Regulatory pathway navigation for healthcare products

FDA, MDR, CMS, and ONC pathway work for medical-device companies, ISVs, payers, hospitals, ministries, and founders. Run by people who have filed the submission.

Outcomes

Submissions that cleared, and timelines that held

Outcomes from the FDA, MDR, CMS, and ONC pathways the Life Value team has run, and the ones currently in review.

6 to 12 weeks

Intensive pre-submission work, then standby through review.

510(k), De Novo, PMA

FDA SaMD pathways filed across the Life Value portfolio.

May 2027

MDR transition deadline our medical-device buyers are working against.

technologies

Built with the right tech stack for Healthcare

React
Angular
Vue.js
Ruby on Rails
Python
React Native
Flutter
iOS
Android
React
Angular
Vue.js
Ruby on Rails
Python
React Native
Flutter
iOS
Android
React
Angular
Vue.js
Ruby on Rails
Python
React Native
Flutter
iOS
Android

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Talk to a product strategist. No pressure. Just clarity.

FAQ’s

Frequently Asked Questions

We’ve answered the questions we hear most from healthcare teams, founders, and partners. Don’t see yours? Reach out: we’re here to help.

Which FDA pathway does our SaMD actually fit, and how do we prove it?

The pathway is set by intended use, indication, and risk class, not by the marketing claim. A wellness claim stays outside FDA. A diagnostic or therapeutic claim is a medical device. Class II with a predicate maps to 510(k). No predicate but moderate risk maps to De Novo. High-risk life-supporting AI maps to PMA. We write the pathway memo with the predicate analysis, the class justification, and the pre-submission meeting question set the FDA reviewer will actually engage with.

How does the MDR May 2027 transition change our notified body plan?

Medical-device companies still on legacy MDD certificates need a notified body slot, a Class IIa, IIb, or III technical file rebuild, and a Quality Management System aligned to ISO 13485 before the deadline. Notified body capacity is the binding constraint, not the technical file. We help shortlist notified bodies by class and product code, prepare the application, and run the technical file gap analysis against MDR Annex II so the review cycle does not restart.

What does CMS reimbursement strategy look like alongside the FDA submission?

FDA clearance is permission to market. CMS coverage is permission to get paid. The two run in parallel. NTAP applications need clinical evidence and a cost case ready inside the FDA review window. A new CPT or HCPCS code set submission runs on the AMA or CMS calendar. MUE and coverage determinations sit with the MACs. We map the FDA milestones against the CMS submission windows so the launch is not stranded without reimbursement.

What does the Quality Management System gap analysis actually cover?

FDA QSR under 21 CFR Part 820 is converging with ISO 13485 under the Quality Management System Regulation final rule. For an EU and US dual submission, ISO 13485 with the US-specific additions covers both. The gap analysis reviews design controls, risk management against ISO 14971, software lifecycle against IEC 62304, cybersecurity against the FDA premarket guidance, and post-market surveillance. The output is a remediation plan with owners and dates, not a checklist.

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