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  • Jeffrey N. Gibbs

    • Evidence v. Belief: What a Kennedy Appointment Could Mean to FDA and Public HealthNovember 19th, 2024

      On Thursday, November 14, President-Elect Trump announced his pick of Robert Kennedy, Jr., for Secretary of Health and Human Services (HHS). Although not altogether surprising, the formality of an official announcement still came as a shock to many of us who work in areas regulated …

    • To 513(g) or not to 513(g)? That is the questionNovember 8th, 2024

      In most instances, it is clear if a product will be considered a “device” under the Federal Food, Drug, and Cosmetic Act (FD&C Act).  Sometimes, though, the question of classification defies an easy answer.  When a company is unsure if its product is a device, …

    • A Reversal on Sequencing? Proposed Legislation Would Allow Patenting of Naturally Occurring GenesOctober 25th, 2024

      A recent blog post focused on the potentially negative implications of the proposed Patent Eligibility Restoration Act (PERA) for manufacturers of generic drugs and biosimilar products.   The concerns raised by PERA are not limited to these industries, however.  Rather, developers of diagnostic tests      and, indeed …

    • Where Have All the De Novo Summaries Gone: An UpdateSeptember 4th, 2024

      Thank you to readers of this blog. We received incredible feedback on our August 19 post analyzing the number of decision summaries that have been posted for De Novos. We are happy to report that fifteen new decision summaries have been posted as of August 28. …

    • Long Time Passing: Where Have All the De Novo Decision Summaries Gone?August 19th, 2024

      In 1997, Congress wisely amended the Federal Food, Drug, and Cosmetic Act (FDCA) by adding Section 513(f)(2) to establish the De Novo process.  The De Novo process provides a regulatory pathway to classify novel devices for which general controls alone or general and special controls …

    • OTC Hearing Aids: “Nothing to See Here” Says GAO ReportJune 12th, 2024

      It’s been over a year and a half since Over-the-Counter (“OTC”) hearing aids became legal, and it’s not clear that they’ve made the difference in hearing loss treatment that Congress anticipated.  (FDA once estimated that OTC hearing aids would save patients over $3000.)  A recent …

    • Will the LDT Rule Make it Easier for Sports Dopers to Go Undetected?June 7th, 2024

      The FDA’s new rule for laboratory developed tests (LDTs), unless overturned through litigation (see here), by legislation, or the election, is going to have profound effects on the U.S. health care system.  At this point, nobody knows all the impacts the rule will have.  But …

    • When Worlds Collide: The Theory of Real-World Evidence Meets Reality – Part IIMay 23rd, 2024

      We recently blogged about the Center for Devices and Radiological Health’s (CDRH) reluctance to make full use of real-world data (RWD) and real-world evidence (RWE) to support marketing applications.  In response to the post, we did receive feedback from a company that had had the …

    • When Worlds Collide: The Theory of Real-World Evidence Meets RealityMay 14th, 2024

      FDA has long touted the use of real-world evidence (RWE).  Extolling RWE, FDA has said “RWE can be leveraged to bring new products to market, evaluate the safety and effectiveness of existing products for new uses, and assess the continued performance and safety of products …

    • The End* of a Long and Winding Road: FDA Publishes Final LDT Rule (*Or Is It?)May 3rd, 2024

      On April 29, 2024, FDA announced its finalization of the laboratory developed test (LDT) rule.  The final rule will be published in the Federal Register on Monday May 6, 2024 (here).  The final rule marks another milestone in the more than three decades long battle …

    • OMB Completes its Review of the Final LDT Rule—A Final Rule Coming Anytime NowApril 25th, 2024

      We’ve been hearing for quite some time that a Final LDT Rule would likely be coming this spring, before May 1.  This timing has been attributed to FDA’s desire to avoid having the rule being overturned by Congress under the Congressional Review Act.  Of course, …

    • Congressional Hearing on LDTs: Split on FDA Regulation but Support for VALIDApril 1st, 2024

      On March 21, 2024, the House Energy and Commerce held a subcommittee hearing titled “Evaluating Approaches to Diagnostic Test Regulation and the Impact of the FDA’s Proposed Rule.” House Energy and Commerce Committee Chair Cathy McMorris Rodgers (R-WA) and Subcommittee Chair Brett Guthrie (R-KY), in announcing …

    • FDA Grants A Registration Fee Waiver for Very Small, Broke Device ManufacturersMarch 8th, 2024

      Our last post on small business certification requests described how small medical device manufacturers, defined as those with gross receipts of less than $100 million in gross receipts and sales for the most recent tax year, are eligible for a reduced fee on those medical …

    • One Step Closer to Final: The LDT Rule Arrives at OMB, Making A Lawsuit More LikelyMarch 4th, 2024

      FDA’s proposed rule to regulate laboratory developed tests (LDTs) as devices took one more step towards publication as a final rule – and to a likely judicial showdown.  On March 1, the Office of Management and Budget (OMB) received the draft final LDT rule for …

    • Outlining the Legal Arguments Against FDA’s Proposed Rule Regulating LDTsJanuary 29th, 2024

      In a new publication in the Washington Legal Foundation’s (WLF) Legal Backgrounder, we argue that FDA’s recent proposed rule regulating Laboratory Developed Tests (LDTs) is vulnerable to legal challenge, once finalized. FDA’s proposed rule has every hallmark of a case subject to the “major questions …