Label review

FDA Device Label Review

Your labeling, checked against 21 CFR Part 801 before you print.

Label artwork, carton artwork and the instructions for use, read against the requirements and against the clearance you actually hold. You receive a marked-up version showing what complies and what does not.

Before it goes to print

A labeling error found after a print run is a disposal cost as well as a compliance cost. Draft artwork is fine — the earlier it arrives, the cheaper every finding is to fix.

The regulation
21 CFR Part 801
You send
Artwork and the IFU
Checked against
Your clearance record
You get back
A marked-up review
Signed by
A named specialist
Our fee
Quoted per device family
What we check

Eight elements, on three documents.

Required elements are spread across the label, the carton and the instructions for use, which is why all three are read together rather than one at a time.

  1. Statement of identity

    Whether it matches the device as cleared or as listed.

  2. Indications for use

    Whether they match what FDA actually cleared, read from your clearance record rather than from your own file.

  3. Name and place of business

    Of the manufacturer, packer or distributor, as the regulation requires it.

  4. Directions for use

    Adequate directions, or a valid basis for exemption from them.

  5. Prescription statement

    Where the device is restricted to prescription use.

  6. Unique device identifier

    Where UDI applies to your device, and whether the label carries it.

  7. Symbols and glossary

    Any symbols used, and whether a glossary explaining them is provided.

  8. Storage and handling

    Storage, handling and expiry statements, where they apply.

The error that causes the most trouble

Indications that go beyond what was cleared.

A company wins clearance for a defined intended use, then writes marketing language on the carton that describes a broader one.

What FDA clearedRead from your clearance record

For use by a trained healthcare professional. Adults only.

The version that governs
What the carton saysAs sent to print

For use by a trained healthcare professional or by the patient at home. Adults and children over 12.

Added after clearance

Two added phrases, and the device is now labeled for a use FDA did not clear. The clearance does not cover the labeled use, and the labeling itself is the evidence of the violation.

An illustration of the pattern, not a real device.

In our work, this happens most often when marketing copy is written by a different team from the one that prepared the submission, and nobody compares the two documents side by side. That comparison is the first step in this review, and we read the cleared wording from your clearance record in FDA’s database rather than from your own file — that is the version that governs.

A common misreading

Exempt from 510(k) is not exempt from Part 801.

A great many Class I devices never go through premarket notification, and their makers reasonably conclude that FDA has no view on them. The exemption is narrower than that. It removes one submission, and leaves everything else where it was.

Labeling requirements do not depend on how your device reached the market. They apply to exempt devices exactly as they apply to cleared ones.

What the exemption removes

The premarket notification submission, and the user fee that goes with it.

What it does not touchStill owed
Labeling21 CFR Part 801, in full
Establishment registrationAnnual, with its own FDA fee
Device listingUnder the correct product code
UDIWhere it applies to your device
What comes back

A marked-up file, and what each finding should say instead.

You send three files. Label artwork, carton artwork, and the instructions for use.

  1. A marked-up review

    Every required element confirmed or flagged, against your actual artwork.

  2. The correction for each

    Not just what is wrong. What it should say instead.

  3. Findings in priority order

    Which are urgent, and which can wait for the next print run.

  4. A named signature

    Prepared and signed by a regulatory specialist with 10 to 25 years of experience.

Send the artwork while it is still a file, not a pallet.

  • Quoted per device family
  • Draft artwork accepted
  • Checked against your clearance
  • A named signature
Trusted by 200+ MedTech teams across the globe

At a glance

What it isYour label, carton and instructions for use checked against FDA requirements before production.
The regulation21 CFR Part 801
What you sendLabel artwork, carton artwork, and the instructions for use.
What you receiveA marked-up review with every required element confirmed or flagged, and the correction for each.
Also worth checkingYour UDI record, if the label carries an identifier. The label and the record have to agree.
TurnaroundConfirmed when we quote.
Our feeQuoted per device family. Send your artwork for a quote.

Questions people ask

Do we need this if our device is exempt from 510(k)?

Yes. Labeling requirements apply to exempt devices. Exemption from premarket notification is not exemption from Part 801.

Can you review labeling in another language?

We review the English labeling used for the United States market. If your artwork is multilingual, send the whole file and we review the English content within it.

What if the review finds our current labeling is wrong?

You receive the correction for each finding, in the order of priority. What you do next is your decision, and we will tell you which findings are urgent and which can wait for the next print run.

When should we send the artwork?

Before it goes to print. Draft artwork is fine, and earlier is cheaper: a correction made in the file costs you an amendment, and the same correction found after a print run costs you the print run.

Do you review the instructions for use as well as the carton?

Yes. Labeling means the label, the carton and the instructions for use, and the required elements are spread across all three. Send all of them together so we can see which document carries what.

Do we need a symbols glossary?

If you use symbols on the labeling, a reader has to be able to find out what they mean. We check which symbols you have used and whether a glossary explaining them is provided.

Our device is not cleared yet. Can you still review the labeling?

Yes, for everything except the indications comparison. That one is a check against your clearance record, so it needs a clearance to compare against. For a device still in development we review the required elements and flag the indications wording to be re-checked once the clearance issues.

Free device check

Send your artwork before it goes to print

Label artwork, carton artwork and the instructions for use. You receive a marked-up review with the correction for every finding.

See UDI submission