
[Federal Register Volume 79, Number 163 (Friday, August 22, 2014)]
[Notices]
[Pages 49783-49784]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-19938]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2014-N-0001]


Revamping Microbiological Test Methods for Contact Lenses 
Products; Public Workshop

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice of public workshop.

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SUMMARY: The Food and Drug Administration (FDA), the American Academy 
of Ophthalmology (AAO), the American Academy of Optometry (AAOpt), the 
American Optometric Association (AOA), and the Contact Lens Association 
of Ophthalmologists, Inc. (CLAO), are cosponsoring a public workshop 
entitled ``Revamping Microbiological Test Methods for Contact Lenses, 
Products, and Accessories.'' The purpose of this workshop is to discuss 
adequate testing of contact lens care products for disinfection 
efficacy against emerging pathogens as well as common infectious 
etiologies. Participants will explore the pros and cons of the various 
proposals for disinfection efficacy testing and aid in developing 
general recommendations. The workshop will assist in informing the 
regulatory science for evaluating contact lenses and disinfection 
efficacy of associated care products as well as improving test methods 
to mitigate potential infections.

DATES: Date and Time: The public workshop will be held on September 12, 
2014, from 8 a.m. to 5 p.m. Sign-in will open at 7:30 a.m.

ADDRESSES: Location: The public workshop will be held at FDA's White 
Oak Campus, 10903 New Hampshire Ave., Bldg. 31 Conference Center, the 
Great Room (rm. 1503A), Silver Spring, MD 20993. Entrance for the 
public workshop participants (non-FDA employees) is through Building 1 
where routine security check procedures will be performed. For parking 
and security information, please refer to http://www.fda.gov/AboutFDA/WorkingatFDA/BuildingsandFacilities/WhiteOakCampusInformation/ucm241740.htm.

FOR FURTHER INFORMATION CONTACT: Contact Person: Jeffrey Brocious, 
Center for Devices and Radiological Health, Food and Drug 
Administration, 10903 New Hampshire Ave., Bldg. 66, Rm. 2252, Silver 
Spring, MD 20993, 240-402-3797, email: Jeffrey.Brocious@fda.hhs.gov.

SUPPLEMENTARY INFORMATION: 
    Registration: Registration is $250 for members of the AAO, AAOpt, 
AOA, or CLAO; or $400 for non-members and available on a first-come, 
first-served basis. Persons interested in attending this public 
workshop must register online by September 5, 2014, at 4 p.m. EDT. 
There will be no onsite registration on the day of the public workshop. 
Early registration is recommended because facilities are limited and, 
therefore, FDA may limit the number of participants from each 
organization.
    If you need special accommodations due to a disability, please 
contact Ms. Susan Monahan at susan.monahan@fda.hhs.gov or 301-796-5661 
no later than August 28, 2014.
    To register for the public workshop, please visit http://www.clwkshop.org/. Please provide complete contact information for each 
attendee, including name, title, affiliation, address, email, and 
telephone number. If there are any questions with registration, please 
contact Ms. Cindy Groff at us.com">cgroff@convergence-us.com. Registrants will 
receive confirmation after they have been accepted. You will be 
notified if you are on a waiting list.
    Food and beverages will be available for purchase by participants 
during the workshop breaks. For more information on the workshop, 
please see the FDA's Medical Devices News & Events--Workshops & 
Conferences calendar at http://www.fda.gov/MedicalDevices/NewsEvents/WorkshopsConferences/default.htm. (Select this public workshop from the 
posted events list.)
    Streaming Webcast of the Public Workshop: The public workshop will

[[Page 49784]]

also be Webcast. Persons interested in viewing the Webcast must 
register online by September 5, 2014. Early registration is recommended 
because Webcast connections are limited. Organizations are requested to 
register all participants, but to view using one connection per 
location. Webcast participants will be sent technical system 
requirements after registration and will be sent connection access 
information after September 5, 2014. If you have never attended a 
Connect Pro event before, test your connection at https://collaboration.fda.gov/common/help/en/support/meeting_test.htm. To get 
a quick overview of the Connect Pro program, visit http://www.adobe.com/go/connectpro_overview. (FDA has verified the Web site 
addresses in this document, but FDA is not responsible for any 
subsequent changes to the Web sites after this document publishes in 
the Federal Register.)
    Transcripts: Please be advised that as soon as a transcript is 
available, it will be accessible at http://www.regulations.gov. It may 
be viewed at the Division of Dockets Management (HFA-305), Food and 
Drug Administration, 5630 Fishers Lane, rm. 1061, Rockville, MD 20852. 
A transcript will also be available in either hardcopy or on CD-ROM, 
after submission of a Freedom of Information request. Written requests 
are to be sent to the Division of Freedom of Information (ELEM-1029), 
Food and Drug Administration, 12420 Parklawn Dr., Element Bldg., 
Rockville, MD 20857. A link to the transcript will also be available 
approximately 45 days after the public workshop on the Internet at 
http://www.fda.gov/MedicalDevices/NewsEvents/WorkshopsConferences/default.htm. (Select this public workshop from the posted events list). 
Supplementary information:

I. Background

    To ensure that safe and effective contact lenses and associated 
care products are introduced into the U.S. marketplace, FDA has issued 
guidance documents, recognized standards that describe the appropriate 
test methods, and held workshops. In 2009, FDA held a workshop entitled 
``Microbiological Testing for Contact Lens Care Products'' that was 
cosponsored by AAO, AAOpt, AOA, and CLAO (Ref. 1). Representatives from 
industry, academia, professional organizations, and regulatory agencies 
discussed variables to consider when developing disinfection efficacy 
test methods against Acanthamoeba keratitis (AK) as well as current 
contact lens disinfection tests and limitations.
    Although the 2009 workshop began gathering information, there has 
been a persistent increase in the number of AK cases (Ref. 2). This 
persistent rise in the number of AK cases has prompted concern about 
the safety of contact lens care products. While most experts present at 
a 2008 Ophthalmic Devices Advisory Panel meeting agreed that 
Acanthamoeba should be added as a challenge organism to disinfection 
efficacy testing methods, consensus has not been reached on the 
appropriate method for performing this testing (Ref. 3).
    At this workshop, the concerning rise in the keratitis associated 
with Acanthamoeba will be discussed as well as the emergence of other 
pathogens in contact lens related keratitis. The progress made in the 
development of Acanthamoeba test methods will be summarized. The goal 
of the workshop is to determine uniform testing methods for 
Acanthamoeba disinfection efficacy as well as to discuss methods for 
conducting real-world simulated testing of contact lens care products. 
The meeting will bring together scientists, clinicians, and industry 
experts to discuss critical aspects of disinfection efficacy testing.
    The FDA/AAO/AAOpt/AOA/CLAO Workshop will provide FDA with an 
important opportunity to interact with stakeholders and gain knowledge 
and information on methods to test commonly used medical devices and 
would assist the Agency in carrying out its mission to promote and 
protect the public health.

II. Topics for Discussion at the Public Workshop

    Topics to be discussed at the public workshop include, but are not 
limited to, the following as they relate to contact lenses and their 
associated care products:
     Emerging infectious pathogens in contact lens related 
keratitis;
     role of soil in disinfection efficacy testing; and
     Acanthamoeba disinfection efficacy test methods.

These topics will be presented by experts in the associated area with 
more in-depth discussions of the given topics during panel sessions.

III. References

    The following references have been placed on display in the 
Division of Dockets Management (see Transcripts) and may be seen by 
interested persons between 9 a.m. and 4 p.m., Monday through Friday, 
and are available electronically at http://www.regulations.gov. (FDA 
has verified the Web site addresses in this reference section, but FDA 
is not responsible for any subsequent changes to the Web sites after 
this document publishes in the Federal Register.)

    1. Public workshop in 2009, ``Microbiological Testing for 
Contact Lens Care Products,'' Federal Register notice, available at 
http://www.gpo.gov/fdsys/pkg/FR-2008-12-16/pdf/E8-29741.pdf.
    2. Yoder, J.S. et al., ``Acanthamoeba Keratitis: The Persistence 
of Cases Following a Multistate Outbreak,'' Ophthalmic Epidemiology, 
vol. 19, pp. 221-225, 2012.
    3. Ophthalmic Devices Advisory Panel meeting (2008) minutes, 
available at http://www.fda.gov/ohrms/dockets/ac/08/minutes/2008-4363m1.pdf.


    Dated: August 19, 2014.
Peter Lurie,
Associate Commissioner for Policy and Planning.
[FR Doc. 2014-19938 Filed 8-21-14; 8:45 am]
BILLING CODE 4164-01-P


