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How Would You Increase Access to At-home Use Medical Technologies?

The U.S. Food and Drug Administration’s (FDA’s) Center for Devices and Radiological Health (CDRH) is asking for help in finding ways improve patient access to at-home medical technologies.

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The U.S. Food and Drug Administration’s (FDA’s) Center for Devices and Radiological Health (CDRH) is seeking comments on how to assure all patients have access to safe, effective, and high-quality at-home medical devices.

In particular, CDRH is looking for comments on the following questions:

  • How can the FDA support the development of medical technologies, including digital health technologies and diagnostics, for use in non-clinical care settings, such as at home?
  • What factors should be considered to effectively institute patient care that includes home-based care?
  • What are ways that digital health technologies can (a) foster the conduct of clinical trials remotely and (b) support local or home-based healthcare models?
  • How can the FDA facilitate individuals accessing medical technologies in remote locations when they are unable or unwilling to access care in clinical settings?
  • What processes and medical procedures, including diagnostics, do you believe would be ideal for transitioning from a hospital and/or healthcare setting to non-clinical care settings, for example, home use or school/work use?
    • What medical technologies could be ideal to transition to use in non-clinical settings? What aspects of those technologies could potentially benefit from modifications to optimize use in non-clinical settings?
  • What design attributes and user needs would facilitate the use of medical technologies, including diagnostic and therapeutic devices, for use in a non-clinical setting, for example home use?
  • For digital health technologies, what design attributes could better facilitate their use by diverse patient populations outside of a clinical setting? What other factors are important to consider which may improve use and acceptance of different digital health technologies by diverse patient populations (for example, older adults, non-English speakers, lower literacy)?
  • What potential methods and strategies for evidence generation and data analysis could facilitate the regulatory review of medical technologies intended to be used in non-clinical settings, for example home use or school/work use?

All comments should be submitted to the docket (FDA-2023-N-1956), which is available at Regulations.gov. The public comment period will end on August 30, 2023.





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