FDA · ISO 13485 · QMSR · EU IVDR

IVD & Medical Device Regulatory Consulting

Regulatory Affairs, Clinical Affairs, and Quality Assurance services for early-stage and established In Vitro Diagnostic (IVD) and medical device companies — from concept to commercialization.

General regulatory filings & consulting

Regulatory strategy backed by a working clinical laboratory

We offer regulatory consulting and assistance for FDA and IVD compliance. Our team of scientists, biostatisticians, medical writers, project managers, clinical managers, and regulatory strategy experts navigate these pathways daily.

Supported by an in-house team and an integrated CLIA-, GCP-, and GLP-compliant clinical laboratory, data management and regulatory submission become a simplified process for your medical products. From concept to commercialization, or for discrete projects in between, we provide the diagnostic and regulatory support to complete your project promptly.

Regulatory roadmap

Which FDA pathway fits your device?

Three questions shape your U.S. regulatory strategy: how your device is classified, which premarket pathway that requires, and when to engage FDA.

1

Classify your device

FDA has classified about 1,700 generic device types across 16 medical specialty panels, each assigned to Class I, II, or III by the level of control needed.

2

Choose your pathway

Your class — and whether a suitable predicate exists — determines whether you need a 510(k), a De Novo request, a PMA, or no premarket submission.

3

Engage FDA early

A Pre-Submission (Q-Sub) gets FDA feedback before you file. A 513(g) request asks FDA how it would classify and regulate your device.

From device class to premarket pathway

Each class carries its own controls and submission requirements.

Lowest risk

Class I

Controls

General Controls

Premarket

Most Class I devices are exempt from 510(k); those that are not exempt require a 510(k).

Moderate risk

Class II

Controls

General Controls and Special Controls

Premarket

Most require a 510(k) demonstrating substantial equivalence to a legally marketed predicate; some are exempt.

No predicate? Consider De Novo

Novel low-to-moderate-risk devices with no legally marketed predicate can request De Novo classification into Class I or II — creating a new device type that later products can use as a predicate.

Running a single-lab LDT?

With FDA’s LDT rule vacated in 2025 and rescinded, tests developed and performed within a single CLIA-certified laboratory are governed by CLIA rather than FDA premarket review. See our Clinical Laboratory Consulting →

Classification and pathway decisions are device-specific. We confirm the current FDA requirements for your product at the start of every engagement. Sources: FDA, Classify Your Medical Device; FDA, Premarket Submissions.

Analytical performance studies

Design and run the studies your submission needs

Most 510(k), De Novo, and PMA submissions for IVDs rest on analytical performance data. We design the studies, run them in our CLIA-certified, CAP-accredited laboratory or at your site, and deliver reports ready to go into your submission.

1

Design

Protocols aligned to CLSI guidelines and FDA guidance, with acceptance criteria, sample sizes, and specimen sourcing — ideally confirmed with FDA in a Pre-Submission.

2

Execute

Studies run under protocol at PacificDx, our CLIA-certified, CAP-accredited laboratory, or by our team at your site — with documented deviations and full data traceability.

3

Report

Statistical analysis and study reports written in the format reviewers expect, ready to drop into your submission.

Studies we design and run

The exact set depends on your technology, specimen types, and intended-use claims.

Precision & reproducibility

Repeatability, within-laboratory precision, and multi-site reproducibility (CLSI EP05, EP15).

Detection capability

Limit of blank, limit of detection, and limit of quantitation (CLSI EP17).

Linearity & measuring interval

Linearity and reportable range across the claimed measuring interval (CLSI EP06).

Analytical specificity

Interference from endogenous and exogenous substances, and cross-reactivity (CLSI EP07, EP37).

Stability

Specimen, reagent, and calibrator stability, including shipping and freeze-thaw (CLSI EP25).

Method comparison

Agreement with a predicate or reference method, plus carryover and reference intervals (CLSI EP09, EP28).

CLSI: Clinical and Laboratory Standards Institute. Many CLSI guidelines are FDA-recognized consensus standards.

Need an analytical study plan for your submission?

Start a discussion

Regulatory, quality & clinical services

Support at every stage of your product’s lifecycle

From the first conversation with FDA to the marketing submission and beyond, we develop, write, and review the documents and systems your product needs.

Plan

Regulatory strategy & pathway

  • Regulatory strategy and pathway determination
  • Device classification
  • 513(g) requests for information
  • Comprehensive IVD development, end-to-end implementation
  • Facilitation of activities with domestic and international regulatory authorities

Plan

FDA meeting preparation

  • Initial interactions with FDA
  • Preparation for Q-Sub Pre-Submission meetings
  • Presentations for FDA meetings
  • Advisory Panel meeting preparation
  • Advice on regulatory options and potential pathways

Submit

FDA submissions

  • Pre-Submissions
  • 510(k), De Novo, and PMA
  • IDE, IND, and BLA
  • Breakthrough Device designations
  • Reports for PMAs and IDEs
  • Briefing packages, presentations, and executive summaries
  • Third-party review by Accredited Persons

Build

Quality systems & audits

  • 21 CFR Part 820 (QMSR) compliance
  • QSR-to-QMSR transition gap assessments
  • ISO 13485 manufacturing
  • ISO 15189 laboratory
  • ISO 14971 risk management
  • External compliance and pre-inspection audits

Build

Technical documentation

  • Technical File and Design Dossier preparation and maintenance
  • Design and development files and design controls
  • Documentation development and review
  • Software documentation
  • Product labeling

Sustain

Compliance & global markets

  • Facility registration
  • Warning Letter mitigation
  • Compliance auditing and consulting
  • EU MDR / IVDR, Health Canada CMDR, Australian TGA, Japan MHLW Ordinance 169
  • On-site consulting for product development projects

Supported by our integrated CLIA-, GCP-, and GLP-compliant clinical laboratory and in-house scientific, biostatistics, and medical writing teams.

Program support

Nonclinical, clinical, and commercial

Nonclinical program support

Reduce short- and long-term costs through a robust nonclinical program, with support in methodology and strategy, study design, development, and accountability for program execution.

Clinical program support

Move your product efficiently and successfully through the clinic using a customized clinical design solution.

Commercial

Maximize the potential of your program throughout development and the commercial lifecycle with strategic insights that position your product for success.

Ways to engage

Start where you need us

Bring us in for a single, well-defined project or for end-to-end support from concept to commercialization.

Regulatory Strategy Assessment

A review of your device, intended use, and existing data to determine classification and the most efficient U.S. pathway.

Best for: early-stage teams planning development.

Pre-Submission (Q-Sub) Support

Pre-Sub package development, meeting preparation, and presentations to get actionable FDA feedback before you file.

Best for: novel tests or open questions about data requirements.

Submission Development

Writing, compiling, and reviewing 510(k), De Novo, or PMA submissions, plus IDE and supporting reports.

Best for: teams with data in hand and ready to file.

QMS Gap Assessment & Audit

External compliance and pre-inspection audits against 21 CFR Part 820 (QMSR) and ISO 13485, including QSR-to-QMSR transition gaps, with a prioritized remediation plan.

Best for: manufacturers preparing for FDA inspection or ISO certification.

Technical Documentation

Technical File, Design Dossier, and design and development file preparation and maintenance, including software documentation and labeling.

Best for: global submissions or design-control remediation.

Received an FDA Warning Letter?

Warning Letter responses run on deadlines. Contact us as soon as you receive one so we can help you plan a complete, on-time response.

From concept to commercialization.

For over 15 years, we have helped In Vitro Diagnostic and medical device companies achieve their regulatory goals. Tell us where your product is today.