TY - JOUR T1 - FDa recalls not as alarming as they seem—reply AU - Zuckerman DM, Brown P, Nissen SE Y1 - 2011/06/13 N1 - 10.1001/archinternmed.2011.243 JO - Archives of Internal Medicine SP - 1044 EP - 1046 VL - 171 IS - 11 N2 - Current law requires the FDA to use their more rigorous review, the PMA process, if a medical device is life sustaining or otherwise high risk.1 The 510(k) process is intended for devices that are lower or moderate risk.1 We pointed out that if a medical device can severely injure or kill patients when it fails, then it is not a low- or moderate-risk device and should have been approved through the PMA process. Unfortunately, the FDA designates many new devices as moderate risk and clears them through the 510(k) process but later recalls the devices after they kill or seriously injure patients. Most high-risk recalls are caused by predictable problems (such as implant breakage, deterioration, or manufacturing defects); therefore, there should be few high-risk recalls among devices that are truly low or moderate risk. SN - 0003-9926 M3 - doi: 10.1001/archinternmed.2011.243 UR - http://dx.doi.org/10.1001/archinternmed.2011.243 ER -