FDA MedTech Regulatory Update 2026

  • Get up to speed on current FDA expectations
  • Plan your 2027 U.S. activities
  • Stay ahead on emerging topics like AI/ML and cybersecurity
  • Officially certified according to ISO 9001 and ISO 21001
FDA MedTech Regulatory Update 2026

Online-Seminar

From 1.290,00 € plus VAT
Services & Process

Booking details

Online-Seminar

From 1.290,00 € plus VAT
Services & Process

Get a compact update on key FDA requirements for medical devices in 2026 and practical guidance for your U.S. planning in 2027. The seminar covers regulatory pathways, FDA interaction, QMSR, clinical data, postmarket surveillance, AI / ML, PCCP and cybersecurity, always with a practical MDR-to-FDA perspective for European manufacturers.

Your speakers

Christoph Kiesselbach

Christoph Kiesselbach

Schrack & Partner
Reutlingen,
Germany

Consultant and Partner;
Mr Kiesselbach has been a consultant at Schrack & Partner for quality management, technical documentation and approval of medical devices…

Diego Sanoja GarcĂ­a

Diego Sanoja GarcĂ­a

Asphalion S.L.; Madrid, SPAIN

Manager, MedTech (Medical Devices)
Diego Sanoja GarcĂ­a is a Biomedical Engineer specialising in regulatory affairs and quality for the MedTech sector. He completed his…

What to Expect

  • FDA requirements for medical devices and key differences from MDR
  • Regulatory pathways, submissions and FDA interaction
  • QMSR, clinical evidence and inspection readiness
  • Postmarket surveillance, recalls and safety signals
  • AI / ML, PCCP and cybersecurity for device software

Who Should Attend

This seminar is intended for professionals from the medical device industry who are involved in regulatory, quality, clinical or market access activities with a U.S. focus.
It is particularly relevant for those working in:

  • Regulatory Affairs
  • Quality Management
  • Clinical Affairs
  • Postmarket Surveillance
  • Market Access
  • Project Management for U.S. submissions

Participants should already have a basic understanding of medical device regulation, ideally in the context of the European MDR. Initial involvement in U.S. projects or planned FDA submissions is helpful but not required.

Objective of the Event

This seminar gives you a concise and practice-oriented update on current FDA requirements for medical devices and on regulatory developments that are relevant for planning U.S. activities in 2027.

It covers key submission pathways, FDA interaction, first practical experience with QMSR, clinical and postmarket requirements and current topics such as Breakthrough Devices, TAP, AI / ML, PCCP and cybersecurity. The seminar also provides practical orientation on planning issues including user fees, submission timelines, registration and listing, and the coordination of important U.S. roles and responsibilities.

Your Benefit

  • Understand the FDA system from a European MDR perspective
  • Identify the right regulatory pathway and avoid common submission pitfalls
  • Assess current expectations regarding QMSR, clinical evidence and FDA interaction
  • Strengthen your planning for postmarket surveillance, user fees and operational responsibilities
  • Gain practical orientation on AI / ML, PCCP and cybersecurity requirements for device software

Programme

09:00 - 17:00 CET

09:00

Welcome
  • Participants' expectations and current U.S. projects

09:15

The FDA system from an MDR perspective
Christoph Kiesselbach
  • Roles: manufacturer, U.S. Agent, importer
  • Device classification and regulatory pathway
  • 510(k), De Novo and PMA pathways
  • eSTAR and common pitfalls
  • Leveraging your MDR setup

10:15

Pre-Submission and FDA interaction
Christoph Kiesselbach
  • Q-Sub as a planning tool for EU manufacturers
  • Avoiding Refuse to Accept decisions
  • Strategic FDA interaction

11:00

Coffee break

11:15

QMSR in practice: first lessons since February 2026
Christoph Kiesselbach
  • What QMSR / ISO 13485 has changed
  • Typical weak points: design controls, documentation, CAPA
  • Inspection process, expectations and typical weak points

12:00

Lunch break

13:00

Clinical data for the FDA
Diego Sanoja GarcĂ­a
  • Good Clinical Practice for devices: 21 CFR Part 812 (IDE), Part 50 (informed consent), Part 56 (IRB) and Part 54 (financial disclosure); alignment with ISO 14155 and ICH E6(R3); data integrity and ALCOA+ expectations
  • Investigational Device Exemption (IDE): significant-risk versus non-significant-risk determination, the IDE application and approval route for SR studies, abbreviated requirements for NSR studies, and IRB oversight
  • When U.S. clinical data is expected: evidence needs across PMA versus 510(k) and De Novo, agreeing endpoints and study design early through the Q-Sub / Pre-Submission program, and U.S. site and IRB considerations
  • Using EU (MDR) and other OUS data for FDA: acceptance criteria under 21 CFR 812.28 (GCP conformance, applicability to the U.S. population and medical practice, and FDA ability to inspect), leveraging ISO 14155 investigations, and gap analysis between MDR clinical evidence (CER and PMCF) and FDA expectations

13:50

Postmarket surveillance: MAUDE, recalls and safety signals
Diego Sanoja GarcĂ­a
  • Mandatory reporting under 21 CFR Part 803 (deaths, serious injuries and malfunctions) and how these events populate the MAUDE database
  • Using MAUDE for risk management input, postmarket surveillance and competitive intelligence
  • Data quality limitations: underreporting, duplicate and narrative-only entries and missing denominators, and how to interpret signals responsibly
  • Recalls under 21 CFR Part 806 (corrections and removals) and safety communications: how recalls and safety signals drive CAPA and risk-management updates (ISO 14971)
  • Connecting U.S. postmarket work with EU obligations so one global system feeds both MAUDE and MDR PMS / PMCF and vigilance (EUDAMED)

14:30

Coffee break

14:45

Planning for 2027: user fees and operational risk
Diego Sanoja GarcĂ­a
  • MDUFA V through 30 September 2027: annual fee updates and what to budget for FY2026 and FY2027 submissions
  • Small Business Determination to reduce fees, and timing the request before submission
  • MDUFA VI on the horizon: negotiations restarted in 2026 and potential changes to programs such as TAP
  • Realistic submission planning: Refuse to Accept and review clocks, Additional Information (deficiency) holds, and sequencing
  • Operational coordination: FDA establishment registration and device listing, the U.S. Agent and initial importer roles, and aligning distribution partners

15:15

Breakthrough Devices and TAP
Diego Sanoja GarcĂ­a
  • Breakthrough Devices Program: eligibility for devices that address life-threatening or irreversibly debilitating conditions with unmet need, and the benefits of interactive and priority review with senior FDA engagement
  • TAP (Total Product Life Cycle Advisory Program): launched in 2023 under MDUFA V, voluntary, for Breakthrough and STeP devices, with a dedicated TAP advisor and early, frequent, strategic engagement including payers and clinicians
  • Current status: phased expansion through FY2027 (up to 325 devices), new review divisions added in 2026 including in vitro diagnostics, the RAPID coverage pathway with CMS for Medicare beneficiaries, and TAP's future under MDUFA VI
  • Strategic fit and practical use for EU manufacturers entering the U.S.

16:00

Software as a Medical Device: AI/ML, PCCP and cybersecurity
Diego Sanoja GarcĂ­a
  • SaMD scope and the boundary to general wellness software, the IMDRF risk framework, and clinical decision support considerations
  • AI/ML-enabled device software functions and the Predetermined Change Control Plan (PCCP): FDA final guidance (December 2024) and the three PCCP elements (Description of Modifications, Modification Protocol and Impact Assessment), staying within intended use, with implementation under the quality system
  • Good Machine Learning Practice and transparency: bias management, data representativeness and real-world performance monitoring
  • Cybersecurity as a premarket requirement (Section 524B FD&C Act): Secure Product Development Framework, threat modeling and SBOM, integrated into the QMSR / ISO 13485 quality system per the updated February 2026 FDA cybersecurity guidance

16:50

Wrap-up, key takeaways and open Q&A

17:00

End of the seminar
09:00

Welcome

  • Participants' expectations and current U.S. projects
09:15

The FDA system from an MDR perspective

Christoph Kiesselbach

  • Roles: manufacturer, U.S. Agent, importer
  • Device classification and regulatory pathway
  • 510(k), De Novo and PMA pathways
  • eSTAR and common pitfalls
  • Leveraging your MDR setup
10:15

Pre-Submission and FDA interaction

Christoph Kiesselbach

  • Q-Sub as a planning tool for EU manufacturers
  • Avoiding Refuse to Accept decisions
  • Strategic FDA interaction
11:00

Coffee break

11:15

QMSR in practice: first lessons since February 2026

Christoph Kiesselbach

  • What QMSR / ISO 13485 has changed
  • Typical weak points: design controls, documentation, CAPA
  • Inspection process, expectations and typical weak points
12:00

Lunch break

13:00

Clinical data for the FDA

Diego Sanoja GarcĂ­a

  • Good Clinical Practice for devices: 21 CFR Part 812 (IDE), Part 50 (informed consent), Part 56 (IRB) and Part 54 (financial disclosure); alignment with ISO 14155 and ICH E6(R3); data integrity and ALCOA+ expectations
  • Investigational Device Exemption (IDE): significant-risk versus non-significant-risk determination, the IDE application and approval route for SR studies, abbreviated requirements for NSR studies, and IRB oversight
  • When U.S. clinical data is expected: evidence needs across PMA versus 510(k) and De Novo, agreeing endpoints and study design early through the Q-Sub / Pre-Submission program, and U.S. site and IRB considerations
  • Using EU (MDR) and other OUS data for FDA: acceptance criteria under 21 CFR 812.28 (GCP conformance, applicability to the U.S. population and medical practice, and FDA ability to inspect), leveraging ISO 14155 investigations, and gap analysis between MDR clinical evidence (CER and PMCF) and FDA expectations
13:50

Postmarket surveillance: MAUDE, recalls and safety signals

Diego Sanoja GarcĂ­a

  • Mandatory reporting under 21 CFR Part 803 (deaths, serious injuries and malfunctions) and how these events populate the MAUDE database
  • Using MAUDE for risk management input, postmarket surveillance and competitive intelligence
  • Data quality limitations: underreporting, duplicate and narrative-only entries and missing denominators, and how to interpret signals responsibly
  • Recalls under 21 CFR Part 806 (corrections and removals) and safety communications: how recalls and safety signals drive CAPA and risk-management updates (ISO 14971)
  • Connecting U.S. postmarket work with EU obligations so one global system feeds both MAUDE and MDR PMS / PMCF and vigilance (EUDAMED)
14:30

Coffee break

14:45

Planning for 2027: user fees and operational risk

Diego Sanoja GarcĂ­a

  • MDUFA V through 30 September 2027: annual fee updates and what to budget for FY2026 and FY2027 submissions
  • Small Business Determination to reduce fees, and timing the request before submission
  • MDUFA VI on the horizon: negotiations restarted in 2026 and potential changes to programs such as TAP
  • Realistic submission planning: Refuse to Accept and review clocks, Additional Information (deficiency) holds, and sequencing
  • Operational coordination: FDA establishment registration and device listing, the U.S. Agent and initial importer roles, and aligning distribution partners
15:15

Breakthrough Devices and TAP

Diego Sanoja GarcĂ­a

  • Breakthrough Devices Program: eligibility for devices that address life-threatening or irreversibly debilitating conditions with unmet need, and the benefits of interactive and priority review with senior FDA engagement
  • TAP (Total Product Life Cycle Advisory Program): launched in 2023 under MDUFA V, voluntary, for Breakthrough and STeP devices, with a dedicated TAP advisor and early, frequent, strategic engagement including payers and clinicians
  • Current status: phased expansion through FY2027 (up to 325 devices), new review divisions added in 2026 including in vitro diagnostics, the RAPID coverage pathway with CMS for Medicare beneficiaries, and TAP's future under MDUFA VI
  • Strategic fit and practical use for EU manufacturers entering the U.S.
16:00

Software as a Medical Device: AI/ML, PCCP and cybersecurity

Diego Sanoja GarcĂ­a

  • SaMD scope and the boundary to general wellness software, the IMDRF risk framework, and clinical decision support considerations
  • AI/ML-enabled device software functions and the Predetermined Change Control Plan (PCCP): FDA final guidance (December 2024) and the three PCCP elements (Description of Modifications, Modification Protocol and Impact Assessment), staying within intended use, with implementation under the quality system
  • Good Machine Learning Practice and transparency: bias management, data representativeness and real-world performance monitoring
  • Cybersecurity as a premarket requirement (Section 524B FD&C Act): Secure Product Development Framework, threat modeling and SBOM, integrated into the QMSR / ISO 13485 quality system per the updated February 2026 FDA cybersecurity guidance
16:50

Wrap-up, key takeaways and open Q&A

17:00

End of the seminar

Downloads

Request the documents using our form.

Prospekt

Brochure

Abbreviation List: Medical Devices

Further Informations


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Verena Planitz

Verena Planitz
Conference Manager
+49 6221 500-655
v.planitz@forum-institut.de