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USFDA De Novo

# US De Novo Classification

The De Novo pathway provides a route for novel low to moderate risk medical devices without predicates. Understanding eligibility, submission requirements, and the classification process is essential for innovative devices.

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At a glance

Key concepts

4

Process steps

6

FAQs

5

## Key concepts

### Novel Device

A device that has no predicate and is of low to moderate risk. De Novo provides a pathway for these devices.

### Risk-Based Classification

De Novo determines whether the device is Class I or Class II based on risk assessment.

### New Predicate

Successful De Novo establishes a new classification and creates a predicate for future devices.

### Moderate Risk

De Novo is only for devices of low to moderate risk. High-risk devices require PMA.

## Eligibility criteria

No Predicate Device

The device must be novel with no legally marketed predicate device.

Low to Moderate Risk

The device must pose low to moderate risk to patients. High-risk devices require PMA.

Not Exempt

The device must not be exempt from premarket notification under 510(k) exemptions.

First of Its Kind

The device represents a new technology or intended use not previously marketed.

## Submission requirements

Device Description

Detailed description of the device including design, materials, and principles of operation.

Intended Use and Indications

Clear statement of intended use and indications for use.

Risk Assessment

Comprehensive risk assessment identifying potential risks and mitigation strategies.

Performance Data

Data demonstrating safety and effectiveness, which may include clinical data depending on device type.

Labeling

Proposed labeling including instructions for use, warnings, and contraindications.

## Process steps

01

Pre-Submission Meeting

Meet with FDA to discuss device characteristics and appropriate data requirements.

02

Submission Preparation

Prepare De Novo submission with required data and documentation.

03

Submission

Submit De Novo request through FDA's electronic submission system with required fee.

04

FDA Review

FDA reviews submission for safety and effectiveness. May request additional information.

05

Classification Decision

FDA issues classification decision (Class I or Class II) and approval or denial.

06

Post-Market

If approved, device can be marketed. Post-market requirements may apply.

## Common compliance mistakes

Using De Novo for high-risk devices - De Novo is only for low to moderate risk

Not demonstrating novelty - must truly have no predicate device

Inadequate risk assessment - comprehensive risk assessment is required

Insufficient performance data - must provide data demonstrating safety and effectiveness

Not considering clinical data - some devices require clinical studies

Underestimating complexity - De Novo is more complex than 510(k) but less than PMA

## Frequently asked questions

### When should I use the De Novo pathway?

Use De Novo when your device is novel (no predicate), poses low to moderate risk, and is not exempt from premarket notification. De Novo is ideal for innovative devices that don't fit existing classifications but aren't high-risk enough for PMA.

### How does De Novo differ from 510(k) and PMA?

510(k) requires a predicate device. PMA is for high-risk devices requiring clinical data. De Novo is for novel low to moderate risk devices without predicates. De Novo is more rigorous than 510(k) but less than PMA.

### How long does the De Novo process take?

FDA's target review time is 120 days for De Novo. However, including preparation, potential additional information requests, and review, the total timeline typically ranges from 6-12 months. Pre-submission meetings can help streamline the process.

### What data is required for De Novo?

Data requirements depend on device type and risk. May include bench testing, animal studies, or clinical data. The goal is to demonstrate safety and effectiveness. Risk assessment and performance data are always required.

### What happens after successful De Novo?

Successful De Novo establishes a new classification (Class I or Class II) and creates a predicate for future devices. Future devices can use your device as a predicate for 510(k) submissions. This is a significant advantage.

**Disclaimer:** This guide provides general information about De Novo requirements. Device-specific determinations require analysis of FDA regulations. Always verify current requirements with FDA resources or qualified regulatory professionals.

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*   [US Medical Devices ClassificationComplete guide to US medical devices classification.](/guides/us-medical-devices-classification)
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