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FDA De Novo: Classification2026 Field Guide

The two procedures, the eSTAR mandate, and the 120-day clock — with the classification practice you need.

Procedures
2
eSTAR mandatory
Oct 2025
Classification
120 days

Sourced from FDA and verified 2026 publications.

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What's inside

Five pages, zero fluff

Every figure in this guide traces to a named source — FDA and verified 2026 publications.

The two procedures

Direct request vs post-NSE — the §513(f)(2) procedures, the Pre-Sub first move, and what makes the direct route succeed.

The eSTAR mandate

eSTAR mandatory since 1 October 2025 — the only template, the CDRH Portal route, and the 15-day screening / 180-day correction cadence.

The 120-day clock

FDA must classify by written order within 120 days — the new classification regulation it creates, and the IDx-DR landmark.

Sources & scope

  • Federal Register Vol. 91, No. 175 (11 Sep 2026), De Novo classification order.
  • fda.gov, De Novo Classification Request.
  • intuitionlabs.ai, FDA AI-Enabled Medical Device Authorization Pathways.

This guide is market-access intelligence, not regulatory or legal advice. De Novo practice, guidance, and submission requirements change — professional review is required before business use.

Market Access Strategy Session

De Novo on your 2026 roadmap? Start with the full picture.

A Market Access Strategy Session maps your De Novo strategy — pathway choice, predicate search, and eSTAR readiness.

Professional review is required before business use.