Deda MedCheck
(Global Medical Device Search)
02
United States

What Is PMA?

PMA (Premarket Approval) is the premarket review pathway set by FDA for highest-risk Class III medical devices. Unlike the 510(k) pathway based on substantial equivalence, PMA requires manufacturers to provide sufficient scientific evidence (generally including clinical trial data) to verify the safety and effectiveness of medical devices, making it FDA’s strictest medical device market clearance procedure.

Pre-Submission Written Communication

It is highly recommended to hold meetings with FDA via the Pre-Sub (Q-Sub) program prior to formal PMA submission to obtain written feedback on key matters including trial design, data analysis plan and technical document requirements, reducing subsequent review risks.

Core Contents For Submitting PMA Application Dossier

Applicants shall submit complete PMA dossiers to FDA with core contents as follows:

Technical sections: detailed device description, working principle and manufacturing information.

Non-clinical laboratory study data: biocompatibility, bench performance tests, animal trials and others.

Clinical study data: pivotal clinical trial results proving safety and effectiveness.

Draft labeling: instructions for use, contraindications, warnings, etc.

Risk management documentation.

Financial disclosure information (to avoid conflicts of interest among clinical investigators).

FDA Acceptance And Review

Acceptance review: FDA confirms whether the application is complete enough to initiate substantive review.

Substantive review: It is stringent with rigorous clinical trial assessments, resulting in an overall lengthy review cycle.

Interaction and supplemental information: FDA may issue information requests, requiring timely responses from applicants.

Inspection (as applicable): FDA may conduct on-site inspections at clinical trial sites and/or manufacturing facilities.

Postmarket Requirements

Post-approval obligations include postmarket surveillance (PMS), postmarket research (PMR/PAS) and adverse event reporting.
Free Consultation