Medical Device Approval in the United States

FDA medical device consulting for manufacturers entering the US market. From device classification and predicate strategy to 510(k), De Novo and PMA submissions and the new QMSR, we guide you through the FDA pathway.

What the US market requires

The building blocks of FDA medical device compliance, from classification to post market obligations.

Scope

FDA Device Classification

Class I, II or III and the right product code and regulation number. This single decision drives your whole submission strategy.

Pathway

510(k) Premarket Notification

The most common route. You demonstrate substantial equivalence to a legally marketed predicate device.

Pathway

De Novo Classification Request

For novel low to moderate risk devices with no suitable predicate. It creates a new classification you and others can then reference.

Pathway

Premarket Approval (PMA)

The most demanding route, reserved for Class III devices and backed by clinical data from your own investigations.

Strategy

Q Submission and Pre Sub Meetings

Early written feedback from the FDA on your test plan and regulatory route. Cheap to run and it prevents expensive detours.

Quality

QMSR, 21 CFR Part 820

From February 2026 the Quality System Regulation is aligned with ISO 13485. Your existing QMS still needs a gap assessment.

Registration

Establishment Registration and Device Listing

Annual registration of your facility and listing of every device you market in the United States.

Representation

US Agent

Manufacturers outside the United States must name a US Agent as the FDA point of contact for communication and inspections.

Lifecycle

UDI, GUDID and MDR Reporting

Unique Device Identification with GUDID submission, medical device reporting, complaint handling and recalls.

Ready to enter the US market?

Book a free consultation and find out how we can support your FDA submission and QMSR readiness.

Regulatory news and updates for the United States

Stay up to date with FDA guidance, 510(k) practice, QMSR and digital health policy.

One on one compliance training for medical device regulatory affairs

New one-on-one compliance training for medical device manufacturers — RBP approved

Medical device compliance is rarely the problem in theory. The challenge is making ISO 13485 and regulatory requirements work in real companies, with real products, limited time, and competing priorities. That’s exactly why we’ve launched Quality and Regulatory Compliance for Medical Device Manufacturers, a tailored, one-on-one training service designed to build practical, audit-ready capability inside your…

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