[Federal Register Volume 89, Number 42 (Friday, March 1, 2024)] [Notices] [Pages 15202-15208] From the Federal Register Online via the Government Publishing Office [www.gpo.gov] [FR Doc No: 2024-04376] ----------------------------------------------------------------------- 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: 061 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: 061'' (Recognition List Number: 061), will assist manufacturers who elect to declare conformity with consensus standards to meet certain requirements for medical devices. DATES: Submit either electronic or written comments on the notice at any time. These modifications to the list of recognized standards are applicable March 1, 2024. 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 [[Page 15203]] 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: 061.'' 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: 061. 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: 061 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: 061 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: 061'' to Terry Woods, Center for Devices and Radiological Health, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 66, Silver Spring, MD 20993, 301-796-2503. 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: Terry Woods, Center for Devices and Radiological Health, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 66, Silver Spring, MD 20993, 301-796-2503, [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. II. Modifications to the List of Recognized Standards, Recognition List Number: 061 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: 061'' 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 [[Page 15204]] 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: 061. Table 1--Modifications to the List of Recognized Standards ------------------------------------------------------------------------ Replacement Old recognition recognition Title of standard \1\ Change No. No. ------------------------------------------------------------------------ A. Anesthesiology ------------------------------------------------------------------------ 1-73............. 1-162 ISO 10651-4 Second Withdrawn and edition 2023-03 Lung replaced with ventilators--Part 4: newer version. Particular requirements for user-powered resuscitators. 1-105............ 1-163 ISO 80601-2-72 Second Withdrawn and edition 2023-06 replaced with Medical electrical newer version. equipment--Part 2- 72: Particular requirements for basic safety and essential performance of home healthcare environment ventilators for ventilator-dependent patients. 1-118............ 1-164 ISO 5361 Fourth Withdrawn and edition 2023-11 replaced with Anaesthetic and newer version. respiratory equipment--Tracheal tubes and connectors. 1-141............ 1-165 ISO 80601-2-13 Second Withdrawn and edition 2022-04 replaced with Medical electrical newer version. equipment--Part 2- 13: Particular requirements for basic safety and essential performance of an anaesthetic workstation. ------------------------------------------------------------------------ B. Biocompatibility ------------------------------------------------------------------------ 2-94............. 2-302 ASTM F981-23 Standard Withdrawn and Practice for replaced with Assessment of Muscle newer version. and Bone Tissue Responses to Long- Term Implantable Materials Used in Medical Devices. 2-237............ 2-303 ISO 10993-17 Second Withdrawn and edition 2023-09 replaced with Biological newer version. evaluation of medical devices-- Part 17: Toxicological risk assessment of medical device constituents. ------------------------------------------------------------------------ C. Cardiovascular ------------------------------------------------------------------------ 3-105............ ............ IEC 60601-2-25 Extent of Edition 2.0 2011-10 recognition. Medical electrical equipment--Part 2- 25: Particular requirements for the basic safety and essential performance of electrocardiographs. 3-126............ ............ IEC 60601-2-27 Extent of Edition 3.0 2011-03 recognition. Medical electrical equipment--Part 2- 27: Particular requirements for the basic safety and essential performance of electrocardiographic monitoring equipment [Including: Corrigendum 1 (2012)]. 3-138............ 3-189 ASTM F2942-19 Withdrawn and Standard Guide for replaced with in vitro Axial, newer version. Bending, and Torsional Durability Testing of Vascular Stents. ------------------------------------------------------------------------ D. Dental/Ear, Nose, and Throat (ENT) ------------------------------------------------------------------------ 4-137............ 4-309 ISO 6877 Third Withdrawn and edition 2021-09 replaced with Dentistry--Endodonti newer version. c obturating materials. 4-151............ 4-310 ISO 22112 Second Withdrawn and edition 2017-08 replaced with Dentistry--Artificia newer version. l teeth for dental prostheses. 4-188............ 4-311 ISO 9917-2 Third Withdrawn and edition 2017-09 replaced with Dentistry--Water- newer version. based cements--Part 2: Resin-modified cements. 4-190............ 4-312 ANSI/ASA S3.35-2021 Withdrawn and American National replaced with Standard Method for newer version. Method of Measurement of Performance Characteristics of Hearing Aids Under Simulated Real-Ear Working Conditions. 4-218............ 4-313 ISO 27020 Second Withdrawn and edition 2019-06 replaced with Dentistry--Brackets newer version. and tubes for use in orthodontics. 4-221............ 4-314 ISO 7494-2 Third Withdrawn and edition 2022-07 replaced with Dentistry--Stationar newer version. y dental units and dental patient chairs--Part 2: Air, water, suction and wastewater systems. 4-224............ 4-315 ISO 24234 Third Withdrawn and edition 2021-08 replaced with Dentistry--Dental newer version. Amalgam. 4-238............ 4-316 ISO 20127 Second Withdrawn and edition 2020-08 replaced with Dentistry--Physical newer version. properties of powered toothbrushes. 4-244............ 4-317 ISO 8325 Third Withdrawn and edition 2023-03 replaced with Dentistry--Test newer version. methods for rotary instruments. 4-246............ 4-318 ISO 20749 Second Withdrawn and edition 2023-06 replaced with Dentistry--Pre- newer version. capsulated dental amalgam. 4-257............ 4-319 ISO 17730 Second Withdrawn and edition 2020-09 replaced with Dentistry--Fluoride newer version. varnishes. 4-280............ ............ ANSI/ADA Standard No. Withdrawn with 117-2018 Fluoride transition. See varnishes. 4-319. ------------------------------------------------------------------------ [[Page 15205]] E. General I (Quality Systems/Risk Management) (QS/RM) ------------------------------------------------------------------------ No new entries at this time. ------------------------------------------------------------------------ F. General II (Electrical Safety/Electromagnetic Compatibility) (ES/EMC) ------------------------------------------------------------------------ No new entries at this time. ------------------------------------------------------------------------ G. General Hospital/General Plastic Surgery (GH/GPS) ------------------------------------------------------------------------ 6-338............ 6-497 ASTM D7866-23 Withdrawn and Standard replaced with Specification for newer version. Radiation Attenuating Protective Gloves. ------------------------------------------------------------------------ H. In Vitro Diagnostics (IVD) ------------------------------------------------------------------------ 7-235............ 7-318 CLSI EP25 2nd Edition Withdrawn and Evaluation of replaced with Stability of In newer version. Vitro Medical Laboratory Test Reagents. 7-304............ 7-319 CLSI M23 6th Edition Withdrawn and Development of In replaced with Vitro Susceptibility newer version. Test Methods, Breakpoints, and Quality Control Parameters. ------------------------------------------------------------------------ I. Materials ------------------------------------------------------------------------ 8-171............ 8-605 ASTM F1609-23 Withdrawn and Standard replaced with Specification for newer version. Calcium Phosphate Coatings for Implantable Materials. 8-412............ 8-606 ASTM F2537-23 Withdrawn and Standard Practice replaced with for Calibration of newer version. Linear Displacement Sensor Systems Used to Measure Micromotion. 8-437............ 8-607 ASTM F2082/F2082M-23 Withdrawn and Determination of replaced with Transformation newer version. Temperature of Nickel-Titanium Shape Memory Alloys by Bend and Free Recovery. 8-451............ 8-608 ASTM F2214-2023 Withdrawn and Standard Test Method replaced with for In Situ newer version. Determination of Network Parameters of Crosslinked Ultra High Molecular Weight Polyethylene (UHMWPE). 8-475............ 8-609 ASTM F2026-23 Withdrawn and Standard replaced with Specification for newer version. Polyetheretherketone (PEEK) Polymers for Surgical Implant Applications. 8-483............ 8-610 ASTM F601-23 Standard Withdrawn and Practice for replaced with Fluorescent newer version. Penetrant Inspection of Metallic Surgical Implants. ------------------------------------------------------------------------ J. Nanotechnology ------------------------------------------------------------------------ No new entries at this time. ------------------------------------------------------------------------ K. Neurology ------------------------------------------------------------------------ No new entries at this time. ------------------------------------------------------------------------ L. Obstetrics-Gynecology/Gastroenterology/Urology (OB-Gyn/G/Urology) ------------------------------------------------------------------------ No new entries at this time. ------------------------------------------------------------------------ M. Ophthalmic ------------------------------------------------------------------------ No new entries at this time. ------------------------------------------------------------------------ N. Orthopedic ------------------------------------------------------------------------ 11-83............ ............ ISO 13402 First Transferred. See edition 1995-08-01 4-320. Surgical and dental hand instruments-- Determination of resistance against autoclaving, corrosion and thermal exposure. 11-276........... 11-402 ASTM F1798-21 Withdrawn and Standard Test Method replaced with for Evaluating the newer version. Static and Fatigue Properties of Interconnection Mechanisms and Subassemblies Used in Spinal Arthrodesis Implants. 11-281........... ............ ASTM F1672-14 Withdrawn with (Reapproved 2019) transition. See Standard 11-400. Specification for Resurfacing Patellar Prosthesis. 11-299........... ............ ASTM F2068-15 Withdrawn with Standard transition. See Specification for 11-401. Femoral Prostheses-- Metallic Implants. 11-301........... ............ ASTM F2091-15 Withdrawn with Standard transition. See Specification for 11-401. Acetabular Prostheses. 11-303........... 11-403 ASTM F3047M-23 Withdrawn and Standard Guide for replaced with High Demand Hip newer version. Simulator Wear Testing of Hard-on- Hard Articulations. 11-321........... 11-404 ASTM F2887-23 Withdrawn and Standard replaced with Specification for newer version. Total Elbow Prostheses. [[Page 15206]] 11-334........... 11-405 ASTM F1829-23 Withdrawn and Standard Test Method replaced with for Static newer version. Evaluation of Anatomic Glenoid Locking Mechanism in Shear. 11-335........... 11-406 ASTM F3141-23 Withdrawn and Standard Guide for replaced with Total Knee newer version. Replacement Loading Profiles. 11-341........... 11-407 ASTM F3140-23 Withdrawn and Standard Test Method replaced with for Cyclic Fatigue newer version. Testing of Metal Tibial Tray Components of Unicondylar Knee Joint Replacements. 11-377........... ............ ASTM F2083-21 Withdrawn with Standard transition. See Specification for 11-400. Knee Replacement Prosthesis. ------------------------------------------------------------------------ O. Physical Medicine ------------------------------------------------------------------------ No new entries at this time. ------------------------------------------------------------------------ P. Radiology ------------------------------------------------------------------------ 12-348........... ............ IEC 60601-2-54 Extent of Edition 2.0 2022-09 recognition. Medical electrical equipment--Part 2- 54: Particular requirements for the basic safety and essential performance of X-ray equipment for radiography and radioscopy. 12-349........... 12-352 NEMA PS 3.1-3.20 Withdrawn and 2023e Digital replaced with Imaging and newer version. Communications in Medicine (DICOM) set. ------------------------------------------------------------------------ Q. Software/Informatics ------------------------------------------------------------------------ No new entries at this time. ------------------------------------------------------------------------ R. Sterility ------------------------------------------------------------------------ 14-141........... 14-589 ISO 14644-4 Second Withdrawn and edition 2022-11 replaced with Cleanrooms and newer version. associated controlled environments--Part 4: Design, construction and start-up. 14-379........... 14-590 ISO 14644-8 Third Withdrawn and edition 2022-06 replaced with Cleanrooms and newer version. associated controlled environments--Part 8: Assessment of air cleanliness by chemical concentration (ACC). 14-390........... 14-591 ISO 14644-10 Second Withdrawn and edition 2022-05 replaced with Cleanrooms and newer version. associated controlled environments--Part 10: Assessment of surface cleanliness for chemical contamination. 14-427........... 14-592 ISO 13408-1 Third Withdrawn and edition 2023-08 replaced with Aseptic processing newer version. of health care products--Part 1: General requirements. 14-516........... 14-593 ASTM F3039-23 Withdrawn and Standard Test Method replaced with for Detecting Leaks newer version. in Nonporous Packaging or Flexible Barrier Materials by Dye Penetration. 14-530........... 14-594 ISO 11607-1 Second Withdrawn and edition 2019-02 replaced with [Including newer version. ADM1:2023] Packaging for terminally sterilized medical devices--Part 1: Requirements for materials, sterile barrier systems and packaging systems [Including Amendment 1 (2023)]. 14-531........... 14-595 ISO 11607-2 Second Withdrawn and edition 2019-02 replaced with [Including newer version. AMD1:2023] Packaging for terminally sterilized medical devices--Part 2: Validation requirements for forming, sealing and assembly processes [Including Amendment 1 (2023)]. 14-573........... 14-596 ASTM F88/F88M-23 Withdrawn and Standard Test Method replaced with for Seal Strength of newer version. Flexible Barrier Materials. ------------------------------------------------------------------------ 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: 061. 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 ------------------------------------------------------------------------ 1-166.................... Gas mixers for medical ISO 11195 Second use--Stand-alone gas edition 2018-01. mixers.. ------------------------------------------------------------------------ [[Page 15207]] B. Biocompatibility ------------------------------------------------------------------------ No new entries at this time. ------------------------------------------------------------------------ C. Cardiovascular ------------------------------------------------------------------------ 3-190.................... Sizing parameters of ISO/PAS 7020 First surgical valve edition 2023-05. prostheses: Requirements regarding the application of ISO 5840-2. ------------------------------------------------------------------------ D. Dental/ENT ------------------------------------------------------------------------ 4-320.................... Surgical and dental and ISO 13402 First instruments--Determinat edition 1995-08. ion of resistance against autoclaving, corrosion and thermal exposure. 4-321.................... Dentistry--Intraoral ISO 23450 First camera. edition 2021-03. 4-322.................... Dentistry--Machinable ISO 18675 First ceramic blanks. edition 2022-05. 4-323.................... Dentistry--Polymer-based ISO 5139 First composite machinable edition 2023-05. blanks. 4-324.................... Dentistry--Polymer-based ISO/TS 16506 First luting materials edition 2018-03. containing adhesive components. ------------------------------------------------------------------------ E. General I (QS/RM) ------------------------------------------------------------------------ No new entries at this time. ------------------------------------------------------------------------ F. General II (ES/EMC) ------------------------------------------------------------------------ No new entries at this time. ------------------------------------------------------------------------ G. GH/GPS ------------------------------------------------------------------------ No new entries at this time. ------------------------------------------------------------------------ H. IVD ------------------------------------------------------------------------ 7-320.................... Validation of Assays CLSI H62 1st Performed by Flow Edition. Cytometry. ------------------------------------------------------------------------ I. Materials ------------------------------------------------------------------------ No new entries at this time. ------------------------------------------------------------------------ J. Nanotechnology ------------------------------------------------------------------------ 18-24.................... Standard Test Method for ASTM E2524-22. Analysis of Hemolytic Properties of Nanoparticles. ------------------------------------------------------------------------ K. Neurology ------------------------------------------------------------------------ No new entries at this time. ------------------------------------------------------------------------ L. OB-Gyn/G/Urology ------------------------------------------------------------------------ 9-150.................... Copper-bearing ISO 7439 Fourth contraceptive edition 2023-04. intrauterine devices-- Requirements and tests. ------------------------------------------------------------------------ M. Ophthalmic ------------------------------------------------------------------------ No new entries at this time. ------------------------------------------------------------------------ N. OrthopedicX ------------------------------------------------------------------------ 11-400................... Non-active surgical ISO 21536 Third implants--Joint edition 2023-07. replacement implants-- Specific requirements for knee-joint replacement implants. 11-401................... Non-active surgical ISO 21535 Third implants--Joint edition 2023-07. replacement implants-- Specific requirements for hip-joint replacement implants. 11-408................... Standard Test Method for ASTM F2777-23. Evaluating Knee Bearing (Tibial Insert) Endurance and Deformation Under High Flexion. 11-409................... Standard Test Methods ASTM F3495-23. for Determining the Static Failure Load of Ceramic Knee Femoral Components. ------------------------------------------------------------------------ O. Physical Medicine ------------------------------------------------------------------------ No new entries at this time. ------------------------------------------------------------------------ P. Radiology ------------------------------------------------------------------------ 12-353................... American National ANSI Z136.1-2022. Standard for Safe Use of Lasers. ------------------------------------------------------------------------ [[Page 15208]] Q. Software/Informatics ------------------------------------------------------------------------ 13-129................... Software and systems ISO/IEC/IEEE 29119- engineering--Software 1 Second edition testing--Part 1: 2022-01. General concepts. 13-130................... Medical devices and ANSI/AAMI 2700-2- medical systems-- 1:2022. Essential safety and performance requirements for equipment comprising the patient-centric integrated clinical environment (ICE): Part 2-1: Particular requirements for forensic data logging. 13-131................... Standard for medical ANSI/AAMI device security-- SW96:2023. Security risk management for device manufacturers. ------------------------------------------------------------------------ R. Sterility ------------------------------------------------------------------------ 14-597................... Water Quality for ANSI/AAMI Processing Medical ST108:2023. 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: February 26, 2024. Lauren K. Roth, Associate Commissioner for Policy. [FR Doc. 2024-04376 Filed 2-29-24; 8:45 am] BILLING CODE 4164-01-P