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CATEGORY: REGULATORY PATHWAYS
Compassionate Use / Expanded Access
A pathway allowing patients access to investigational medical devices outside of clinical trials when no comparable approved device exists and the patient has a serious condition. In the US, managed through FDA Emergency Use Authorization or Expanded Access.
Last reviewed 2026-08-05 · Reviewed by MedFlux Editorial Board · Editorial policy
WHEN IT APPLIES
Compassionate use / expanded access pathways allow patients with serious conditions access to investigational devices outside clinical trials when criteria are met (FDA expanded access; similar national mechanisms elsewhere).
PROCESS / STEPS
- Confirm patient eligibility and lack of satisfactory alternatives.
- Obtain required FDA/IRB (or national) authorizations and informed consent.
- Manufacture and label under investigational controls.
- Report outcomes and adverse events as required; do not use as a marketing substitute.
EXAMPLES
- FDA expanded access for devices may proceed via IDE supplemental pathways for individual patients or intermediate groups.
RELATED GUIDES & TOOLS
SOURCES
Track regulatory signals related to Compassionate Use / Expanded Access across 27 authorities in real time.
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