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<classification authority="sudocs">GA 1.13:GAO-08-780T</classification>
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 <subject>Accountability</subject>
 <subject>Certification and accreditation</subject>
 <subject>Data integrity</subject>
 <subject>Databases</subject>
 <subject>Food and drug legislation</subject>
 <subject>Foreign governments</subject>
 <subject>Importing</subject>
 <subject>Inspection</subject>
 <subject>International cooperation</subject>
 <subject>International relations</subject>
 <subject>Investigations by federal agencies</subject>
 <subject>Manufacturing industry</subject>
 <subject>Medical equipment</subject>
 <subject>Product evaluation</subject>
 <subject>Program evaluation</subject>
 <subject>Program management</subject>
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 <title>Medical Devices: FDA Faces Challenges in Conducting Inspections of Foreign Manufacturing Establishments</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 certain foreign and domestic 	 
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 voluntary programs for that	 
purpose. This statement is based primarily on GAO testimonies	 
from January 2008 (GAO-08-428T) and April 2008 (GAO-08-701T). In 
this statement, GAO assesses (1) FDA&apos;s program for inspecting	 
foreign establishments that manufacture medical devices for the  
U.S. market and (2) FDA&apos;s programs for third-party inspections of
those establishments. For GAO&apos;s January and April 2008		 
testimonies, GAO interviewed FDA officials, analyzed information 
from FDA, and updated GAO&apos;s previous work on FDA&apos;s programs for  
inspections by accredited third parties. GAO updated selected	 
information for this statement in early May 2008.</abstract>
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<note>Testimony</note>
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 <topic>Accountability</topic>
 <topic>Certification and accreditation</topic>
 <topic>Data integrity</topic>
 <topic>Databases</topic>
 <topic>Food and drug legislation</topic>
 <topic>Foreign governments</topic>
 <topic>Importing</topic>
 <topic>Inspection</topic>
 <topic>International cooperation</topic>
 <topic>International relations</topic>
 <topic>Investigations by federal agencies</topic>
 <topic>Manufacturing industry</topic>
 <topic>Medical equipment</topic>
 <topic>Product evaluation</topic>
 <topic>Program evaluation</topic>
 <topic>Program management</topic>
 <topic>Quality control</topic>
 <topic>Risk assessment</topic>
 <topic>Program goals or objectives</topic>
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  <title>United States Statutes at Large</title>
  <partNumber>Volume 116 Page 1588</partNumber>
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  <title>United States Statutes at Large</title>
  <partNumber>Volume 121 Page 823</partNumber>
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  <title>United States Public Law 250 (107th Congress)</title>
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  <title>United States Public Law 85 (110th Congress)</title>
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