21 CFR 812– Investigational Device Exemption​ Flashcards

1
Q

Transitional device

A

A device that FDA considered to be a new drug before May 28, 1976

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

CBER

A

Center for Biologics Evaluation and Research

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

CDER

A

Center for Drug Evaluation and Research

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

21 CFR 812

A

Investigational Device Exemption​

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

CI

A

(Clinical Investigation)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Sponsor shall obtain financial disclosure and any relevant changes how often?

A

During clinical Investigation and for 1 year after Trial completion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

If sponsor determines that UADE presents unreasonable risk, sponsor shall terminate all CIs or parts of CI presenting that risk no later than

A

5 working days after determination, and not later than 15 working days after sponsor first received notice of the effect ​

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

IRB Records shall be maintained with Part?

A

Part 56

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

In 21 CFR Part 812, to what does “Act” refer?

A

Federal Food, Drug, and Cosmetic Act

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

In 21 CFR Part 812, to what does “Implant” refer?

A

device that is placed into a surgically or naturally formed cavity of the human body if it is intended to remain there for a period of 30 days or more

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

In 21 CFR Part 812, to what does “Termination” refer?

A

discontinuance, by sponsor or by withdrawal of IRB or FDA approval, of an investigation before completion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

In 21 CFR Part 812, an investigation refers to research involving how many subjects to determine the safety or effectiveness of a device?

A

one or more

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

A sponsor that, on July 16, 1980, has an effective IND application for an investigation of a device shall continue to comply with the requirements of 21 CFR Part 312 until ____ days after that date.

A

90 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Custom device means a device that:

A

-necessarily deviates from devices generally available or from an applicable performance standard or premarket approval requirement​,
-is not generally available to, or generally used by, other physicians​,
-is not generally available in finished form for purchase or prescription​,
-is not offered for commercial distribution through labeling or advertising

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

A sponsor, investigator, or any person acting for or on behalf of a sponsor or investigator shall not promote or test market an investigational device until after FDA has approved the device for commercial distribution.

A

true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

_________ means an individual who actually conducts a clinical investigation

A

investigator

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Which of the following is the definition of an unanticipated adverse device effect?​

a) any serious adverse effect on health or safety or any live-threatening problem or death caused by, or associated with, a device if that effect, problem or death was not previously identified in nature, severity, or degree of incidence in the investigational plan or application​
b) a device that is intended as an implant and presents a potential for serious risk to the health, safety, or welfare of a subject​
c) any other unanticipated serious problem associated with a device that relates to the rights, safety, or welfare of subjects​
d) both a and c​

A

d) both a and c

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

A person exporting an investigational device subject to 21 CFR Part 812 shall obtain FDA’s prior approval.

A

true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

A sponsor shall submit an application to the FDA if the sponsor intends to use a(n) _________ in an investigation, intends to conduct an investigation that involves an exception from informed consent under 21 CFR 812 part 50.24, or if FDA notifies the sponsor than an application is required for an investigation.​

a) investigational device​
b) significant risk device​
c) implant​
d) non-invasive device

A

b) significant risk device

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

21 CFR Part 812 does not apply to a diagnostic device if the device (select all that apply):​

a) does not require an invasive sampling procedure that presents significant risk​
b) is invasive​
c) introduces energy into a subject​
d) is not used as a diagnostic procedure without confirmation of the diagnosis by another, medically established diagnostic product or procedure

A

a) does not require an invasive sampling procedure that presents significant risk​

d) is not used as a diagnostic procedure without confirmation of the diagnosis by another, medically established diagnostic product or procedure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

According to 21 CFR Part 812, a monitor may be:​

a) an employee of the sponsor​
b) employee of or consultant to a CRO​
c) an employee of the investigator​
d) a consultant to the sponsor​
e) a, b, and d

A

e) a, b, and d

22
Q

Copies of all forms and informational materials to be provided to subjects to obtain informed consent must be included within the contents of the IDE application.​

true​
false

A

true​

23
Q

Report of prior investigations shall include which of the following information (mark all that apply):​

a) prior clinical, animal and laboratory testing of the device​
b) IRB information​
c) summary of all other unpublished information​
d) bibliography of all publications​
e) description of the device

A

a) prior clinical, animal and laboratory testing of the device​

c) summary of all other unpublished information​
d) bibliography of all publications

24
Q

Labeling of investigational devices shall include which of the following information (mark all that apply):​

a) description of all relevant contradictions, hazards, adverse effects, interfering substances or devices, warnings, and precautions​
b) name and place of business of the manufacturer, packer or distributor​
c) device is safe or effective for the investigational use​
d) quantity of contents​
e) “Caution-investigational device. Limited by Federal law to investigational use.”

A

a) description of all relevant contradictions, hazards, adverse effects, interfering substances or devices, warnings, and precautions​


b) name and place of business of the manufacturer, packer or distributor​

d) quantity of contents​


e) “Caution-investigational device. Limited by Federal law to investigational use.”

25
Q

Significant Risk Device is intended to

A

support human life, sustain human life, diagnose, cure, mitigate or treat disease and presents a serious risk to health or safety

26
Q

Significant equity interest:

A

Significant equity interest:
Any ownership interest, stock options, or other financial interest that can’t be easily valued using public prices. For publicly traded corporations, this includes any equity interest that exceeds $50,000 during the study and for one year after.

27
Q

Significant payments:

A

Significant payments:
Payments made by the sponsor to the investigator or their institution that exceed $25,000. These payments are made to support the investigator’s activities, but not to conduct the clinical study. Examples include grants, equipment, honoraria, and retainers.

28
Q

IB stands for? ; and what is required on this document?

A

An Investigator’s Brochure (IB) is a document that contains information about an investigational product and is required to include the following:

Clinical and non-clinical data
Reference Safety Information
Device-specific information
Animal Studies
Prior publications

29
Q

All categories of CI of device are considered to have approved applications for IDE’s unless the device is:

A

Exempt
a device introduced to commercial distribution around May 1976
non invasive, no sig risk
solely shipped for research on animals or vet use

30
Q

Can a Sponsor test market an investigational device?

A

NO

31
Q

Application of IDE requirements

A

Purpose​

Protocol​

Risk Analysis​

Description of device​

Monitoring procedures​

Labeling​

Consent materials​

IRB information ​

Other institutions​

Additional record reports

32
Q

Investigational plan

A

Purpose​

Protocol​

Risk Analysis​

Description of device​

Monitoring procedures​

Labeling​

Consent materials​

IRB information ​

Other institutions​

Additional record reports

33
Q

Selecting qualified PIs​

Providing necessary information to PI​

Ensuring proper monitoring​

Ensuring IRB review and approval are obtained​

Submitting an IDE application to FDA ​

Ensuring that IRB and FDA are promptly informed of significant new information about a CI

A

General responsibilities of sponsors

34
Q

how long should a PI complete/keep/update financial disclosures?

A

throughout study and 1 year after

35
Q

Can a PI or Sponsor withdraw from the responsibility to maintain records and transfer custody?

A

Yes, and transfer shall be given to FDA within 10 working days.

36
Q

sponsor submits final report to FDA within how many days?

A

shall submit final report within 6 months

37
Q

A sponsor, investigator, or any person acting for or on behalf of a sponsor or investigator shall not promote or test market an investigational device until after FDA has approved the device for commercial distribution.​

true​
false

A

true​

38
Q

_________ means an individual who actually conducts a clinical investigation.​

a) monitor​
b) sponsor​
c) sponsor-investigator​
d) investigator

A

d) investigator

39
Q

Implant means a device that is placed into a surgically or naturally formed cavity of the human body if it is intended to remain there for a period of ____ days or more.​

a) 5​
b) 10​
c) 30​
d) 60

A

c) 30​

40
Q

21 CFR Part 812:​

a) encourages the discovery and development of useful devices intended for human use​
b) applies to all clinical investigations of devices to determine safety and effectiveness​
c) provides procedures for the conduct of clinical investigations of devices​
d) all of the above​

e) only b and c

A

d) all of the above​

41
Q

Which of the following is the definition of an unanticipated adverse device effect?​

a) any serious adverse effect on health or safety or any live-threatening problem or death caused by, or associated with, a device if that effect, problem or death was not previously identified in nature, severity, or degree of incidence in the investigational plan or application​
b) a device that is intended as an implant and presents a potential for serious risk to the health, safety, or welfare of a subject​
c) any other unanticipated serious problem associated with a device that relates to the rights, safety, or welfare of subjects​
d) both a and c

A
42
Q

Which of the following is the definition of an unanticipated adverse device effect?​

a) any serious adverse effect on health or safety or any live-threatening problem or death caused by, or associated with, a device if that effect, problem or death was not previously identified in nature, severity, or degree of incidence in the investigational plan or application​
b) a device that is intended as an implant and presents a potential for serious risk to the health, safety, or welfare of a subject​
c) any other unanticipated serious problem associated with a device that relates to the rights, safety, or welfare of subjects​
d) both a and c

A

d) both a and c

43
Q

A person exporting an investigational device subject to 21 CFR Part 812 shall obtain FDA’s prior approval.​

true​
false

A

true

44
Q

A sponsor shall submit an application to the FDA if the sponsor intends to use a(n) _________ in an investigation, intends to conduct an investigation that involves an exception from informed consent under 21 CFR 812 part 50.24, or if FDA notifies the sponsor than an application is required for an investigation.​

a) investigational device​
b) significant risk device​
c) implant​
d) non-invasive device

A

b) significant risk device

45
Q

21 CFR Part 812 does not apply to a diagnostic device if the device (select all that apply):​

a) does not require an invasive sampling procedure that presents significant risk​
b) is invasive​
c) introduces energy into a subject​
d) is not used as a diagnostic procedure without confirmation of the diagnosis by another, medically established diagnostic product or procedure

A

a) does not require an invasive sampling procedure that presents significant risk​

d) is not used as a diagnostic procedure without confirmation of the diagnosis by another, medically established diagnostic product or procedure

46
Q

According to 21 CFR Part 812, a monitor may be:​

a) an employee of the sponsor​
b) employee of or consultant to a CRO​
c) an employee of the investigator​
d) a consultant to the sponsor​
e) a, b, and d

A

e) a, b, and d

47
Q

To be considered an implant, a device that is placed into a surgically or naturally formed cavity of the human body has to remain within the cavity for 30 days.​

true​
false

A

false​

812.3​
intended to remain 30 days or more…..tricky tricky

48
Q

Copies of all forms and informational materials to be provided to subjects to obtain informed consent must be included within the contents of the IDE application.​

true​
false

A

true​

49
Q

Report of prior investigations shall include which of the following information (mark all that apply):​

a) prior clinical, animal and laboratory testing of the device​
b) IRB information​
c) summary of all other unpublished information​
d) bibliography of all publications​
e) description of the device

A

a) prior clinical, animal and laboratory testing of the device​

c) summary of all other unpublished information​
d) bibliography of all publications

50
Q

Labeling of investigational devices shall include which of the following information (mark all that apply):​

a) description of all relevant contradictions, hazards, adverse effects, interfering substances or devices, warnings, and precautions​
b) name and place of business of the manufacturer, packer or distributor​
c) device is safe or effective for the investigational use​
d) quantity of contents​
e) “Caution-investigational device. Limited by Federal law to investigational use.”

A

a) description of all relevant contradictions, hazards, adverse effects, interfering substances or devices, warnings, and precautions​

b) name and place of business of the manufacturer, packer or distributor​

d) quantity of contents​

e) “Caution-investigational device. Limited by Federal law to investigational use.”