• RF Quarterly

    Software development

    This article applies to software development and validation and discusses the security and usability engineering aspects of software. It uses the term “software” for software as a medical device (SaMD) and medical device software (MDSW), including MDSW that is embedded on, drives, or influences the use of a hardware medical device, software accessories, and software components.  Keywords ‒ agile, development, incremental, software, static, waterfall   Standards an...
  • RF Quarterly

    Clinical evaluation of software

    Software has become an increasingly critical area of healthcare product development. Rapid technological advancement has resulted in substantial changes to software function and acceptance, leading to a growing number of novel medical devices capable of informing, driving, or replacing clinical choices, or directly providing therapy. Regulatory authorities expect that clinical evidence for a software as medical device (SaMD) is generated with a scientific level of rigor th...
  • RF Quarterly

    Safety risk management of software

    This article gives a background to the specific issues of dealing with risk management for software as a medical device. It makes many references to IEC 62304 and ISO 14971, the internationally recognized standards for medical software lifecycle and risk management, respectively. The authors elaborate on the most important challenges and propose strategies for managing them. They also examine other safety-critical industries and list a few methods to improve software quali...
  • RF Quarterly

    Security risk management

    Risk management is focusing increasingly on cybersecurity related ri sks, which can have an impact on human health, environment, and property. With the increasing threats of cyberattacks on the critical infrastructures, including healthcare, the need for secure products and services is becoming more prominent. Recent global development in which cyberwarfare has become a major issue further emphasize the need for good security management, as the chain is only as strong as...
  • Regulatory NewsRegulatory News

    Report: Using RWD to evaluate AI-enabled clinical decision support tools

    A new analysis from the Duke-Margolis Center for Health Policy outlines the data elements that real-world data (RWD) sources would need to capture in order to evaluate the performance of artificial intelligence (AI)-enabled clinical decision support tools, as well as the ongoing challenges related to data quality, privacy and security.   AI-enabled clinical decision support tools can be difficult to evaluate after deployment because of the non-standardized nature of el...
  • Regulatory NewsRegulatory News

    FDA issues final rule removing certain software from medical device regulations

    The US Food and Drug Administration (FDA) has issued a final rulemaking that eliminates certain software intended to transfer, store or display clinical laboratory tests from being regulated as medical devices.   This action was taken to conform to the medical software provisions of the 21 st Century Cures Act , enacted on 13 December 2016. The law amended the definition of a device in the Federal Food, Drug, and Cosmetic Act (FD&C Act) to exclude such software; th...
  • Feature ArticlesFeature Articles

    A guide to good vendor management

    This article addresses best practices for regulatory affairs departments in their work with vendors. The author provides an overview of the vendor-contract giver relationship, then discusses finding an appropriate vendor, due diligence in selecting a vendor, vendor-related risk management, contract management, performance evaluation, maintaining the vendor-contract giver relationship, and the importance of follow-up meetings, audits, and reviews.   Introduction   A...
  • Feature ArticlesFeature Articles

    Using risk management to support outsourcing activities

    This article outlines organizational risks and benefits with respect to third-party vendors and partnerships in regulatory affairs functions. It also discusses the different controls available to apply an effective risk management program in an organization.   Introduction   The use of contracted or third-party services can be an effective way for organizations to resource projects or programs. This way of working has been a growing trend in business operations, e...
  • Regulatory NewsRegulatory News

    Industry Calls for Changes in Two REMS Guidances

    Industry groups representing the pharmaceutical, biotechnology and generic drug industries are calling for changes to two recent US Food and Drug Administration (FDA) draft guidances on risk evaluation and mitigation strategies (REMS).   The draft guidances , released for comment in January, detail a framework for companies to develop an assessment plan for their REMS programs and provide recommendations for surveying patient and health care provider knowledge of REMS...
  • Regulatory NewsRegulatory News

    FDA Modifies REMS Program for Clozapine

    The US Food and Drug Administration (FDA) announced changes to its risk evaluation and mitigation strategy (REMS) for the antipsychotic drug clozapine, set to take effect on 28 February 2019.   Background   Clozapine, which is marketed as Clozaril, Fazaclo ODT and Versacloz, is an antipsychotic drug first developed in the late 1950s and was first approved by FDA in 1989. Clozapine is indicated for the treatment of schizophrenia in patients whose symptoms are not ad...
  • Regulatory NewsRegulatory News

    FDA Proposes New Framework on Prescription Drug-Related Software

    The US Food and Drug Administration (FDA) issued a request for comment on Monday that sets forth a proposal for a new framework on the regulation of software applications for use with one or more prescription drug products.   The agency’s newly adopted digital health approaches “are still in their early stages,” FDA Commissioner Scott Gottlieb said Monday in remarks at the Reagan Udall Foundation annual public meeting. “A lot of these technologies haven’t advanced as...
  • Regulatory NewsRegulatory News

    FDA Backs Off From Regulating Certain Types of Health Software

    The US Food and Drug Administration (FDA) on Thursday unveiled three guidance documents – two draft and one final – that clarify which types of software will be regulated. One of the draft guidances, the 13-page “ Clinical and Patient Decision Support Software ,” outlines which types of clinical decision support software (CDS), which can compare patient-specific signs with available clinical guidelines to recommend treatments, would no longer be defined as a medic...