocuments/ucm089742.pdf.
    2. FDA's guidance for Industry and FDA Staff: ``Providing 
Information about Pediatric Uses of Medical Devices,'' available at 
https://www.fda.gov/downloads/MedicalDevices/DeviceRegulationandGuidance/GuidanceDocuments/UCM339465.pdf.
    3. FDA's guidance for Industry and FDA Staff: ``Leveraging 
Existing Clinical Data for Extrapolation to Pediatric Uses of 
Medical Devices,'' available at https://www.fda.gov/ucm/groups/fdagov-public/@fdagov-meddev-gen/documents/document/ucm444591.pdf.


    Dated: February 12, 2018.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2018-03215 Filed 2-15-18; 8:45 am]
BILLING CODE 4164-01-P