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Extract to table / icgm-special-controls-memo.docx
icgm-special-controls-memo.docx · 1037-00002

Parties

Harkness LLP
Solstice Biomedical Devices Ltd
Solstice Biomedical Inc
Meridian Conformity Assessment GmbH
Pinnacle Regulatory Consulting Group LLC
NovaSense Medical Technologies Inc
Whitmore Laboratories Inc
Veltrano Clinical Research Organization Inc

Dates

May 2, 2025
August 14, 2025
June 16, 2025
June 2, 2025
November 14, 2019
September 12, 2024
June 18, 2022
March 7, 2024
August 31, 2025
September 15, 2025

Amounts

$1.24
$485,000
$4,200,000
$12,000

Obligations

The special controls establish the performance, design, clinical evidence, labeling, software, cybersecurity, and quality system requirements that an iCGM device must satisfy in order to provide reasonable assurance of safety and effectiveness
First, it describes the analytical accuracy performance criteria that iCGM devices must meet, including the overall MARD threshold, point accuracy requirements, and glucose range-specific performance benchmarks
Third, the guidance describes the data output requirements for interoperability, specifying the format and content of glucose data that an iCGM must provide to secondary devices
This threshold reflects FDA's assessment that CGM data used to drive automated insulin dosing decisions must meet a higher accuracy standard than CGM data used solely for informational purposes
Achieving this target will be critical to iCGM classification, and Solstice should be aware that the MARD target is not simply a mean performance goal but must be demonstrated with statistical rigor across the full measurement range and across the full sensor wear duration
In addition, MARD performance must be maintained across the full fourteen (14)-day sensor wear duration (336 hours) of the Lumina C14 sensor