[Code of Federal Regulations] [Title 21, Volume 8] [Revised as of April 1, 2008] From the U.S. Government Printing Office via GPO Access [CITE: 21CFR814.100] [Page 139-140] TITLE 21--FOOD AND DRUGS CHAPTER I--FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) PART 814_PREMARKET APPROVAL OF MEDICAL DEVICES--Table of Contents Subpart H_Humanitarian Use Devices Sec. 814.100 Purpose and scope. Source: 61 FR 33244, June 26, 1996, unless otherwise noted. (a) This subpart H implements section 520(m) of the act. The purpose of section 520(m) is, to the extent consistent with the protection of the public health and safety and with ethical standards, to encourage the discovery and use of devices intended to benefit patients in the treatment or diagnosis of diseases or conditions that affect or are manifested in fewer than 4,000 individuals in the United States per year. This subpart provides procedures for obtaining: (1) HUD designation of a medical device; and (2) Marketing approval for the HUD notwithstanding the absence of reasonable assurance of effectiveness that would otherwise be required under sections 514 and 515 of the act. (b) Although a HUD may also have uses that differ from the humanitarian use, applicants seeking approval of any non-HUD use shall submit a PMA as required under Sec. 814.20, or a premarket [[Page 140]] notification as required under part 807 of this chapter. (c) Obtaining marketing approval for a HUD involves two steps: (1) Obtaining designation of the device as a HUD from FDA's Office of Orphan Products Development, and (2) Submitting an HDE to the Office of Device Evaluation (ODE), Center for Devices and Radiological Health (CDRH). (d) A person granted an exemption under section 520(m) of the act shall submit periodic reports as described in Sec. 814.126(b). (e) FDA may suspend or withdraw approval of an HDE after providing notice and an opportunity for an informal hearing. [61 FR 33244, June 26, 1996, as amended at 63 FR 59220, Nov. 3, 1998]