Institutional Review Board

COMPASSIONATE USE OF A DEVICE WITH AN IDE


The compassionate use provision can be used when the following conditions apply: 

  1. You wish to use the unapproved device on a single patient; 
  2. The patient has a serious disease or condition for which the device is intended to treat; 
  3. The patient is unable to qualify for a clinical trial using the unapproved device; and,
  4. There is no comparable device or therapy.

The device may only be used during the clinical trial for which the device is being tested. 

Physician Responsibilities for Compassionate Use

1. 

The Physician must request approval from the Medical Developer of the device for non-emergency use under the company's IND. If the Medical Developer declines permission to use the device, the Physician cannot move forward. 

2.  

The Developer is responsible for submitting the IDE supplement to the FDA requesting approval for a protocol deviation. FDA Concurrence must be obtained prior to compassionate use.

3. 

The Physician should devise a schedule for patient monitoring that addresses the specific needs of the patient and detects any possible problems that may arise.

4. 

Prior to treatment, Physician should obtain Concurrence from the IRB Chair.

5.

Treating Physician should request an assessment by an Independent Physician not participating in the treatment.

6.

Physician must obtain informed consent from the individual receiving the device. The Non-Emergency Use of a Test Article Consent Form can be used if one is not provided by sponsor. 

7. 

Physician can proceed with treatment.

8. 

If problems arise during and after use of the device, report problems to the LSUHSC IRB and the Medical Developer.

9. 

Within 5 business days of use, the Physician should follow-up with the IRB by submitting the After Use section of the EATA application in Kuali.

10.

Physician must write a summary of the use of the device and provide it to the Medical Developer.

Resources

Non-Emergency Use of a Test Article Consent Form

FDA Forms, Templates, & Helpful Links 

 

  

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