Nanox and its promoters want you to believe that FDA clearance, also known as premarket notification or 510(k), and FDA approval are the same thing. Here is what the Code of Federal Regulations, the US administrative law, states:
Submission of a premarket notification ... and a subsequent determination ... that the device intended for introduction into commercial distribution is substantially equivalent ... does not in any way denote official approval of the device. Any representation that creates an impression of official approval of a device because of complying with the premarket notification regulations is misleading and constitutes misbranding. ( 21 CFR Part 807.97 )
So, Nanox is misleading and misbranding on slide 3 of its investor presentation:
And on its investor calls.
And one more thing. Notice the device is "intended for introduction into commercial distribution." But Nanox claims it does not intend to introduce into commercial distribution the device it has submitted, the single-source Nanox.Arc, according to its latest prospectus.
Subject to receiving regulatory clearance, the first version of the Nanox.ARC that we expect to introduce to the market will be a 3D tomosynthesis imaging system [not the single-source device]. If cleared by the FDA, we expect to commercialize the multi-source Nanox.ARC and we may seek alternatives for commercialization of our single-source Nanox.ARC. (page 79)
If the device was not intended to be marketed in January 2020, then the premarket notification was redundant, and the Third Party should have immediately rejected it, if it knew that the device was not intended to be marketed. Did the Third Party know what Nanox was writing in its draft registration statements filed with the SEC? And that is one of the reasons why the submission was likely fraudulent, if Nanox submitted anything to anyone for clearance.
Update April 5, 2021: Nanox got clearance for a Nanox.Cart (the ugly device). So, what were the Third Party and the FDA told? More hints when the FDA published the summary document, around May 1st...
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