Results 1 to 14 of 14

Thread: FDA Approval

Hybrid View

Previous Post Previous Post   Next Post Next Post
  1. #1
    Join Date
    Sep 2011
    Posts
    317

    FDA Approval

    I thought the FDA was analogous to NICE in UK.

    However I have read that the FDA does not actually approve surgical procedure but only the 'devices' used in such procedures.


    I think NICE actually approves the surgery also.

    Can anyone clarify for me?

  2. #2
    Join Date
    May 2008
    Location
    reno,nevada
    Posts
    3,678
    Burdle, The FDA will approve of something like Infuse kits (BMP), but only if trained in its usage, and particular procedure. If used in any other procedure that's not recommended or approved, its considered "off label". Surgeons are allowed to do "off label" procedures before the FDA gives a green light. (Tethering is a good example)(Magec is a good example) Surgeons need to be trusted that they are doing what they feel will benefit a patient, should something go wrong and end up in a courtroom, its mainly about intent. I signed a few waivers stating that I was informed of discussed complications of my procedure.

    So, a product approved with stipulations, but no control over its usage. BMP is approved for ALIF surgery only in scoliosis surgery. Not for posterior procedures.

    Its a good idea to know if you are having an off label procedure.

    Agreements and confidentiality between MHRA -FDA
    https://www.fda.gov/InternationalPro.../ucm100084.htm

    Its a mountain of material.

    Ed
    49 yr old male, now 59, the new 55...
    Pre surgery curves C12,T70,L70
    ALIF/PLIF T2-Pelvis 01/29/08, 01/31/08 7" pelvic anchors BMP
    Dr Brett Menmuir St Marys Hospital Reno,Nevada

    Bending and twisting pics after full fusion
    http://www.scoliosis.org/forum/showt...on.&highlight=

    My x-rays
    http://www.scoliosis.org/forum/attac...2&d=1228779214

    http://www.scoliosis.org/forum/attac...3&d=1228779258

  3. #3
    Join Date
    Sep 2011
    Posts
    317
    Thanks Ed,

    In UK we have NATIONAL INSTITUTE OF CLINICAL EXCELLENCE. But this body 'regulates' procedures. The remit is are they 'cost effective'- it is a different perspective

    I guess from an FDA point of view you cant do a procedure if there are no devices that have been approved for it ( notwithstanding 'off-label). In UK Tethering is not on the table because of NICE but it is the procedure itself. However if/when it is approved it will have to be with the use of certain devices. I need to find out how devices get approved in UK

  4. #4
    Join Date
    Sep 2011
    Posts
    317
    Quote Originally Posted by titaniumed View Post
    Burdle, The FDA will approve of something like Infuse kits (BMP), but only if trained in its usage, and particular procedure. If used in any other procedure that's not recommended or approved, its considered "off label". Surgeons are allowed to do "off label" procedures before the FDA gives a green light. (Tethering is a good example)(Magec is a good example) Surgeons need to be trusted that they are doing what they feel will benefit a patient, should something go wrong and end up in a courtroom, its mainly about intent. I signed a few waivers stating that I was informed of discussed complications of my procedure.

    So, a product approved with stipulations, but no control over its usage. BMP is approved for ALIF surgery only in scoliosis surgery. Not for posterior procedures.

    Its a good idea to know if you are having an off label procedure.

    Agreements and confidentiality between MHRA -FDA
    https://www.fda.gov/InternationalPro.../ucm100084.htm

    Its a mountain of material.

    Ed
    I have resurrected this because I am unclear still - does a procedure have to be approved by the FDA as well? Can you have a procedure approved like VBT with the actual device being off-label? If so what difference would it make for the device to become approved?

  5. #5
    Join Date
    May 2008
    Location
    reno,nevada
    Posts
    3,678
    Burdle, The articles below should help explain

    https://www.shahfacialplastics.com/a...e-fda-approved

    SRS VBT in peds and adults
    https://www.srs.org/about-srs/qualit...inal-deformity

    Any use of tethers in the US is considered experimental. There is no data confirming safety in adults.

    They mention a paucity or scarcity of information.

    I have 2 long posts written for you on the other webinar thread since you present a good argument about gold standard. But I am still sick with the flu, and I keep thinking about a pin head of virus being able to make 20,000 people sick.

    But I don't have any pins in the house. (smiley face)


    Ed
    49 yr old male, now 59, the new 55...
    Pre surgery curves C12,T70,L70
    ALIF/PLIF T2-Pelvis 01/29/08, 01/31/08 7" pelvic anchors BMP
    Dr Brett Menmuir St Marys Hospital Reno,Nevada

    Bending and twisting pics after full fusion
    http://www.scoliosis.org/forum/showt...on.&highlight=

    My x-rays
    http://www.scoliosis.org/forum/attac...2&d=1228779214

    http://www.scoliosis.org/forum/attac...3&d=1228779258

  6. #6
    Join Date
    Sep 2011
    Posts
    317
    Feel better soon - flu is horrid when you have orthopaedic issues

  7. #7
    Join Date
    Sep 2003
    Location
    Northern California
    Posts
    6,883
    A tethering patient was on Good Morning America today.

    http://abcnews.go.com/GMA/Culture/da...ry?id=53273524
    Never argue with an idiot. They always drag you down to their level, and then they beat you with experience. --Twain
    ---------------------------------------------------------------------------------------------------------------------------------------------------
    Surgery 2/10/93 A/P fusion T4-L3
    Surgery 1/20/11 A/P fusion L2-sacrum w/pelvic fixation

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •