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US FDA Medical Device Consultant &
510(k) Premarket Notification

As a premier medical device consultancy, we provide end-to-end USFDA (US FDA) market access support — from 510(k) and 510 k substantial equivalence strategy and predicate analysis to testing coordination, eSTAR dossier preparation, FDA submission, and deficiency response.

Boutique
Regulatory Consulting
Medical Devices
& IVD Expertise
Global Perspective,
Local Understanding
US FDA Medical Device Clearance, Establishment Registration & QMSR Compliance

Our US FDA Submission Approach

01

Assess

Evaluate device, intended use, classification, applicable pathway & documentation gaps

02

Strategize

Predicate strategy, testing strategy & regulatory roadmap

03

Test

Test planning & laboratory coordination

04

Prepare

eSTAR dossier & supporting technical documentation

05

Submit

FDA submission through CDRH Portal

06

Respond

Address FDA questions, deficiencies & additional information requests

07

Maintain

Post-clearance support, change assessment & lifecycle management

Comprehensive Expertise

Specialized US FDA Regulatory Solutions

End-to-end support across every phase of device classification, testing, clearance, and post-market compliance.

Product Classification & Regulatory Pathway Assessment

Before testing begins or a dossier is drafted, we establish the device's regulatory identity: classification, regulation number, product code, applicable controls, exemption status and likely premarket pathway. This early assessment prevents costly work from being built around the wrong FDA route.

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510(k) Premarket Notification Support

We structure the 510(k) around the substantial equivalence decision FDA must make. Classification, predicate eligibility, technological differences, evidence requirements and labeling are aligned before the eSTAR submission is built.

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Predicate & Substantial Equivalence Strategy

We evaluate whether a proposed predicate can withstand FDA's substantial equivalence analysis, then trace every meaningful technological difference into the evidence needed to support it.

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Testing Strategy & Laboratory Coordination

We design the testing plan backward from the FDA decision the evidence must support — challenging configuration, worst-case rationale, standards, acceptance criteria and whether the resulting data will actually answer the regulatory question.

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eSTAR Dossier Preparation

We treat eSTAR as the container for the regulatory argument — not as the strategy itself. The dossier is built only after pathway, predicate and evidence requirements are clear, then checked for cross-section consistency.

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FDA Q-Submission & Pre-Submission

We determine which uncertainties are worth taking to FDA, frame focused questions and provide enough technical context for FDA feedback to be actionable before major testing or submission decisions are locked.

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De Novo & PMA Support

For novel or higher-risk devices, we build the regulatory strategy around the evidence FDA will need to reach a classification or approval decision, integrating risk, controls, non-clinical evidence, clinical evidence and FDA interaction.

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FDA Additional Information & Deficiency Response

We deconstruct each FDA question to identify the underlying regulatory concern, trace it back through the submission and determine whether the real issue is evidence, study design, predicate logic, labeling, consistency or presentation.

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QMSR & FDA Inspection Preparation

We test whether the quality system can produce objective evidence when an FDA investigator follows a real transaction through the organization — not merely whether the required SOPs exist.

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US Agent Services

We provide US Agent representation as part of a broader regulatory interface — supporting FDA communication, registration coordination and escalation when the foreign manufacturer needs a reliable US regulatory contact.

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FDA Establishment Registration & Device Listing

We support initial registration, device listing and annual maintenance while checking that the administrative registration activity remains aligned with the device's actual regulatory status and market authorization pathway.

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Post-Clearance & Device Lifecycle Support

We assess the regulatory impact of device changes before implementation — focusing on whether the modification affects intended use, technological characteristics, safety, effectiveness, performance or the basis of the original clearance.

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Planning for Global Market Access

We plan regulatory evidence across target markets so common testing and technical documentation can be leveraged where scientifically and regulatorily appropriate, while market-specific gaps are identified early.

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Current FDA reference

FDA’s Quality Management System Regulation became effective on 2 February 2026 and incorporates ISO 13485:2016 by reference. The applicable premarket and postmarket requirements still depend on the device, establishment, and pathway.

FDA: Quality Management System Regulation

Why Manufacturers Choose
NKB Regovanta

  • Boutique regulatory consulting with senior level, hands-on support
  • Strategy before submission – not just dossier preparation
  • Medical Device & IVD expertise across all risk classes
  • End-to-end FDA support from strategy to clearance and beyond
  • Testing coordination with trusted laboratory network
  • Global perspective to support multi-market regulatory strategies

Ready to Enter the US Market?

Let our US FDA regulatory experts guide you through the right pathway with confidence.

Talk to a Regulatory Expert

2018

Experience Since

Regulatory & Quality Experience

350+

Completed

Regulatory & Quality Projects

21+

Supported

Global Clients

15+

Supported

International Countries

4

Focus Areas

Core Industries

Global

India Based

Connected Network of Experts