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FDA Pushes Priority Review for Breakthrough Medical Devices

The U.S. Food and Drug Administration (FDA) recently proposed the Innovation Pathway, a priority review program for new, breakthrough medical devices. The first submission to the project is a brain-controlled, upper-extremity prosthetic that will serve as a pilot for the program.

The device is designed to restore near-natural arm, hand and finger function to patients suffering from spinal cord injury, stroke or amputation. The arm system uses a microchip implanted on the surface of the brain to record neuronal activity and decode the signals to actuate motor neurons that control the prosthesis.

The FDA also announced plans to seek further public comment before the Pathway can be used more broadly. The new proposed Innovation Pathway program for pioneering medical devices is part of a broader effort underway in the FDA's Center for Devices and Radiological Health (CDRH) designed to encourage cutting-edge technologies among medical device manufacturers.

The initiative will also seek to strengthen the country’s research infrastructure for developing breakthrough technologies. Proposed actions include establishing a voluntary, third-party certification program for U.S. medical device test centers designed to promote rapid improvements to new technologies during a product's development and clinical testing stages. It also calls for creating a publicly-available core curriculum for medical device development and testing to train the next generation of innovators.

Applications for the program would be reviewed by the Center Science Council, a new oversight body currently being developed within CDRH comprised of senior managers and experienced scientists, who would facilitate this device development and evaluation process. Enrollment in the Innovation Pathway program would not change the scientific or regulatory standards that CDRH would use to evaluate device submissions and determine their appropriateness for marketing.  

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