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In this practical session, Michelle breaks down how the FDA actually looks at medical devices—so you can choose the right pathway, budget for testing, and avoid dead-ends. You’ll learn the three device classes, the five steps to market, what “substantial equivalence” really means, when De Novo fits, and why “approval” ≠ “clearance.” If you’re leading a MedTech program this year, this talk is a no-nonsense roadmap to reduce surprises. Follow this sequence and the surprises shrink. Chapters : 02:41 FDA risk-based classification (Class I–III + unclassified) 05:01 The “bread & butter”: QSR (21 CFR 820) + labeling/MDR 07:00 What exemptions still require (registration, listings, complaints) 09:03 The 5 steps to market 09:33 Intended Use vs. Indications for Use (lock them early) 12:27 Is it even a medical device? (definition & software nuance) 13:24 Claims make devices (lamp & depression example) 16:15 The “diapers” test (why adult can be a device) 18:12 Finding the pathway (FDA databases & product codes) 19:15 Surgical mask case (FXX vs. alternatives, NIOSH wrinkle) 24:34 Recognized standards & (maybe) third-party review 26:02 General standards you’ll still need (sterilization, biocomp, etc.) 26:02 Wellness vs. regulated (bruxism app scenarios) 30:01 Valid scientific evidence (bench, animals, clinical, HF/UX) 31:25 510(k) types & the SE argument 33:17 Words to avoid (“novel” can push you to De Novo) 36:35 Primary & reference predicates (don’t build a Frankenstein) 38:04 De Novo: when, why, and afterlife for others 41:24 Strategy: stage features & submissions 42:23 Time & money: realistic clocks, fees, testing budgets 43:24 PMA: what “approved” actually means 45:59 Authorization vs. clearance vs. approval 46:13 After clearance: QMS, claims review, and ongoing work