Susan Alpert, PhD, MD, joined Medtronic in July 2003 as vice president of regulatory affairs and compliance. She is now senior vice president and chief regulatory officer and is responsible for all Medtronic global regulatory efforts. Before joining Medtronic, she served C.R. Bard Inc., as vice president of regulatory sciences. She also previously worked at the Food and Drug Administration (FDA), where she held a variety of positions in the centers dealing with drugs, devices and radiologic health, and foods, including 6 years as the director of the Office of Device Evaluation. She is a microbiologist and pediatrician with a specialty in infectious diseases and has practical experience in laboratory research and clinical trials. Dr. Alpert has served on the board of the Food and Drug Law Institute. She serves on the board of advisers for the Medical Technology Leadership Forum, an educational organization focused on policy-makers, the general public, and the mass media regarding critical issues affecting the development and adoption of advanced medical technology. She also serves on the board of Women Business Leaders, an organization of women leaders in the health-care sector, and on the board of the Minnesota International Center. She is a past chair of the Regulatory Affairs Professional Society and a Fellow in that society. She serves on the Executive Committee of the Clinical Trials Transformation Initiative, one of the public–private partnerships working with FDA to streamline the development of medical products. Dr. Alpert received her undergraduate degree at Barnard College and holds a master’s degree and a PhD in biomedical sciences from New York University. She received her medical degree from the University of Miami (Florida) and completed her
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B
Biographic Information on Invited
Speakers, Panelists, and Authors of
Commissioned Papers
Susan Alpert, PhD, MD, joined Medtronic in July 2003 as vice president of
regulatory affairs and compliance. She is now senior vice president and chief
regulatory officer and is responsible for all Medtronic global regulatory ef-
forts. Before joining Medtronic, she served C.R. Bard Inc., as vice president
of regulatory sciences. She also previously worked at the Food and Drug
Administration (FDA), where she held a variety of positions in the centers
dealing with drugs, devices and radiologic health, and foods, including 6
years as the director of the Office of Device Evaluation. She is a microbiolo-
gist and pediatrician with a specialty in infectious diseases and has practical
experience in laboratory research and clinical trials. Dr. Alpert has served
on the board of the Food and Drug Law Institute. She serves on the board
of advisers for the Medical Technology Leadership Forum, an educational
organization focused on policy-makers, the general public, and the mass
media regarding critical issues affecting the development and adoption of
advanced medical technology. She also serves on the board of Women Busi-
ness Leaders, an organization of women leaders in the health-care sector,
and on the board of the Minnesota International Center. She is a past chair
of the Regulatory Affairs Professional Society and a Fellow in that society.
She serves on the Executive Committee of the Clinical Trials Transforma-
tion Initiative, one of the public–private partnerships working with FDA
to streamline the development of medical products. Dr. Alpert received her
undergraduate degree at Barnard College and holds a master’s degree and
a PhD in biomedical sciences from New York University. She received her
medical degree from the University of Miami (Florida) and completed her
65
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66 THE FDA 510(k) CLEARANCE PROCESS
clinical training at Montefiore Medical Center in the Bronx, New York, and
at Children’s National Medical Center in Washington, DC.
Robert E. Fischell, ScD, was employed at the Johns Hopkins University
Applied Physics Laboratory full-time for 25 years and part-time for an ad-
ditional 13 years. At Johns Hopkins, Dr. Fischell was the chief engineer of
the Space Department, where he worked on more than 50 spacecraft. His
interests at Johns Hopkins then turned to the invention of new medical
devices, such as pacemakers and implantable heart defibrillators. Starting
in 1969, Dr. Fischell began the formation of 14 private companies that
licensed his patents on medical devices. The companies included Pacesetter
Systems Inc. (now called St. Jude Medical), IsoStent Inc., NeuroPace Inc.,
Neuralieve Inc., Angel Medical Systems Inc., and Svelte Medical Systems
Inc. Dr. Fischell has over 150 issued US and foreign patents for medical
devices. Dr. Fischell is a trustee of the University of Maryland College
Park Foundation and a member of the Board of Visitors for the College of
Engineering and the College of Computer, Mathematical, and Physical Sci-
ences and the University of Maryland School of Medicine. Dr. Fischell’s was
elected to the National Academy of Engineering in 1989. He has received
numerous awards for his contributions including the Inventor of the Year
for the USA in 1984; Distinguished Physics Alumnus Award of the Univer-
sity of Maryland; the 2004 Discover magazine award for Technology for
Humanity; the 2005 TED award; the 2007 Master Inventor award from the
Applied Physics Laboratory, and the Woodrow Wilson Prize for Public Ser-
vice from the Woodrow Wilson Society for Scholars, as well as several other
medals for his accomplishments in science, engineering, and innovation. In
2005, he gave $30 million to create and fund the Fischell Department of
Bioengineering in the Clark School of Engineering. In that same year, the
University of Maryland created the Robert E. Fischell Institute for Medical
Devices to further the pioneering work that Dr. Fischell has created. Dr.
Fischell received his BSME from Duke University and MS and ScD degrees
from the University of Maryland.
Kevin Fu, PhD, is an assistant professor in the Department of Computer
Science of the University of Massachusetts Amherst. Prof. Fu investigates
how to achieve trustworthy computing for embedded devices that must
withstand both unintentional interference and determined, malicious intent.
Prof. Fu’s research contributions range from the design and implementation
of cryptographic systems to the security-risk analysis of computer systems,
such as implantable cardiac defibrillators, automated software updates, con-
tactless no-swipe credit cards, and Web site log-in systems. He is an Alfred
P. Sloan Research Fellow, MIT Technology Review TR35 Innovator of the
Year, and recipient of the National Science Foundation CAREER award.
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APPENDIX B
His research appears in computer-science conferences and medical journals
and has been featured in the mass media, such as the New York Times, the
Wall Street Journal, and various news programs. He served on numerous
program committees of leading conferences in secure systems and has given
dozens of invited talks worldwide to industry, government, and academe.
He is a member of the Institute of Electrical and Electronic Engineers, the
Association for Computing Machinery, and USENIX. Prof. Fu leads the
University of Massachusetts Amherst Security and Privacy Research (SPQR)
Laboratory. He serves as codirector of the Medical Device Security Center
and director of the RFID Consortium on Security and Privacy. Prof. Fu is
a frequent visiting faculty member at Microsoft Research and Beth Israel
Deaconess Medical Center. He received three degrees from the Massachu-
setts Institute of Technology, including a PhD in electrical engineering and
computer science.
Susan Gardner, PhD, is the director of the Office of Surveillance and Bio-
metrics (OSB) in the Center for Devices and Radiological Health (CDRH)
of the Food and Drug Administration (FDA). She joined FDA in 1995 as
deputy director of OSB and became director in 2002. The responsibilities
of OSB include providing statistical support to CDRH, development of in-
novative statistical and epidemiologic techniques, design and oversight of
postmarket studies, postmarket problem signal detection through monitor-
ing of adverse events databases and other data sources, interpretation of
the Medical Device Reporting (MDR) regulation, and CDRH coordination
of data-management standards. Before joining FDA, Dr. Gardner was the
associate director of health studies at Westat, a social-science research firm.
After graduating from the Johns Hopkins School of Nursing, Dr. Gardner
attended Boston University, where she received a BA in sociology. She re-
ceived her PhD in medical sociology from Catholic University of America.
Ralph F. Hall, JD, serves as Distinguished Visiting Professor of Law at the
University of Minnesota Law School. He is also counsel to the Indianapolis,
Indiana, law firm of Baker & Daniels, where he counsels clients in drug
and medical-device regulation. He serves as CEO of MR3 Medical LLC, a
startup medical-device company. Before his association with the university,
Prof. Hall served in various capacities with Guidant Corporation, including
senior vice president and deputy general counsel for litigation and compli-
ance, general counsel of the Cardiac Rhythm Management group, special
counsel to the Guidant Board of Directors Compliance Committee, and
counsel to the Guidant chief compliance officer. Before joining Guidant,
he was with Eli Lilly, including serving as the head of Lilly’s worldwide
environmental law group. Prof. Hall received his BA from Indiana Univer-
sity in 1974 and his JD from the University of Michigan, where he was a
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68 THE FDA 510(k) CLEARANCE PROCESS
Weymouth Kirkland Scholar. Prof. Hall’s interests include Food and Drug
Administration regulation, negotiations and alternative dispute resolution,
intellectual-asset management, and the interface between corporate practice
and the academic world.
Larry Kessler, ScD, was appointed professor and chair of the Department
of Health Services at the University of Washington (UW) School of Public
Health in January 2009. The department also contains four centers; three
are concerned with different aspects of public-health research, and the
fourth is the Northwest Center for Public Health Practice. Before joining the
faculty at UW, he spent 30 years working for the federal government, first at
the National Institute of Mental Health, then at the National Cancer Insti-
tute, and most recently at the Food and Drug Administration (FDA) Center
for Devices and Radiological Health (CDRH). In September 2002, Dr.
Kessler was appointed director of the Office of Science and Technology of
CDRH. In that position, he directed the efforts of the laboratories of CDRH
and the Standards Coordination Program. The office became the Office of
Science and Engineering Laboratories (OSEL) in a reorganization effort
designed to improve integration into the function and mission of CDRH.
In June 1995, he first joined CDRH as the director of the Office of Surveil-
lance and Biometrics. From 1996 through 2001, he served as chair of Study
Group 2 of the Global Harmonization Task Force (GHTF), concentrating on
postmarket vigilance and surveillance. In 2007, Dr. Kessler became chair of
the GHTF for 1-1/2 years. In the period September 2001–August 2002, Dr.
Kessler took a position as a visiting scientist at the Fred Hutchinson Cancer
Research Center. From 1984 to June 1995, Dr. Kessler served as chief of
the Applied Research Branch at the National Cancer Institute (NCI). Dr.
Kessler has published over 100 peer-reviewed journal articles and numer-
ous book chapters and government reports. His research has concentrated
on applications of quantitative methods and health-services research to
problems in surveillance and public health. Dr. Kessler obtained his degree
in operations research from the Johns Hopkins School of Public Health in
1978 and received his ScD in the same year.
William H. Maisel, MD, MPH, is director of the Medical Device Safety
Institute, a nonprofit, industry-independent organization dedicated to im-
proving the safety of medical devices. He is also a practicing cardiologist at
Beth Israel Deaconess Medical Center and associate professor of medicine
at Harvard Medical School, both in Boston, MA. He has served as a con-
sultant to the Food and Drug Administration (FDA) Center for Devices and
Radiological Health since 2003 and previously chaired FDA’s Post Market
and Heart Device Advisory Panels. Dr. Maisel’s research interests involve the
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69
APPENDIX B
safe and effective use of medical devices, and he has published extensively
on medical-device safety and innovation and on consumer protection.
Frederick A. Masoudi, MD, MSPH, is a practicing cardiologist and director
of echocardiography at the Denver Health Medical Center. He received his
medical degree from the Johns Hopkins University School of Medicine and
served as a resident and chief resident in medicine at the University of Cali-
fornia, San Francisco. After completing his fellowship in cardiology and re-
ceiving a master of science in public health from the University of Colorado
Denver (UCD), Dr. Masoudi joined the UCD faculty; he is now an associate
professor. Dr. Masoudi is an expert in clinical registries and quality measure-
ment. He served for 2 years on the Research and Publications Committee
of the National Cardiovascular Data Registry (NCDR) Implantable Car-
dioverter Defibrillator (ICD) Registry. He is the senior medical officer and
chair of the NCDR Science Oversight Committee. He served as the clinical
coordinator of the National Heart Care Projects sponsored by the Centers
for Medicare and Medicaid Services (CMS) from 1999 to 2005 and is the
clinical coordinator of the CMS Hospital Measures Special Study for acute
myocardial infarction and heart failure. Dr. Masoudi has published more
than 100 peer-reviewed papers. His most recent research has focused pri-
marily on patterns of care and effectiveness of ICDs in community practice
in the multicenter Cardiovascular Research Network. Dr. Masoudi holds
positions in national organizations focused on quality of care and outcomes
research. He is the chair of the American College of Cardiology–American
Heart Association Task Force on Performance Measures, a member of the
American Society of Echocardiography Quality Task Force, and an associate
editor of Circulation: Cardiovascular Quality and Outcomes.
Eric D. Peterson, MD, MPH, FAHA, FACC, is a professor of medicine in
the Division of Cardiology of Duke University Medical Center. He is also
an associate director and director of cardiovascular research at the Duke
Clinical Research Institute. His formal research training includes an MPH
from Harvard University with emphasis in biostatistics, health economics,
and decision analysis. Dr. Peterson is a leader in quality research, with 480
peer-reviewed publications in the field. He is also the principal investiga-
tor for the National Institutes of Health–Agency for Healthcare Research
and Quality Duke Centers for Education and Research on Therapeutics,
the Society of Thoracic Surgeons National Cardiac Surgery Database, and
the Data Coordinating Center for the American College of Cardiology
(ACC) National Cardiovascular Data Registry (NCDR) and the American
Heart Association (AHA) Get With the Guidelines (GWTG) database. He
is also principal investigator and center director for one of the four AHA
Pharmaceutical Roundtable Outcomes Centers nationwide. Dr. Peterson
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70 THE FDA 510(k) CLEARANCE PROCESS
participates on multiple national committees, including the AHA Quality
of Care and Outcomes Research Interdisciplinary Working Group and the
AHA Strategic Planning Committee and the National Quality Forum Out-
patient Imaging Efficiency Project Steering Committee and the ACC–AHA
Performance Measures Task Force; the American College of Cardiology
Foundation Appropriateness Criteria Implementation Working Group;
the Department of Veterans Affairs Quality Enhancement Research Initia-
tive Executive Committee; the oversight board of the Massachusetts Data
Analysis Center; the National Quality Forum Technical Advisory Panel for
Priorities, Goals and a Measurement Framework: Efficiency and Episodes
of Care; the Institute of Medicine (IOM) Committee on Redesigning Insur-
ance Benefits, Provider Payments, and Accountability Programs to Promote
Quality of Health Care Delivery; and the IOM Committee on Secondhand
Smoke Exposure and Acute Coronary Events. Dr. Peterson is a member of
the American Society for Clinical Investigation Council. He received the
DukeMed Scholar Award in 2007. In April 2010, he became the Fred Cobb,
MD Distinguished Professor. He is also a contributing editor of the Journal
of the American Medical Association.
Rita F. Redberg, FACC, MD, MSc, graduated from Cornell University and
the University of Pennsylvania Medical School and received a master’s of
science and health policy and administration from the London School of
Economics. She is a professor of medicine in the Division of Cardiology of
the University of California, San Francisco School of Medicine. She is the ed-
itor of Archives of Internal Medicine. Dr. Redberg has had long experience
and training in health-policy and technology assessment. She served on the
Medicare Evidence, Development and Coverage Advisory Commission from
2003 to 2006. She is a member of the California Technology Assessment
Forum, the Medical Policy Technology and Advisory Committee, and the
Food and Drug Administration (FDA) Cardiovascular Devices Expert Panel
and is a consultant to the Center for Medical Technology for medical tech-
nology policy. She has recently completed an extensive review of the FDA
cardiovascular-device premarket approval process, which was published in
the Journal of the American Medical Association. In addition, Dr. Redberg
has gained extensive knowledge of health-care and health-care–financing
legislation through her experience in working with the Senate Judiciary
Committee as a Robert Wood Johnson Health Policy Fellow in 2003–2006.
In 2008, she was invited to speak at the Institute of Medicine (IOM) Evi-
dence Based Medicine Roundtable on Engineering a Learning Healthcare
System: A Look at the Future. Dr. Redberg is a member of the American
College of Cardiology (ACC) Clinical Quality Committee and serves on the
Quality in Technology Work Group. She does comparative-effectiveness
research and serves on the ACC Comparative Effectiveness Work Group
and several other ACC committees, including several on appropriate use of
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71
APPENDIX B
cardiac imaging. She is the ACC representative to the Institute of Clinical
and Economic Review Advisory Board.
Frederic S. Resnic, MD, received his undergraduate degree in electrical
engineering from Duke University and his MD from Mount Sinai School of
Medicine and completed his residency, cardiovascular fellowship, and inter-
ventional cardiology fellowship at Brigham and Women’s Hospital (BWH)
and Harvard Medical School. In addition, he has a master of science degree
in medical informatics from the Massachusetts Institute of Technology and
has completed a fellowship in medical informatics at BWH. In 2006, Dr.
Resnic was appointed the director of the BWH Cardiac Catheterization
Laboratory. His research interests have focused on the development of
informatics tools to monitor medical device and procedural safety, and he
leads a research program funded by the National Institutes of Health and
the Food and Drug Administration (FDA) to explore the automated sur-
veillance of medical-device safety in a network of Massachusetts hospitals.
In addition to his clinical and research work at BWH, Dr. Resnic serves as
a senior medical adviser for the Massachusetts Data Analysis Center and
the Massachusetts Department of Public Health. In 2007, Dr. Resnic was
appointed to the medical advisory panel for circulatory devices for FDA;
in 2008, he became the chairperson of the Quality Oversight Committee
for Massachusetts of the Massachusetts chapter of the American College of
Cardiology (ACC). Dr. Resnic was elected president of the Massachusetts
chapter of ACC in 2009.
Paul D. Varosy, MD, is the director of cardiac electrophysiology in the De-
partment of Veterans Affairs (VA) Eastern Colorado Health Care System
and assistant professor of medicine at the University of Colorado Denver.
He is a recipient of a research career development award from the VA Office
of Health Services Research and Development (HSR&D), evaluating real-
world outcomes in veterans who have implantable cardioverter defibrillators
(ICDs) and are enrolled in the VA National ICD Surveillance Center. He also
serves in national roles as a member of the Science and Publications Com-
mittee for the National Cardiovascular Data Registry ICD Registry and as a
member of the development team for the Safety of Atrial Fibrillation Abla-
tion Registry Initiative. As a member of VA’s Denver-based Cardiovascular
Assessment, Reporting, and Tracking (CART) program (the VA national
program under the leadership of John Rumsfeld, MD, PhD, by which all car-
diology procedures are documented in the VA system), Dr. Varosy is leading
the development of CART-EP, a new comprehensive VA-wide implantable
arrhythmia-device monitoring system spanning preimplantation evaluation,
documentation of the implantation procedure, in-clinic followup, and re-
mote monitoring followup for veterans who have pacemakers, implantable
defibrillators, and cardiac resynchronization therapy devices.
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