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Medical device makers have been able to obtain FDA clearance by claiming substantial equivalence to earlier devices (or parts thereof) that may have been cleared the same way. The ancestry of a problematic metal-on-metal hip implant includes 95 different devices.
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Brent M. Ardaugh
Boston University
Stephen E. Graves
The University of Melbourne
Rita F. Redberg
General Cardiology
New England Journal of Medicine
University of California, San Francisco
Boston University
Flinders University
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Ardaugh et al. (Thu,) studied this question.
synapsesocial.com/papers/69d8a360183921ebcaae30ca — DOI: https://doi.org/10.1056/nejmp1211581