CDRH listed a Regulatory Reliance Portal for medical devices in its September 14 updates. The audience is other countries' regulators, not manufacturers. FDA defines reliance as the point where one authority takes into account and gives significant weight to an assessment another authority already performed.

The portal collects what FDA already publishes: PMA summaries, 510(k) clearance letters and summaries, De Novo classification orders, inspection records, registration and listing data, and post-market data from MAUDE and the recall database. It is aimed at authorities setting up a first reliance program as much as at ones already running one. Questions go to CDRHInternational@fda.hhs.gov.

None of this changes a US submission. It changes what the submission is worth abroad. The more of FDA's file a foreign reviewer can pull without asking the company for it, the more a clearance letter functions as the opening move in a market entry sequence rather than a single-country result.