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6 Summary and Conclusions
Pages 69-70

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From page 69...
... A myriad of changes are occurring in the device development and approval process, including the use of computers, e-mail, teleconferencing and the internet; high- throughput screening, rational drug design, bioengineering and miniaturization; more concern about special populations, including children, the elderly, and women; and greater access to products at their investigational stage. The medical device life cycle is not a simple, linear progression from basic to applied research, to development, to marketing.
From page 70...
... The device industry must be more proactive in approaching HCFA early on in the process. There are a number of ways in which the regulatory process for devices is improving, including the use of advisory groups, either in public forums or in private sessions; streamlining the process, particularly with respect to secondand third-generation devices; expedited reviews for breakthrough, highly beneficial innovations; early interactions and consultations on new, high-impact products; reducing burdens on companies with an excellent track record; increased access, particularly for smaller companies; facilitating access to and coordination with NIH and HCFA; and better coordination within FDA with respect to combination products.


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