In the United States, medical devices are classified into three categories based on their risk level and the level of regulatory control required by the FDA. These classifications are:
Class I:
- Low risk devices that generally do not require premarket approval.
- Most Class I devices are exempt from premarket notification (510(k)) and only need to comply with general controls, such as labeling requirements and good manufacturing practices (GMP).
- Examples: Bandages, stethoscopes, tongue depressors.
Class II:
- Moderate risk devices that require premarket notification through the 510(k) process, where manufacturers demonstrate that the device is substantially equivalent to a legally marketed device.
- Class II devices must meet specific performance standards and post-market surveillance requirements.
- Examples: Infusion pumps, blood pressure cuffs, surgical drapes.
Class III:
- High risk devices that require Premarket Approval (PMA), a more rigorous process that includes clinical trials and comprehensive data to demonstrate the device's safety and efficacy.
- Class III devices are typically life-supporting or life-sustaining, or they present a significant risk of injury or illness.
- Examples: Pacemakers, artificial heart valves, neurostimulators.
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