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Free field guide · PDF

FDA Q-Sub: Pre-Submissions2026 Field Guide

The meeting types, the PreSTAR template, and the feedback clock — with the pre-submission practice you need.

Full cycle
10–12 wks
PreSTAR expanded
Jun 2026
Feedback
Day 70–75

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 meeting types

Pre-Subs, Submission Issue Requests, Study Risk Determinations, and Informational Meetings — voluntary, fee-free, and the cheapest risk-reduction available.

The PreSTAR template

PreSTAR expanded 1 June 2026 to five new Q-Sub types — plus Human Factors content now inside the nIVD/IVD eSTARs.

The feedback clock

Day 0 → 14 → 70–75 → 90 — the formal feedback cadence, the 5-day rule, and the practical ~6-week meeting wait.

Sources & scope

  • fda.gov, eSTAR Program (updated Jun 2026).
  • medium.com/@verusip, Understanding the FDA Q-Submission (Q-Sub) Process.
  • greenlight.guru, What Devicemakers Need to Know about the FDA Pre-submission Process.

This guide is market-access intelligence, not regulatory or legal advice. Q-Sub practice, PreSTAR templates, and review timelines change — professional review is required before business use.

Market Access Strategy Session

Q-Sub on your 2026 roadmap? Start with the full picture.

A Market Access Strategy Session maps your pre-submission strategy — question design, route confirmation, and PreSTAR readiness.

Professional review is required before business use.