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What does the guidance not establish any rights for?
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any person
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What is the FDA's goal in educating manufacturers and distributors about software functions intended for use on mobile platf?
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to inform manufacturers, distributors, and other entities
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What is a software function that meets the definition of a device deployed on?
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a “mobile medical app.”
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What can be done simultaneously within a single reader study?
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Data collection for ROC, Se, and Sp
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What is the FDA website on?
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Software as a Medical Device (SaMD)
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What does the FD&C act not regulate software functions as?
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devices
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What does FDA consider the functionality of rather than platform?
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software
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What was the guidance minorly updated in accordance with?
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changes described in the guidance “Changes to Existing Medical Software Policies Resulting from Section 3060 of the 21st Century Cures Act.”
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What is the final rule titled?
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Medical Devices; Medical Device Classification Regulations To Conform to Medical Software Provisions in the 21st Century Cures Act
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What is the FDA guidance titled?
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Appropriate Use of Voluntary Consensus Standards in Premarket Submissions for Medical
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What is the name of the law that regulates medical software?
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86 FR 20278
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What is the name of the FDA's guidance documents?
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Nonbinding Recommendations Devices
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What are innovators trying to leverage to increase portability?
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mobile platforms can offer
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What did the use of computer and software products as medical devices grow exponentially after 1989?
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use of computer and software products as medical devices
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What is the name of the book that Chapman & Hall published in 1991?
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Practical Statistics for Medical Research
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What does the Agency identify through classification?
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specific regulatory requirements that apply to these devices and their manufacturers
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What does FDA use the term health care professional to mean?
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an individual who is licensed, registered, or certified
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What is the name of the allied health professional?
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nurse practitioner, registered nurse, licensed practical nurse, clinical social worker
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What has FDA previously clarified when a software application is used to analyze medical device data?
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when a software application is used to analyze medical device data
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What can pose potential risks to public health?
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certain software functions that are device functions
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What did the Cures Act remove from the definition of device?
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certain software functions
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What does this guidance clarify and outlines?
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FDA’s current thinking
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What is the FDA's guidance on Medical Device Accessories?
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Medical Device Accessories - Describing Accessories and Classification Pathways
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What is the name of the document that describes the changes in the medical software?
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changes-existing- medical-software-policies-resulting-section-3060-21st-century-cures-act
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What are examples of mobile platforms?
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mobile computers
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What is the ROC summary performance metric used to assess?
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ROC summary performance metric
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What is a web-based software application tailored to a mobile platform but executed on a server?
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Mobile Medical Application (Mobile Medical App)
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What is a mobile app intended to be used as?
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an accessory to a regulated medical device; or to transform a mobile platform into a regulated medical device
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What is a device intended for use in the diagnosis of?
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disease or other conditions, or in the cure, mitigation, treatment, or prevention of disease, in man
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What is the purpose of software applications that run on a desktop computer, laptop computer, remotely on a website or “cloud”?
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may be subject to device regulation
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What determines whether a mobile app meets the definition of a “device”?
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intended use
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What is an example of a mobile app that makes a light emitting diode operate?
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section 201(h)
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What is a software function intended for use in performing a medical device function?
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diagnosis of disease or other conditions, or the cure, mitigation, treatment
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What is regulated under 21 CFR 870.2340?
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Electrocardiograph
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What is FDA's oversight not determined by?
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the platform
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What may be shown by labeling claims, advertising matter, or oral or written statements by such persons or their representatives?
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objective intent
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What may provide additional information for understanding the expected impact of a device on clinical practice?
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Reporting Se and Sp (or Se and recall rate)
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What is the name of the person from whom he received the devices?
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the person from whom he received the devices
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What does the term ‘labeling’ mean?
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all labels and other written, printe
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What could pose a risk to a patient’s safety if the software applications were to not function as intended?
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if the software applications were to not function as intended
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What is a “mobile medical app manufacturer”?
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any person or entity that manufactures mobile medical apps in accordance with Answer: Answer: Answer: Answer: Answer: a “mobile medical app manufacturer”
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What is a mobile medical app manufacturer?
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anyone who initiates specifications, designs, labels, or creates a software system or application for a regulated medical device in whole or from multiple software components
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What is an example of a mobile medical app manufacturer?
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any person or entity that: Creates, designs, develops, labels, re-labels, remanufactures, modifies, or creates a mobile medical app software system from multiple components
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What is the second party?
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individuals or entities (second party)
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What is the process of making a device by chemical, physical, biological, or other procedures?
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making by chemical, physical, biological, or other procedures
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What is the name of the person who makes final delivery or sale to the ultimate consumer?
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the person who makes final delivery or sale to the ultimate consumer
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What is the definition of a creator of the original idea for a mobile medical app?
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creators
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What should you check all methods utilized in your analysis for?
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the adequacy of their fit to the data
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What would the author be considered?
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the manufacturer
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What would none of the persons or entities in these examples have to register their establishments, list their products with FDA,25 or submit a premarket application?
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Manufacturers or distributors
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What is the mobile platform treated as when mobile medical apps are run on a mobile platform?
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a component of the mobile medical app’s intended use
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What is not regulated by FDA as a medical device?
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BrandNamePhone sold to consumers
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What does 21 CFR 803.3 define?
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definition of manufacturer
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What does FDA not consider mobile platform manufacturers to be?
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medical device manufacturers
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What is the term for providers of general-purpose computer or information technology?
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providers
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What is a creator of a mobile medical app or a software system that provides users access to the medical device function through a website subscription?
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a mobile medical app or a software system
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What does a licensed practitioner create that enables attaching an ECG el?
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XYZ-recorder
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What is not considered a mobile medical app manufacturer if Dr. XYZ is in a telehealth network?
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Dr. XYZ is not considered a mobile medical apps manufacturer
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What is the name of the document that contains the potential sources of Bias in a Retrospective Reader Study?
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Potential Sources of Bias in a Retrospective Reader Study
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What should not be necessary unless you intend to make specific performance claims?
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Powering any additional units-based analyses for statistical significance
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What does the “server software application” provide a service to?
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a client software application on a mobile platform
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What does 21 CFR 807.65(d) say?
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“practitioners licensed by law to prescribe or administer drugs or devices and who manufacture, prepare, propagate, compound, or process drugs or devices solely for use in the course of their professional practice.”
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What may be subject to investigational device exemption regulations?
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human subjects
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What does Appendix A provide examples of?
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software functions
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What is the Regulatory Approach for Device Software Functions?
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V. Regulatory Approach for Device Software Functions
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What is the FDA's approach to overseeing device software functions consistent with?
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our existing approach
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What does FDA believe a subset of device software functions poses the same or similar potential risks to the public health as currently regulated devices if they fail to function as intended?
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risks
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What must a manufacturer meet to make a device software function?
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the requirements associated with the applicable device classification
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What is the focus of FDA's regulatory oversight?
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software functions
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What is an extension of one or more medical devices by connecting37 to such device(s) for purposes of controlli?
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Software functions
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What is the Recall rate?
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the percentage of patients (including diseased and non-diseased patients) that are called back or recalled for additional medical assessment
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What is the criterion for not being physically connected to the regulated medical device?
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device software functions or mobile medical apps
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What is a software function that allows a user to control the delivery of insulin on an insulin pump by transmitting control signals to the pumps from the mobile platform?
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mobile apps
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What is FDA's guidance document for accessories to medical devices?
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“Medical Device Accessories - Describing Accessories and Classification Pathways”39
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What are software functions that use attachments, display screens, sensors, or other similar components required to comply with?
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the device classification associated with the transformed platform
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What is an ECG?
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electrocardiograph
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What does a software function that displays radiological images for diagnosis transform a mobile platform into?
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Medical image management and processing system
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What is a cardiac monitoring software classified as under 21 CFR 870.2300?
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cardiac monitoring software
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What is the 21 CFR 884.2740?
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perinatal monitoring system
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What is CAD?
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image processing software
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What is a software function that analyzes readings from a blood glucose monitor and alerts the user of readings outside a predetermined range?
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software function
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What is the name of the 2008 publication that was published by Radiol?
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247(1):12–15
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What does FDA encourage manufacturers of device software functions that perform patient- specific analysis to contact?
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FDA
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What does the CDS Guidance say can help users?
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41 21 CFR 892.2050
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What does FDA intend to exercise for software functions that pose a low risk to patients?
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enforcement discretion
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What are some software functions that coach patients with conditions such as cardiovascular disease, hypertension, diabetes, or obesity?
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o Software functions that coach patients with conditions such as cardiovascular disease, hypertension, diabetes, or obesity
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What is the sole responsibility of the health care professionals who have experience with them in medical applications?
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the health care professionals who have experience with them in medical applications
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What does an app use to supplement a verbal description in a consultation between health care professionals?
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photos of a patient’s skin lesions or wounds
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What is the software function intended to provide?
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a convenient way for clinicians to perform various simple medical calculations taught in medical
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What is the product code NXQ?
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medication reminder is a device intended for medical purposes to provide alerts to patients or health care providers for pre-determined medication dosing schedules
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What is the APGAR score?
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Glasgow Coma Scale score
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What is the name of the example of software functions for which FDA intends to exercise enforcement discretion?
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Appendix B
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What should be clarified and specify a version number if appropriate?
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the software implementation
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What is the associated regulation for the device software function?
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associated controls
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What is the name of the regulation that regulates the use of medical devices in the 21 CFR?
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Quality System (QS)
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What is the name of the nonbinding recommendation for Class III devices?
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General Controls
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What is the name of the branch that provides technical training to medical device manufacturers?
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MATTB
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What is the name of the Appendix that provides a representative list of software functions that are NOT Medical Devices?
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Appendix A
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What does FDA not regulate because these software functions are not considered medical devices?
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them
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What is not intended to be used as reference material and is not intended for use in the diagnosis of disease or other co Answer: These are not devices because the software is intended to be used as reference material and is not intended for use in the diagnosis of disease or other co Answer: Answer: The FDA does not consider to be devices because the software is intended to be used as reference material and is not intended for use in the diagnosis of disease or other co Answer: 1. Software functions that are intended to provide access to electronic “copies” (e.g., e-books, audio books) of medical textbooks or other reference materials with generic text search capabilities?
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