LinkedInXFacebook
Subscribe
Orthopedics This Week
  • My Feed
  • |Posts
  • |Events
  • |MSK Innovations
  • |Power Rankings
  • |Masterclasses
  • |Technology Awards
  • Press Releases
  • |Advertising
  • |Job Board
  • Spine
  • ◆Joints
  • ◆Upper Extremities
  • ◆Foot & Ankle
  • ◆Sports Medicine
  • ◆Pain Mgmt
  • ◆Trauma
  • ◆Biologics
  • ◆Technology
  • ◆People
  • ◆Company News
  • ◆Legal & Regulatory
Home/Legal & Regulatory and Reimbursement/FDA Device Fees and Approvals Up, Review Times Down
Legal & Regulatory and Reimbursement

FDA Device Fees and Approvals Up, Review Times Down

May 15, 2014 1 min read Premium comments

Advertisement

FDA Device Fees and Approvals Up, Review Times Down
Pinsol.com and RRY Publications
Secondary

Medical device companies paid the FDA $96.8 million in user fees during fiscal year 2013, up 48% from the previous year.

What is industry getting for that extra money? For one thing, according to an agency quarterly report, the percentage of premarket approval (PMA) applications approved by the agency grew from 59% in 2010 to 74% so far in 2014. The average time to get a decision for a PMA has dropped over 30% from a high of 464 days in 2009 to 297 in 2012. The agency has also decreased the PMA backlog by over 45% from 92 in 2010 to 49 in 2014.

In addition to more PMA approvals, FDA Commissioner Margaret Hamburg, M.D., reported on the FDA blog that review times for 510(k) clearances have declined, with nearly all of 2012 submissions now closed. The average review times for a 501(k) clearance dropped from a high of 154 days in 2010 to 144 days in 2012.

The big jump in fees was due to a new Medical Device User Fee Act (MDUFA III) that went into effect this past year. There was an equally significant jump in user fees in 2007 when the first MDUFA period closed and MDUFA II went into effect. That year, user fees increased 65.5%, according to the report, but FDA performance got worse.

Under MDUFA III with the device industry, the FDA will collect almost $600 million in fees over five years. The agency plans to hire an additional 200 full-time employees over that time to speed up review times. Hamburg told Congress recently that since October 1, 2013, the agency has already hired 90 of those employees.

The agency is required to submit a quarterly report on performance under the new user device agreement. To read the latest report presented on April 29, 2014, click here:

http://www.fda.gov/downloads/MedicalDevices/DeviceRegulationandGuidance/Overview/MedicalDeviceUserFeeandModernizationActMDUFMA/UCM395834.pdf

React:

Discussion

14
DS
Dr. Sarah MitchellOrthopedic Surgeon · Mayo Clinic

This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?

8
JT
James Thornton, MDSpine Fellow · HSS

Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.

5
RP
R. PatelSports Medicine · Stanford

We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.

Join the conversation

Orthopedic professionals are discussing this. Sign in and upgrade to read every comment and add your voice.

Subscribe

Get Full Access

Read every OTW article and join member discussions for $24.99/month.

Get Full Access

Advertisement

Advertisement

Advertisement

Orthopedics This Week

The most trusted source in orthopedic industry news since 2005. Covering spine, joints, trauma, biologics, and the business of orthopedics.

A publication of RRY Publications, LLC

LinkedInXFacebook

Categories

  • Spine
  • Joints
  • Upper Extremities
  • Foot & Ankle
  • Sports Medicine
  • Pain Mgmt
  • Trauma
  • Biologics
  • Technology
  • People
  • Company News
  • Legal & Regulatory

Resources

  • Subscribe
  • Community Posts
  • Job Board
  • Press Release Opportunities
  • Power Rankings
  • About OTW
  • Advertise
  • Contact Us

Get Full Access

Unlimited articles, community posts, and Power Rankings.

Get Full Access

Plans start at $24.99/mo · Annual saves 20%

© 2026 Orthopedics This Week · RRY Publications, LLC

Privacy PolicyTerms of ServiceCookie Policy