[Federal Register Volume 88, Number 147 (Wednesday, August 2, 2023)] [Notices] [Pages 50870-50876] From the Federal Register Online via the Government Publishing Office [www.gpo.gov] [FR Doc No: 2023-16418] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA-2004-N-0451] Food and Drug Administration Modernization Act of 1997: Modifications to the List of Recognized Standards, Recognition List Number: 059 AGENCY: Food and Drug Administration, HHS. ACTION: Notice. ----------------------------------------------------------------------- SUMMARY: The Food and Drug Administration (FDA or Agency) is announcing a publication containing modifications the Agency is making to the list of standards FDA recognizes for use in premarket reviews (FDA Recognized Consensus Standards). This publication, entitled ``Modifications to the List of Recognized Standards, Recognition List Number: 059'' (Recognition List Number: 059), will assist manufacturers who elect to declare conformity with consensus standards to meet certain requirements for medical devices. [[Page 50871]] DATES: Submit either electronic or written comments on the notice at any time. These modifications to the list of recognized standards are applicable August 2, 2023. ADDRESSES: You may submit comments on the current list of FDA Recognized Consensus Standards at any time as follows: Electronic Submissions Submit electronic comments in the following way:Federal eRulemaking Portal: https://www.regulations.gov. Follow the instructions for submitting comments. Comments submitted electronically, including attachments, to https://www.regulations.gov will be posted to the docket unchanged. Because your comment will be made public, you are solely responsible for ensuring that your comment does not include any confidential information that you or a third party may not wish to be posted, such as medical information, your or anyone else's Social Security number, or confidential business information, such as a manufacturing process. Please note that if you include your name, contact information, or other information that identifies you in the body of your comments, that information will be posted on https://www.regulations.gov. If you want to submit a comment with confidential information that you do not wish to be made available to the public, submit the comment as a written/paper submission and in the manner detailed (see ``Written/Paper Submissions'' and ``Instructions''). Written/Paper Submissions Submit written/paper submissions as follows: Mail/Hand delivery/Courier (for written/paper submissions): Dockets Management Staff (HFA-305), Food and Drug Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852. For written/paper comments submitted to the Dockets Management Staff, FDA will post your comment, as well as any attachments, except for information submitted, marked and identified, as confidential, if submitted as detailed in ``Instructions.'' Instructions: All submissions received must include the Docket No. FDA-2004-N-0451 for ``Food and Drug Administration Modernization Act of 1997: Modifications to the List of Recognized Standards, Recognition List Number: 059.'' Received comments will be placed in the docket and, except for those submitted as ``Confidential Submissions,'' publicly viewable at https://www.regulations.gov or at the Dockets Management Staff between 9 a.m. and 4 p.m., Monday through Friday, 240-402-7500. FDA will consider any comments received in determining whether to amend the current listing of modifications to the list of recognized standards, Recognition List Number: 059. Confidential Submissions--To submit a comment with confidential information that you do not wish to be made publicly available, submit your comments only as a written/paper submission. You should submit two copies total. One copy will include the information you claim to be confidential with a heading or cover note that states ``THIS DOCUMENT CONTAINS CONFIDENTIAL INFORMATION.'' The Agency will review this copy, including the claimed confidential information, in its consideration of comments. The second copy, which will have the claimed confidential information redacted/blacked out, will be available for public viewing and posted on https://www.regulations.gov. Submit both copies to the Dockets Management Staff. If you do not wish your name and contact information to be made publicly available, you can provide this information on the cover sheet and not in the body of your comments and you must identify this information as ``confidential.'' Any information marked as ``confidential'' will not be disclosed except in accordance with 21 CFR 10.20 and other applicable disclosure law. For more information about FDA's posting of comments to public dockets, see 80 FR 56469, September 18, 2015, or access the information at: https://www.govinfo.gov/content/pkg/FR-2015-09-18/pdf/2015-23389.pdf. Docket: For access to the docket to read background documents or the electronic and written/paper comments received, go to https://www.regulations.gov and insert the docket number, found in brackets in the heading of this document, into the ``Search'' box and follow the prompts and/or go to the Dockets Management Staff, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852, 240-402-7500. An electronic copy of Recognition List Number: 059 is available on the internet at https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/Standards/ucm123792.htm. See section IV for electronic access to the searchable database for the current list of FDA-recognized consensus standards, including Recognition List Number: 059 modifications and other standards-related information. Submit written requests for a single hard copy of the document entitled ``Modifications to the List of Recognized Standards, Recognition List Number: 059'' to Jianchao Zeng, Center for Devices and Radiological Health, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 66, Rm. 5572, Silver Spring, MD 20993, 301-796-6580. Send one self- addressed adhesive label to assist that office in processing your request, or fax your request to 301-847-8144. FOR FURTHER INFORMATION CONTACT: Jianchao Zeng, Center for Devices and Radiological Health, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 66, Rm. 5572, Silver Spring, MD 20993, 301-796-6580, [email protected]. SUPPLEMENTARY INFORMATION: I. Background Section 204 of the Food and Drug Administration Modernization Act of 1997 (Pub. L. 105-115) amended section 514 of the Federal Food, Drug, and Cosmetic Act (FD&C Act) (21 U.S.C. 360d). Amended section 514 of the FD&C Act allows FDA to recognize consensus standards developed by international and national organizations for use in satisfying portions of device premarket review submissions or other requirements. In the Federal Register of September 14, 2018 (83 FR 46738), FDA announced the availability of a guidance entitled ``Appropriate Use of Voluntary Consensus Standards in Premarket Submissions for Medical Devices.'' The guidance describes how FDA has implemented its standards recognition program and is available at https://www.fda.gov/regulatory-information/search-fda-guidance-documents/appropriate-use-voluntary-consensus-standards-premarket-submissions-medical-devices. Modifications to the initial list of recognized standards, as published in the Federal Register, can be accessed at https://www.fda.gov/medical-devices/standards-and-conformity-assessment-program/federal-register-documents. These notices describe the addition, withdrawal, and revision of certain standards recognized by FDA. The Agency maintains on its website HTML and PDF versions of the list of FDA Recognized Consensus Standards, available at https://www.fda.gov/medical-devices/standards-and-conformity-assessment-program/federal-register-documents. Additional information on the Agency's Standards and Conformity Assessment Program is available at https://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-assistance/standards-and-conformity-assessment-program. [[Page 50872]] II. Modifications to the List of Recognized Standards, Recognition List Number: 059 FDA is announcing the addition, withdrawal, correction, and revision of certain consensus standards the Agency is recognizing for use in premarket submissions and other requirements for devices. FDA is incorporating these modifications to the list of FDA Recognized Consensus Standards in the Agency's searchable database. FDA is using the term ``Recognition List Number: 059'' to identify the current modifications. In table 1, FDA describes the following modifications: (1) the withdrawal of standards and their replacement by others, if applicable; (2) the correction of errors made by FDA in listing previously recognized standards; and (3) the changes to the supplementary information sheets of recognized standards that describe revisions to the applicability of the standards. In section III, FDA lists modifications the Agency is making that involve new entries and consensus standards added as modifications to the list of recognized standards under Recognition List Number: 059. Table 1--Modifications to the List of Recognized Standards ------------------------------------------------------------------------ Replacement Old recognition recognition Title of standard \1\ Change No. No. ------------------------------------------------------------------------ A. Anesthesiology ------------------------------------------------------------------------ 1-67........... 1-153 NFPA 99:2021 Health Withdrawn and Care Facilities Code. replaced with newer version. 1-78........... 1-154 ASME PVHO-1-2019 Withdrawn and Safety Standard for replaced with Pressure Vessels for newer version. Human Occupancy. 1-132.......... 1-155 ISO 10079-2 Fourth Withdrawn and edition 2022-03 replaced with Medical suction newer version. equipment--Part 2: Manually powered suction equipment. 1-133.......... 1-156 ISO 10079-3 Fourth Withdrawn and edition 2022-03 replaced with Medical suction newer version. equipment--Part 3: Suction equipment powered from a vacuum or positive pressure gas source. 1-142.......... 1-157 ISO 10079-1 Fourth Withdrawn and edition 2022-03 replaced with Medical suction newer version. equipment--Part 1: Electrically powered suction equipment. ------------------------------------------------------------------------ B. Biocompatibility ------------------------------------------------------------------------ 2-93........... 2-297 ASTM F763-22 Standard Withdrawn and Practice for Short- replaced with Term Intramuscular newer version. Screening of Implantable Medical Device Materials. 2-276.......... 2-298 ISO 10993-18 Second Withdrawn and edition 2020-01 replaced with Amendment 1:2022-05 newer version, Biological including evaluation of amendment. medical devices-- Part 18: Chemical characterization of medical device materials within a risk management process [Including Amendment 1 (2022)]. 2-289.......... .............. ISO 10993-12 Fifth Transition edition 2021-01 period Biological extended. evaluation of medical devices-- Part 12: Sample preparation and reference materials. 2-296.......... .............. ISO 10993-10 Fourth Transition edition 2021-11 period Biological extended. evaluation of medical devices-- Part 10: Tests for skin sensitization. ------------------------------------------------------------------------ C. Cardiovascular ------------------------------------------------------------------------ No new entries at this time. ------------------------------------------------------------------------ D. Dental/Ear, Nose, and Throat ------------------------------------------------------------------------ 4-234.......... 4-294 ANSI/ADA Standard No. Withdrawn and 139-2020 Dental Base replaced with Polymers. newer version. ------------------------------------------------------------------------ E. General I (Quality Systems/Risk Management) (QS/RM) ------------------------------------------------------------------------ 15-135......... 5-135 ISO 20417 First New recognition edition 2021-04 number. Corrected version 2021-12 Medical devices--Information to be supplied by the manufacturer. 5-99........... 5-136 ASTM D4332-22 Withdrawn and Standard Practice replaced with for Conditioning newer version. Containers, Packages, or Packaging Components for Testing. 5-104.......... 5-137 IEC TR 60878 Edition Withdrawn and 4.0 2022-11 replaced with Graphical symbols newer version. for electrical equipment in medical practice. 5-118.......... 5-138 AAMI TIR66:2017/ New recognition (R)2020 Guidance for number. the creation of physiologic data and waveform databases to demonstrate reasonable assurance of the safety and effectiveness of alarm system algorithms. 5-119.......... 5-139 ISO 18250-3 First New recognition edition 2018-06 number. Medical devices-- Connectors for reservoir delivery systems for healthcare applications--Part 3: Enteral application. ------------------------------------------------------------------------ F. General II (Electrical Safety/Electromagnetic Compatibility) (ES/EMC) ------------------------------------------------------------------------ 19-29.......... 19-48 IEEE ANSI/USEMCSC Withdrawn and C63.27 American replaced with National Standard newer version. for Evaluation of Wireless Coexistence. ------------------------------------------------------------------------ [[Page 50873]] G. General Hospital/General Plastic Surgery (GH/GPS) ------------------------------------------------------------------------ 6-390.......... .............. IEC 80601-2-35 Withdrawn. See 6- Edition 2.1 2016-04 483. CONSOLIDATED VERSION Medical electrical equipment-Part--2- 35: Particular requirements for the basic safety and essential performance of heating devices using blankets, pads or mattresses and intended for heating in medical use [Including Amendment 1 (2016)]. 6-460.......... 6-484 ASTM F3502-22a Extent of Standard recognition. Specification for Withdrawn and Barrier Face replaced with a Coverings. newer version. ------------------------------------------------------------------------ H. In Vitro Diagnostics (IVD) ------------------------------------------------------------------------ 7-291.......... 7-313 CLSI EP27 2nd Edition Extent of Constructing and recognition. Interpreting an Withdrawn and Error Grid for replaced with Quantitative newer version. Measurement Procedures. 7-303.......... .............. CLSI M60 2nd Edition Withdrawn. See 7- Performance 314. Standards for Antifungal Susceptibility Testing of Yeast. ------------------------------------------------------------------------ I. Materials ------------------------------------------------------------------------ 8-61........... 8-594 ISO 5832-6 Third Withdrawn and Edition 2022-03 replaced with Implants for newer version. surgery--Metallic materials--Part 6: Wrought cobalt- nickel-chromium- molybdenum alloy. 8-123.......... 8-595 ISO 5832-5 Fourth Withdrawn and Edition 2022-03 replaced with Implants for newer version. surgery--Metallic materials--Part 5: Wrought cobalt- chromium-tungsten- nickel. 8-559.......... 8-596 ASTM D412-16(2021) Withdrawn and Standard Test replaced with Methods for newer version. Vulcanized Rubber and Thermoplastic Elastomers--Tension. ------------------------------------------------------------------------ J. Nanotechnology ------------------------------------------------------------------------ 18-4........... 18-21 ISO/TS 80004-6 Second Withdrawn and edition 2021-03 replaced with Nanotechnologies--Vo newer version. cabulary--Part 6: Nano-object characterization. 18-12.......... 18-22 ISO 17200 First Withdrawn and edition 2020-09 replaced with Nanotechnology--Nano newer version. particles in powder form--Characteristic s and measurements. ------------------------------------------------------------------------ K. Neurology ------------------------------------------------------------------------ No new entries at this time. ------------------------------------------------------------------------ L. Obstetrics-Gynecology/Gastroenterology/Urology (OB-Gyn/G/Urology) ------------------------------------------------------------------------ 9-89........... .............. ISO 8638 Third Withdrawn. See 9- edition 2010-07-01 140. Cardiovascular implants and extracorporeal systems--Extracorpor eal blood circuit for hemodialyzers, hemodialfilters, and hemofilters. ------------------------------------------------------------------------ M. Ophthalmic ------------------------------------------------------------------------ 10-37.......... 10-132 ISO 10942 Third Extent of edition 2022-01 recognition. Ophthalmic Withdrawn and instruments--Direct replaced with ophthalmoscopes. newer version. 10-91.......... 10-133 ISO 11979-10 Second Withdrawn and edition 2018-03 replaced with Ophthalmic implants-- newer version. Intraocular lenses-- Part 10: Clinical investigations of intraocular lenses for correction of ametropia in phakic eyes. ------------------------------------------------------------------------ N. Orthopedic ------------------------------------------------------------------------ 11-264......... 11-394 ASTM F1820-22 Withdrawn and Standard Test Method replaced with for Determining the newer version. Forces for Disassembly of Modular Acetabular Devices. 11-306......... 11-395 ASTM F1814-22 Withdrawn and Standard Guide for replaced with Evaluating Modular newer version. Hip and Knee Joint Components. 11-320......... 11-396 ISO 7206-13 First Withdrawn and edition 2016-07-01 replaced with [Including newer version AMD1:2022] Implants including for surgery--Partial amendment. and total hip joint prostheses--Part 13: Determination of resistance to torque of head fixation of stemmed femoral components [Including Amendment 1 (2022)]. ------------------------------------------------------------------------ O. Physical Medicine ------------------------------------------------------------------------ 16-191......... .............. ISO 7176-16 Second Withdrawn. See edition 2012-12-01 16-233. Wheelchairs--Part 16: Resistance to ignition of postural support devices. ------------------------------------------------------------------------ P. Radiology ------------------------------------------------------------------------ 12-113......... 12-346 ISO 12005 Third Withdrawn and edition 2022-05 replaced with Lasers and laser- newer version. related equipment-- Test methods for laser beam parameters--Polariza tion. [[Page 50874]] 12-295......... 12-347 IEC 60601-2-33 Extent of Edition 4.0 2022-08 recognition. Medical electrical Withdrawn and equipment--Part 2- replaced with 33: Particular newer version. requirements for the basic safety and essential performance of magnetic resonance equipment for medical diagnosis. 12-317......... 12-348 IEC 60601-2-54 Extent of Edition 2.0 2022-09 recognition. Medical electrical Withdrawn and equipment--Part 2- replaced with 54: Particular newer version. requirements for the basic safety and essential performance of X-ray equipment for radiography and radioscopy. 12-342......... 12-349 NEMA Digital Imaging Withdrawn and and Communications replaced with in Medicine (DICOM) newer version. Set PS3.1-3.20 2022d. ------------------------------------------------------------------------ Q. Software/Informatics ------------------------------------------------------------------------ 13-109......... 13-121 ANSI/AAMI/UL 2800- Withdrawn and 1:2022 Standard for replaced with Medical Device newer version. Interoperability. See 13-125, 13- 126, 13-127. ------------------------------------------------------------------------ R. Sterility ------------------------------------------------------------------------ 14-409......... 14-580 ISO 11137-2 Third Withdrawn and edition 2013-06 replaced with [Including newer version. AMD1:2022] Sterilization of health care products--Radiation- -Part 2: Establishing the sterilization dose [Including Amendment 1 (2022)]. 14-527......... 14-581 ASTM F2638-22 Withdrawn and Standard Test Method replaced with for Using Aerosol newer version. Filtration for Measuring the Performance of Porous Packaging Materials as a Surrogate Microbial Barrier. ------------------------------------------------------------------------ S. Tissue Engineering ------------------------------------------------------------------------ No new entries at this time. ------------------------------------------------------------------------ \1\ All standard titles in this table conform to the style requirements of the respective organizations. III. Listing of New Entries In table 2, FDA provides the listing of new entries and consensus standards added as modifications to the list of recognized standards under Recognition List Number: 059. These entries are of standards not previously recognized by FDA. Table 2--New Entries to the List of Recognized Standards ------------------------------------------------------------------------ Reference No. and Recognition No. Title of standard \1\ date ------------------------------------------------------------------------ A. Anesthesiology ------------------------------------------------------------------------ 1-158................ Medical suction equipment-- ISO 10079-4 First Part 4: General edition 2021-08. requirements. 1-159................ Respiratory equipment-- ISO 18778 Second Particular requirements edition 2022-06. for basic safety and essential performance of infant cardiorespiratory monitors. 1-160................ Medical electrical ISO 80601-2-84 First equipment--Part 2-84: edition 2020-07. Particular requirements for the basic safety and essential performance of ventilators for the emergency medical services environment. ------------------------------------------------------------------------ B. Biocompatibility ------------------------------------------------------------------------ No new entries at this time. ------------------------------------------------------------------------ C. Cardiovascular ------------------------------------------------------------------------ 3-183................ Cardiovascular implants ISO 11658 First and extracorporeal edition 2012-05-15. systems--Blood/tissue contact surface modifications for extracorporeal perfusion systems. ------------------------------------------------------------------------ D. Dental/ENT ------------------------------------------------------------------------ 4-295................ Evaluation of ANSI/ADA Standard No. biocompatibility of 41-2020. medical devices used in dentistry. 4-296................ Dentistry--Intra-oral ISO 9873 Fourth mirrors. edition 2019-03. 4-297................ Dentistry--Manual ISO 20126 Third toothbrushes--General edition 2022-03. requirements and test methods. ------------------------------------------------------------------------ E. General I (QS/RM) ------------------------------------------------------------------------ 5-140................ Standard for verification ASME V&V 10-2019. and validation in computational solid mechanics. 5-141................ Standard for verification ASME V&V 20-2009 and validation in (R2021). computational fluid dynamics and heat transfer. ------------------------------------------------------------------------ [[Page 50875]] F. General II (ES/EMC) ------------------------------------------------------------------------ No new entries at this time. ------------------------------------------------------------------------ G. GH/GPS ------------------------------------------------------------------------ 6-483................ Medical electrical IEC 60601-2-35 equipment--Part 2-35: Edition 2.0 2020-09. Particular requirements for the basic safety and essential performance of heating devices using blankets, pads and mattresses and intended for heating in medical use. 6-485................ Sterile hypodermic ISO 7886-4 Second syringes for single use-- Edition 2018-11. Part 4: Syringes with re- use prevention feature. ------------------------------------------------------------------------ H. IVD ------------------------------------------------------------------------ 7-314................ Performance Standards for CLSI M27M44S, 3rd Antifungal Susceptibility Edition. Testing of Yeasts. ------------------------------------------------------------------------ I. Materials ------------------------------------------------------------------------ No new entries at this time. ------------------------------------------------------------------------ J. Nanotechnology ------------------------------------------------------------------------ No new entries at this time. ------------------------------------------------------------------------ K. Neurology ------------------------------------------------------------------------ No new entries at this time. ------------------------------------------------------------------------ L. OB-Gyn/G/Urology ------------------------------------------------------------------------ 9-140................ Extracorporeal systems for ISO 8637-2 First blood purification--Part Edition 2018-07. 2: Extracorporeal blood circuit for hemodialyzers, hemodiafilters and hemofilters. 9-141................ Extracorporeal systems for ISO 8637-3 First blood purification--Part Edition 2018-07. 3: Plasmafilters. 9-142................ Standard test method for ASTM D1894-14. static and kinetic coefficients of friction of plastic film and sheeting. 9-143................ Sterile urethral catheters ISO 20696 First for single use. edition 2018-06 Corrected 2019-12. 9-144................ Sterile drainage catheters ISO 20697 First and accessory devices for edition 2018-06 single use. Corrected 2019-09. ------------------------------------------------------------------------ M. Ophthalmic ------------------------------------------------------------------------ No new entries at this time. ------------------------------------------------------------------------ N. Orthopedic ------------------------------------------------------------------------ 11-397............... Standard test method for ASTM F3210-22e1. fatigue testing of total knee femoral components under closing conditions. 11-398............... Standard test methods for ASTM F3574-22. sacroiliac joint fusion devices. ------------------------------------------------------------------------ O. Physical Medicine ------------------------------------------------------------------------ 16-233............... Wheelchair seating--Part ISO 16840-10 Second 10: Resistance to edition 2021-06 ignition of postural Corrected version support devices-- 2022-01. Requirements and test method. ------------------------------------------------------------------------ P. Radiology ------------------------------------------------------------------------ No new entries at this time. ------------------------------------------------------------------------ Q. Software/Informatics ------------------------------------------------------------------------ 13-122............... Health software and health IEC 81001-5-1 Edition IT systems safety, 1.0 2021-12. effectiveness and security--Part 5-1: Security--Activities in the product life cycle. 13-123............... Manufacturer disclosure ANSI/NEMA HN 1-2019. statement for medical device security. 13-124............... Guidance on the AAMI CR34971:2022. application of ISO 14971 to artificial intelligence and machine learning. 13-125............... Standard for risk concerns ANSI/AAMI/UL 2800-1- for interoperable medical 1:2022. products. 13-126............... Standard for interoperable ANSI/AAMI/UL 2800-1- item development life 2:2022. cycle. 13-127............... Standard for Interoperable ANSI/AAMI/UL 2800-1- item integration life 3:2022. cycle. 13-128............... IEEE/UL Standard for IEEE Std 2621.2-2022/ wireless diabetes device UL 2621-2:2022. security: Information security requirements for connected diabetes solutions. ------------------------------------------------------------------------ [[Page 50876]] R. Sterility ------------------------------------------------------------------------ 14-582............... Sterilization of health ISO/TS 11137-4 First care products--Radiation-- edition 2020-06. Part 4: Guidance on process control. 14-583............... Cleaning validation of ANSI/AAMI ST98:2022. health care products-- Requirements for development and validation of a cleaning process for medical devices.. ------------------------------------------------------------------------ S. Tissue Engineering ------------------------------------------------------------------------ No new entries at this time. ------------------------------------------------------------------------ \1\ All standard titles in this table conform to the style requirements of the respective organizations. IV. List of Recognized Standards FDA maintains the current list of FDA Recognized Consensus Standards in a searchable database that may be accessed at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfStandards/search.cfm. Such standards are those that FDA has recognized by notice published in the Federal Register or that FDA has decided to recognize but for which recognition is pending (because a periodic notice has not yet appeared in the Federal Register). FDA will announce additional modifications and revisions to the list of recognized consensus standards, as needed, in the Federal Register once a year, or more often if necessary. V. Recommendation of Standards for Recognition by FDA Any person may recommend consensus standards as candidates for recognition under section 514 of the FD&C Act by submitting such recommendations, with reasons for the recommendation, to [email protected]. To be considered, such recommendations should contain, at a minimum, the information available at https://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-assistance/standards-and-conformity-assessment-program#process. Dated: July 28, 2023. Lauren K. Roth, Associate Commissioner for Policy. [FR Doc. 2023-16418 Filed 8-1-23; 8:45 am] BILLING CODE 4164-01-P