The US FDA issued a FINAL guidance entitled: “Factors to Consider Regarding Benefit-Risk in Medical Device Product Availability, Compliance, and Enforcement Decisions”. This defines FDA’s approach to evaluate the Risk-Benefit relationship when evaluating information about medical devices The guidance includes examples on how it applies this product availabilty (e.g., recalls and shortage) and also to compliance and enforcement decisions. It also includes a short Appendix on the relationship to ISO 14971 use of similar terms. The remaining appendices appear quite useful as checklists for things to consider and address in internal pre and post market risk evaluations and as a summary of the guidance.