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Clinical Evaluation Systematic Literature Review - Apec-ahc.org

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US FDA Paper PMA<br />

• A “Paper PMA” is one that is based on bench testing<br />

and/or information derived from peer-reviewed<br />

scientific literature.<br />

• “Objective performance criteria” are performance<br />

criteria based on broad sets of data from historical<br />

databases (e.g., literature or registries) that are<br />

generally recognized as acceptable values. These<br />

criteria may be used for surrogate or clinical<br />

endpoints in demonstrating the safety or<br />

effectiveness of a device<br />

Summary<br />

• <strong>Clinical</strong> trials should be required based on a risk<br />

assessment of the individual device, not based on<br />

the classification of the devices<br />

• In most cases, clinical data collected through a<br />

variety of means is sufficient for proving safety and<br />

efficacy of medical devices as there is no scientific<br />

rationale for requiring a local or regional clinical<br />

trials<br />

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