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Title 21 — Food and Drugs

Part A · Chapter 9 — Federal Food, Drug, and Cosmetic Act

§ 360l. Postmarket surveillance

Statutory text

(a)

Postmarket surveillance

(1)

In general

(A)

Conduct

The Secretary may by order, at the time of approval or clearance of a device or at any time thereafter, require a manufacturer to conduct postmarket surveillance for any device of the manufacturer that is a class II or class III device—

(i)

the failure of which would be reasonably likely to have serious adverse health consequences;

(ii)

that is expected to have significant use in pediatric populations; or

(iii)

that is intended to be—

(I)

implanted in the human body for more than 1 year; or

(II)

a life-sustaining or life-supporting device used outside a device user facility.

(B)

Condition

The Secretary may order a postmarket surveillance under subparagraph (A) as a condition to approval or clearance of a device described in subparagraph (A)(ii).

(2)

Rule of construction

The provisions of paragraph (1) shall have no effect on authorities otherwise provided under the 1 chapter or regulations issued under this chapter.

(b)

Surveillance approval

(1)

In general

Each manufacturer required to conduct a surveillance of a device shall, within 30 days of receiving an order from the Secretary prescribing that the manufacturer is required under this section to conduct such surveillance, submit, for the approval of the Secretary, a plan for the required surveillance. The Secretary, within 60 days of the receipt of such plan, shall determine if the person designated to conduct the surveillance has appropriate qualifications and experience to undertake such surveillance and if the plan will result in the collection of useful data that can reveal unforeseen adverse events or other information necessary to protect the public health. The manufacturer shall commence surveillance under this section not later than 15 months after the day on which the Secretary issues an order under this section. Except as provided in paragraph (2), the Secretary, in consultation with the manufacturer, may by order require a prospective surveillance period of up to 36 months. Except as provided in paragraph (2), any determination by the Secretary that a longer period is necessary shall be made by mutual agreement between the Secretary and the manufacturer or, if no agreement can be reached, after the completion of a dispute resolution process as described in section 360bbb–1 of this title.

(2)

Longer surveillance for pediatric devices

The Secretary may by order require a prospective surveillance period of more than 36 months with respect to a device that is expected to have significant use in pediatric populations if such period of more than 36 months is necessary in order to assess the impact of the device on growth and development, or the effects of growth, development, activity level, or other factors on the safety or efficacy of the device.

(c)

Dispute resolution

A manufacturer may request review under section 360bbb–1 of this title of any order or condition requiring postmarket surveillance under this section. During the pendency of such review, the device subject to such a postmarket surveillance order or condition shall not, because of noncompliance with such order or condition, be deemed in violation of section 331(q)(1)(C) of this title, adulterated under section 351(f)(1) of this title, misbranded under section 352(t)(3) of this title, or in violation of, as applicable, section 360(k) of this title or section 360e of this title, unless deemed necessary to protect the public health.

Footnotes

  1. 1 So in original. Probably should be “this”.

Legislative history

Reconstructed from this section’s Code source credit and amendment notes, resolved against the local Statutes at Large. Editorial notes are evidence, not the law that made the change.

  1. Pub. L. 101–629 § 10 · 104 Stat. 4469

    Enacted · 21 U.S.C. § 360l

    June 25, 1938, ch. 675, § 522, as added Pub. L. 101–629, § 10, Nov. 28, 1990, 104 Stat. 4521

    Source evidence

    Code source credit
    June 25, 1938, ch. 675, § 522, as added Pub. L. 101–629, § 10, Nov. 28, 1990, 104 Stat. 4521

    Enacted provision · exact public law section
    SEC. 10. POSTMARKET SURVEILLANCE. Subchapter A of chapter 5 is amended by inserting after section 521 (21 U.S.C. 360k) the following new section: “Sec. 522. “postmarket surveillance (a) In General.— “(1) Required surveillance.— The Secretary shall require a manufacturer to conduct postmarket surveillance for any device of the manufacturer first introduced or delivered for introduction into interstate commerce after January 1, 1991, that— “(A) is a permanent implant the failure of which may cause serious, adverse health consequences or death, “(B) is intended for a use in supporting or sustaining human life, or “(C) potentially presents a serious risk to human health. “(2) Discretionary surveillance.— The Secretary may re-quire a manufacturer to conduct postmarket surveillance for a device of the manufacturer if the Secretary determines that postmarket surveillance of the device is necessary to protect the public health or to provide safety or effectiveness data for the device. “(b) Surveillance Approval.— Each manufacturer required to conduct a surveillance of a device under subsection (a) shall, within 30 days of the first introduction or delivery for introduction of such device into interstate commerce submit, for the approval of the Secretary, a protocol for the required surveillance. The Secretary, within 60 days of the receipt of such protocol, shall determine if the principal investigator proposed to be used in the surveillance has sufficient qualifications and experience to conduct such surveillance and if such protocol will result in collection of useful data or other information necessary to protect the public health and to provide safety and effectiveness information for the device. The Secretary may not approve such a protocol until it has been reviewed by an appropriately Qualified scientific and technical review committee established by the Secretary.”.

  2. Medical Device Amendments of 1992

    Pub. L. 102–300 § 3(b) · 106 Stat. 238

    1. Substituted · 21 U.S.C. § 360l(b)

      Pub. L. 102–300 substituted “(a)(1)” for “(a)”

    2. Inserted · 21 U.S.C. § 360l(b)

      Pub. L. 102–300 inserted comma after “commerce”

    3. Inserted · 21 U.S.C. § 360l(b)

      Pub. L. 102–300 inserted after first sentence “Each manufacturer required to conduct a surveillance of a device under subsection (a)(2) of this section shall, within 30 days after receiving notice that the manufacturer is required to conduct such surveillance, submit, for the approval of the Secretary, a protocol for the required surveillance.”

    Source evidence

    Code amendment note
    Subsec. (b). Pub. L. 102–300 substituted “(a)(1)” for “(a)”, inserted comma after “commerce”, and inserted after first sentence “Each manufacturer required to conduct a surveillance of a device under subsection (a)(2) of this section shall, within 30 days after receiving notice that the manufacturer is required to conduct such surveillance, submit, for the approval of the Secretary, a protocol for the required surveillance.”

    Enacted provision · exact public law section
    (b) Approval.— Section 522(b) (21 U.S.C. 3601(b)) is amended— (1) by striking out “(a)” and inserting in lieu thereof “(a)(1)”; (2) by inserting a comma after “commerce”; and (3) by adding after the first sentence the following: “Each manufacturer required to conduct a surveillance of a device under subsection (a)(2) shall, within 30 days after receiving notice that the manufacturer is required to conduct such surveillance, submit, for the approval of the Secretary, a protocol for the required surveillance.”.

  3. Food and Drug Administration Modernization Act of 1997

    Pub. L. 105–115 title II § 212 · 111 Stat. 2296

    1. Amended · 21 U.S.C. § 360l

      Pub. L. 105–115 amended section generally

    2. Substituted · 21 U.S.C. § 360l

      Pub. L. 105–115 substituting present provisions for former provisions which related to required surveillance, discretionary surveillance, and surveillance approval

    Source evidence

    Code amendment note
    Pub. L. 105–115 amended section generally, substituting present provisions for former provisions which related to required surveillance, discretionary surveillance, and surveillance approval.

    Enacted provision · exact public law section
    SEC. 212. POSTMARKET SURVEILLANCE. Effective 90 days after the date of the enactment of this Act, section 522 (21 U.S.C. 3601) is amended to read as follows: “Sec. 522. “POSTMARKET SURVEILLANCE (a) In General.— The Secretary may by order require a manufacturer to conduct postmarket surveillance for any device of the manufacturer which is a class II or class III device the failure of which would be reasonably likely to have serious adverse health consequences or which is intended to be— “(1) implanted in the human body for more than one year, or “(2) a life sustaining or life supporting device used outside a device user facility. “(b) Surveillance Approval.— Each manufacturer required to conduct a surveillance of a device shall, within 30 days of receiving an order from the Secretary prescribing that the manufacturer is required under this section to conduct such surveillance, submit, for the approval of the Secretary, a plan for the required surveillance. The Secretary, within 60 days of the receipt of such plan, shall determine if the person designated to conduct the surveillance has appropriate qualifications and experience to undertake such surveillance and if the plan will result in the collection of useful data that can reveal unforeseen adverse events or other information necessary to protect the public health. The Secretary, in consultation with the manufacturer, may by order require a prospective surveillance period of up to 36 months. Any determination by the Secretary that a longer period is necessary shall be made by mutual agreement between the Secretary and the manufacturer or, if no agreement can be reached, after the completion of a dispute resolution process as described in section 562.”.

    Effective date note
    Pub. L. 105–115, title II, § 212, Nov. 21, 1997, 111 Stat. 2346, provided in part that the amendment made by that section is effective 90 days after Nov. 21, 1997.

  4. Pediatric Medical Device Safety and Improvement Act of 2007

    Pub. L. 110–85 § 307(1) · 121 Stat. 823

    Changed · 21 U.S.C. § 360l

    Pub. L. 110–85, § 307(1), made technical amendment to section catchline

    Source evidence

    Code amendment note
    Pub. L. 110–85, § 307(1), made technical amendment to section catchline.

    Enacted provision · exact public law section
    (1) by amending the section heading and designation to read as follows: “SEC. 522. POSTMARKET SURVEILLANCE.” ;

  5. Pediatric Medical Device Safety and Improvement Act of 2007

    Pub. L. 110–85 § 307(2) · 121 Stat. 823

    1. Added · 21 U.S.C. § 360l(a)

      Pub. L. 110–85, § 307(2), added subsec. (a)

    2. Struck · 21 U.S.C. § 360l(a)

      Pub. L. 110–85, § 307(2), struck out former subsec. (a). Prior to amendment, text read as follows: “The Secretary may by order require a manufacturer to conduct postmarket surveillance for any device of the manufacturer which is a class II or class III device the failure of which would be reasonably likely to have serious adverse health consequences or which is intended to be—

    Source evidence

    Code amendment note
    Subsec. (a). Pub. L. 110–85, § 307(2), added subsec. (a) and struck out former subsec. (a). Prior to amendment, text read as follows: “The Secretary may by order require a manufacturer to conduct postmarket surveillance for any device of the manufacturer which is a class II or class III device the failure of which would be reasonably likely to have serious adverse health consequences or which is intended to be—

    “(1) implanted in the human body for more than one year, or “(2) a life sustaining or life supporting device used outside a device user facility.”

    Enacted provision · exact public law section
    (2) by striking subsection (a) and inserting the following: “(a) Postmarket Surveillance.— “(1) In general.— “(A) Conduct.— The Secretary may by order require a manufacturer to conduct postmarket surveillance for any device of the manufacturer that is a class II or class III device— “(i) the failure of which would be reasonably likely to have serious adverse health consequences; “(ii) that is expected to have significant use in pediatric populations; or “(iii) that is intended to be— “(I) implanted in the human body for more than 1 year; or “(II) a life-sustaining or life-supporting device used outside a device user facility. “(B) Condition.— The Secretary may order a postmarket surveillance under subparagraph (A) as a condition to approval or clearance of a device described in subparagraph (A)(ii). “(2) Rule of construction.— The provisions of paragraph (1) shall have no effect on authorities otherwise provided under the Act or regulations issued under this Act.” ; and

  6. Pediatric Medical Device Safety and Improvement Act of 2007

    Pub. L. 110–85 § 307(3) · 121 Stat. 823

    1. Amended · 21 U.S.C. § 360l(b)

      Pub. L. 110–85, § 307(3), designated existing provisions as par. (1)

    2. Inserted · 21 U.S.C. § 360l(b)

      Pub. L. 110–85, § 307(3), inserted par. heading

    3. Substituted · 21 U.S.C. § 360l(b)

      Pub. L. 110–85, § 307(3), substituted “Except as provided in paragraph (2), the Secretary, in consultation” for “The Secretary, in consultation”

    4. Substituted · 21 U.S.C. § 360l(b)

      Pub. L. 110–85, § 307(3), substituted “Except as provided in paragraph (2), any determination” for “Any determination”

    5. Added · 21 U.S.C. § 360l(b)

      Pub. L. 110–85, § 307(3), added par. (2)

    Source evidence

    Code amendment note
    Subsec. (b). Pub. L. 110–85, § 307(3), designated existing provisions as par. (1), inserted par. heading, substituted “Except as provided in paragraph (2), the Secretary, in consultation” for “The Secretary, in consultation” and “Except as provided in paragraph (2), any determination” for “Any determination”, and added par. (2).

    Enacted provision · exact public law section
    (3) in subsection (b)— (A) by striking “(b) Surveillance Approval.—Each” and inserting the following: “(b) Surveillance Approval.— “(1) In general.— Each” ; (B) by striking “The Secretary, in consultation” and inserting “Except as provided in paragraph (2), the Secretary, in consultation”; (C) by striking “Any determination” and inserting “Except as provided in paragraph (2), any determination”; and (D) by adding at the end the following: “(2) Longer surveillance for pediatric devices.— The Secretary may by order require a prospective surveillance period of more than 36 months with respect to a device that is expected to have significant use in pediatric populations if such period of more than 36 months is necessary in order to assess the impact of the device on growth and development, or the effects of growth, development, activity level, or other factors on the safety or efficacy of the device. “(c) Dispute Resolution.— A manufacturer may request review under section 562 of any order or condition requiring postmarket surveillance under this section. During the pendency of such review, the device subject to such a postmarket surveillance order or condition shall not, because of noncompliance with such order or condition, be deemed in violation of section 301(q)(1)(C), adulterated under section 501(f)(1), misbranded under section 502(t)(3), or in violation of, as applicable, section 510(k) or section 515, unless deemed necessary to protect the public health.” .

  7. Pediatric Medical Device Safety and Improvement Act of 2007

    Pub. L. 110–85 § 307(3)(D) · 121 Stat. 823

    Added · 21 U.S.C. § 360l(c)

    Pub. L. 110–85, § 307(3)(D), added subsec. (c)

    Source evidence

    Code amendment note
    Subsec. (c). Pub. L. 110–85, § 307(3)(D), added subsec. (c).

    Enacted provision · exact public law section
    (D) by adding at the end the following: “(2) Longer surveillance for pediatric devices.— The Secretary may by order require a prospective surveillance period of more than 36 months with respect to a device that is expected to have significant use in pediatric populations if such period of more than 36 months is necessary in order to assess the impact of the device on growth and development, or the effects of growth, development, activity level, or other factors on the safety or efficacy of the device. “(c) Dispute Resolution.— A manufacturer may request review under section 562 of any order or condition requiring postmarket surveillance under this section. During the pendency of such review, the device subject to such a postmarket surveillance order or condition shall not, because of noncompliance with such order or condition, be deemed in violation of section 301(q)(1)(C), adulterated under section 501(f)(1), misbranded under section 502(t)(3), or in violation of, as applicable, section 510(k) or section 515, unless deemed necessary to protect the public health.” .

  8. Food and Drug Administration Safety and Innovation Act

    Pub. L. 112–144 § 616(1) · 126 Stat. 993

    Inserted · 21 U.S.C. § 360l(a)(1)(A)

    Pub. L. 112–144, § 616(1), inserted “, at the time of approval or clearance of a device or at any time thereafter,” after “by order” in introductory provisions

    Source evidence

    Code amendment note
    Subsec. (a)(1)(A). Pub. L. 112–144, § 616(1), inserted “, at the time of approval or clearance of a device or at any time thereafter,” after “by order” in introductory provisions.

    Enacted provision · exact public law section
    (1) in subsection (a)(1)(A), in the matter preceding clause (i), by inserting “, at the time of approval or clearance of a device or at any time thereafter,” after “by order”; and

  9. Food and Drug Administration Safety and Innovation Act

    Pub. L. 112–144 § 616(2) · 126 Stat. 993

    Inserted · 21 U.S.C. § 360l(b)(1)

    Pub. L. 112–144, § 616(2), inserted “The manufacturer shall commence surveillance under this section not later than 15 months after the day on which the Secretary issues an order under this section.” after “the public health.”

    Source evidence

    Code amendment note
    Subsec. (b)(1). Pub. L. 112–144, § 616(2), inserted “The manufacturer shall commence surveillance under this section not later than 15 months after the day on which the Secretary issues an order under this section.” after “the public health.”

    Enacted provision · exact public law section
    (2) Deadline. in subsection (b)(1), by inserting “The manufacturer shall commence surveillance under this section not later than 15 months after the day on which the Secretary issues an order under this section.” after the second sentence.

17 of 17 references resolved to an enrolled provision

Editorial Notes

Amendments1992–2012 · 4 rounds

2012

Subsec. (a)(1)(A). Pub. L. 112–144, § 616(1), inserted “, at the time of approval or clearance of a device or at any time thereafter,” after “by order” in introductory provisions.

Subsec. (b)(1). Pub. L. 112–144, § 616(2), inserted “The manufacturer shall commence surveillance under this section not later than 15 months after the day on which the Secretary issues an order under this section.” after “the public health.”

2007

Pub. L. 110–85, § 307(1), made technical amendment to section catchline.

Subsec. (a). Pub. L. 110–85, § 307(2), added subsec. (a) and struck out former subsec. (a). Prior to amendment, text read as follows: “The Secretary may by order require a manufacturer to conduct postmarket surveillance for any device of the manufacturer which is a class II or class III device the failure of which would be reasonably likely to have serious adverse health consequences or which is intended to be—

“(1) implanted in the human body for more than one year, or

“(2) a life sustaining or life supporting device used outside a device user facility.”

Subsec. (b). Pub. L. 110–85, § 307(3), designated existing provisions as par. (1), inserted par. heading, substituted “Except as provided in paragraph (2), the Secretary, in consultation” for “The Secretary, in consultation” and “Except as provided in paragraph (2), any determination” for “Any determination”, and added par. (2).

Subsec. (c). Pub. L. 110–85, § 307(3)(D), added subsec. (c).

1997

Pub. L. 105–115 amended section generally, substituting present provisions for former provisions which related to required surveillance, discretionary surveillance, and surveillance approval.

1992

Subsec. (b). Pub. L. 102–300 substituted “(a)(1)” for “(a)”, inserted comma after “commerce”, and inserted after first sentence “Each manufacturer required to conduct a surveillance of a device under subsection (a)(2) of this section shall, within 30 days after receiving notice that the manufacturer is required to conduct such surveillance, submit, for the approval of the Secretary, a protocol for the required surveillance.”

Statutory Notes and Related Subsidiaries

Effective Date of 1997 Amendment

Pub. L. 105–115, title II, § 212, , 111 Stat. 2346, provided in part that the amendment made by that section is effective 90 days after .

Study by Institute of Medicine of Postmarket Surveillance Regarding Pediatric Populations

Pub. L. 107–250, title II, § 212, , 116 Stat. 1614, as amended by Pub. L. 108–214, § 2(d)(3)(C), , 118 Stat. 577, provided that the Secretary of Health and Human Services would request the Institute of Medicine to study whether the system under the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 301 et seq.) for the postmarket surveillance of medical devices provides adequate safeguards regarding the use of devices in pediatric populations, and provided that the Secretary, not later than four years after , would submit to Congress a report on the study and legislative and administrative recommendations.

Credits

1938–2012 · 5 acts
  1. 1938June 25, 1938, ch. 675, § 522, as added Pub. L. 101–629, § 10, , 104 Stat. 4521
  2. 1992amended Pub. L. 102–300, § 3(b), , 106 Stat. 239
  3. 1997Pub. L. 105–115, title II, § 212, , 111 Stat. 2346
  4. 2007Pub. L. 110–85, title III, § 307, , 121 Stat. 865
  5. 2012Pub. L. 112–144, title VI, § 616, , 126 Stat. 1062.
Show as published

(June 25, 1938, ch. 675, § 522, as added Pub. L. 101–629, § 10, , 104 Stat. 4521; amended Pub. L. 102–300, § 3(b), , 106 Stat. 239; Pub. L. 105–115, title II, § 212, , 111 Stat. 2346; Pub. L. 110–85, title III, § 307, , 121 Stat. 865; Pub. L. 112–144, title VI, § 616, , 126 Stat. 1062.)

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