Device listings must be reviewed and updated between 1 October and 31 December (or when a change occurs), including newly listed classification names and discontinued device classes, and registration updated within 30 days of ownership, structure or location changes. A new 510(k) is usually needed for changes that could significantly affect safety or effectiveness or that add a new indication (for example sterilisation method, materials, manufacturing method, operating parameters, safety features, sterile barrier packaging, stability claims or design). PMA holders must obtain approval of a supplement before changes affecting safety or effectiveness (new indications, labelling, facilities, sterilisation, packaging, specifications, expiry extensions), reporting other changes in periodic reports. Where a predetermined change control plan was cleared or approved, changes must stay within the modifications it prespecified. Clauses: ISO 13485:2016 7.3.9; 21 CFR 807, 807.81, 814.39.
The graph holds this control, the 0 it maps to, and the evidence behind each claim, over MCP and REST.