When an FSCA is Required
Definition (MedDO Art. 69)
A Field Safety Corrective Action (FSCA) is any action taken by a manufacturer to reduce a risk of death or serious deterioration in the state of health associated with the use of a medical device that is already made available on the market. FSCAs include:
- Device recall — return of a device to the manufacturer (or another party designated by the manufacturer)
- Device modification — including modification in the field, device exchange, or device destruction
- Device retrofit — a software or hardware update/upgrade to a device in use
- Safety advisory — communication advising users of a risk and recommending precautionary measures
- Restriction of use — limiting the intended use or the users of a device
When to Initiate an FSCA
An FSCA must be initiated when the manufacturer determines that a device on the market presents a risk of death or serious deterioration in health. This determination arises from:
- Analysis of a serious incident report
- Trend analysis indicating an unacceptable increase in non-serious incidents
- Design defect identified post-market
- Manufacturing defect affecting a batch or production run
- New clinical evidence indicating a previously unrecognised risk
Voluntary vs Regulatory-Ordered FSCA
Most FSCAs are initiated voluntarily by the manufacturer. Swissmedic may order an FSCA if the manufacturer fails to act on a risk that Swissmedic has identified through market surveillance or vigilance reporting.
Official Sources
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