New FDA Guidance – X-Ray

FDA released a new draft guidance today entitled, “Clarification of Radiation Control Regulations For Manufacturers of Diagnostic X-Ray Equipment Draft Guidance for Industry and Food and Drug Administration Staff“, dated December 17, 2018.  A few things to note related to software:

On line 370, question 16, FDA addresses the question of the use of software running on laptop computer or other computers that aid in use of the X-Ray equipment, and that end user supplied computer equipment may be used initially or as replacements.  FDA answers this directly:

“We consider software that controls a diagnostic x-ray system loaded on a laptop or desktop computer to serve the same function as an x-ray control and to be subject to the same labeling requirements as any other diagnostic x-ray control as described in 21 CFR 1020.30(b).”

and provides an example:

“For example, if software included with a digital detector controls the technique factors (e.g., duration of an exposure), then the software performs the same function as an x-ray control and therefore is itself an x-ray control.”

Note that FDA makes clear that the manufacturer remains responsible for the “system” – even if the end user replaces laptop computers or other computer equipment running the manufacturers’ software.

Finally, note that software can be an acceptable replacement of traditional labeling. [ Line 707, Question 36].

You can view the draft guidance by clicking 2018-12-Clarification of Radiation Control Regulations for Manf of Diagnostic X-Ray Equipment

You can find this draft guidance and many other FDA guidance documents on our website … just click this link: Popular Resources

You can find all recent FDA guidance documents on the fda.gov website www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/GuidanceDocuments/

About the author

Partner and General Manager, Brian Pate is ISO 1385:2016 Lead Auditor certified for Medical Device Quality Management Systems (MD), and ISO 19011:2018 Management Systems Auditing (AU) and Leading Management Systems Audit Teams (TL). Brian started his medical device career in anesthesia clinical research in 1985 and has since worked both academia and industry including many years with Johnson & Johnson, Baxter Healthcare, and GE Medical. Brian’s roles have included software engineering, systems engineering, quality assurance, and regulatory affairs. Brian has served on multiple AAMI TIR working groups, including TIR32-2008 (Application of ISO 14971 Risk Management to Software; now IEC 80002-1) and TIR45-2012 (Guidance on the use of Agile practices in the development of medical device software) and served as a reviewer for the 2nd edition of TIR45. Brian serves on the AAMI Software Committee and as an AAMI instructor for the software, design controls, and agile methods courses. Brian also is a member of the Underwriters’ Laboratories (UL) Standards Technical Panel for UL1998 (Software in Programmable Components) and or UL5500 (Remote Software Updates).

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