This guidance document describes the decision-making steps that we recommend you follow to determine whether a PMA supplement should be submitted when you intend to change the manufacturing site (including a change to the processing, packaging, or sterilization site) of your legally marketed PMA-approved device. This guidance also discusses general factors FDA intends to consider to determine whether a preapproval inspection is necessary before approval of the PMA supplement.
There is a great table that outlines the type of manufacturing site changes that FDA believes affect the device’s safety or effectiveness as well as the type of submission that should be submitted to FDA. Manufacturers are responsible for validating changes, as necessary, in accordance with the QS regulations, whether or not a PMA supplement is submitted.
Download the entire guidance here.