FDA
A 510(k) is a premarket submission made to the U.S. Food and Drug Administration (FDA) to demonstrate that a medical device is substantially equivalent (SE) to a legally marketed device (predicate device) that is not subject to premarket approval (PMA). The name “510(k)” refers to the section of the Food, Drug, and Cosmetic Act where this requirement is outlined.
Key Points about the 510(k) Process:
Substantial Equivalence (SE): The main principle of the 510(k) process is to establish substantial equivalence between the new medical device and a predicate device that is already legally marketed in the United States. Substantial equivalence means that the new device has the same intended use and technological characteristics as the predicate device, or has different characteristics but does not raise new questions of safety and effectiveness compared to the predicate device.
Types of 510(k) Submissions: There are several types of 510(k) submissions, including traditional, special, and abbreviated. The type of submission depends on factors such as the classification of the device, the existence of recognized standards, and the level of risk associated with the device.
Content of a 510(k) Submission: A 510(k) submission typically includes detailed information about the new device, its intended use, technical specifications, performance data, labeling, and a comparison to the predicate device. The submission must demonstrate that the new device meets applicable regulatory requirements and is as safe and effective as the predicate device.
Review Process: Upon receiving a 510(k) submission, the FDA conducts a review to determine whether the new device is substantially equivalent to the predicate device. The review may involve evaluating the technical information provided in the submission, conducting testing or analysis, and assessing any additional information requested by the FDA.

Decision: Based on the review, the FDA will issue a decision either granting or denying clearance for the new device. If clearance is granted, the device can be legally marketed in the United States. If clearance is denied, the reasons for denial will be provided, and the submitter may have the opportunity to address any deficiencies and resubmit the application.
Regulatory Requirements and Standards:
In addition to the requirements outlined in the Food, Drug, and Cosmetic Act, the FDA may refer to various guidance documents, recognized standards, and regulatory requirements when reviewing a 510(k) submission. These may include:
FDA guidance documents related to the 510(k) process, specific device types, or regulatory requirements.
Applicable consensus standards recognized by the FDA, such as those published by the International Organization for Standardization (ISO) or the American National Standards Institute (ANSI).
Relevant regulations and guidance documents specific to the type of device being submitted, such as those related to medical imaging devices, in vitro diagnostic devices, or surgical instruments.
By following the requirements and guidance provided by the FDA and relevant standards organizations, medical device manufacturers can prepare and submit 510(k) applications that facilitate timely clearance and market access for their devices in the United States.