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<classification authority="sudocs">GA 1.13:GAO-08-428T</classification>
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 <subject>Certification and accreditation</subject>
 <subject>Eligibility determinations</subject>
 <subject>Evaluation criteria</subject>
 <subject>Inspection</subject>
 <subject>Institution accreditation</subject>
 <subject>Manufacturing industry</subject>
 <subject>Medical equipment</subject>
 <subject>Program evaluation</subject>
 <subject>Quality control</subject>
 <subject>Schedule slippages</subject>
 <subject>Voluntary compliance</subject>
 <subject>FDA Inspection By Accredited Persons</subject>
 <subject>Program</subject>
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 <title>Medical Devices: Challenges for FDA in Conducting Manufacturer Inspections</title>
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<abstract>As part of the Food and Drug Administration&apos;s (FDA) oversight of
the safety and effectiveness of medical devices marketed in the  
United States, it inspects domestic and foreign establishments	 
where these devices are manufactured. To help FDA address	 
shortcomings in its inspection program, the Medical Device User  
Fee and Modernization Act of 2002 required FDA to accredit third 
parties to inspect certain establishments. In response, FDA has  
implemented two such voluntary programs. GAO previously reported 
on the status of one of these programs, citing concerns regarding
its implementation and factors that may influence manufacturers&apos; 
participation. (Medical Devices: Status of FDA&apos;s Program for	 
Inspections by Accredited Organizations, GAO-07-157, January	 
2007.) This statement (1) assesses FDA&apos;s management of		 
inspections of establishments--particularly those in foreign	 
countries--manufacturing devices for the U.S. market, and (2)	 
provides the status of FDA&apos;s programs for third-party inspections
of medical device manufacturing establishments. GAO interviewed  
FDA officials; reviewed pertinent statutes, regulations,	 
guidance, and reports; and analyzed information from FDA	 
databases. GAO also updated its previous work on FDA&apos;s programs  
for inspections by accredited third parties.</abstract>
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<identifier type="preferred citation">GAO-08-428T</identifier>
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<note>Testimony</note>
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 <searchTitle>GAO-08-428T; Medical Devices: Challenges for FDA in Conducting Manufacturer Inspections;
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 <topic>Certification and accreditation</topic>
 <topic>Eligibility determinations</topic>
 <topic>Evaluation criteria</topic>
 <topic>Inspection</topic>
 <topic>Institution accreditation</topic>
 <topic>Manufacturing industry</topic>
 <topic>Medical equipment</topic>
 <topic>Program evaluation</topic>
 <topic>Quality control</topic>
 <topic>Schedule slippages</topic>
 <topic>Voluntary compliance</topic>
 <topic>FDA Inspection By Accredited Persons</topic>
 <topic>Program</topic>
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  <partNumber>Volume 116 Page 1588</partNumber>
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 <identifier type="Statute citation">116 Stat. 1588</identifier>
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  <title>United States Statutes at Large</title>
  <partNumber>Volume 121 Page 858</partNumber>
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 <identifier type="Statute citation">121 Stat. 858</identifier>
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 <titleInfo>
  <title>United States Public Law 250 (107th Congress)</title>
</titleInfo>
 <identifier type="public law citation">Public Law 107-250</identifier>
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 <titleInfo>
  <title>United States Public Law 85 (110th Congress)</title>
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