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FDA Labeling for Medical Devices in the Age of Social Media Joyce Lee, MD, MPH Associate Professor University of Michigan Twitter: @joyclee

FDA Labeling for Medical Devices in the Age of Social Media

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FDA Labeling for Medical Devices in the

Age of Social Media

Joyce Lee, MD, MPH Associate Professor

University of Michigan Twitter: @joyclee

Disclosures

Social Media/Web Editor of JAMA Pediatrics

Google Life Sciences

Agenda

•  FDA Guidelines for Promotional Labeling using Social Media with Limited Characters –  Case Study

•  Iceberg Tweets –  Case Study

•  Opportunities

Agenda

•  FDA Guidelines for Promotional Labeling using Social Media with Limited Characters –  Case Study

•  Iceberg Tweets –  Case Study

•  Opportunities

Display Benefits and Risks Together

If you can’t do it, don’t post!

Benefits

Accurate and non-misleading

Must include the indicated use of the product

Likely to be read and understood by the ordinary individual under customary conditions of

purchase and use

Risks

Most serious risks

Hyperlink to more information about risks (necessary but not sufficient)

Presented with a prominence and readability reasonably comparable to claims about drug

benefits

FDA Warning Letter

“OMG. Have you heard about this? As you guys know my #morningsickness has been pretty bad. I tried changing things about my lifestyle, like my diet, but nothing helped, so I talked to my doctor. He prescribed me #Diclegis, and I felt a lot better and most importantly, it’s been studied and there was no increased risk to the baby. I’m so excited and happy with my results that I’m partnering with Duchesnay USA to raise awareness about treating morning sickness. If you have morning sickness, be safe and sure to ask your doctor about the pill with the pregnant woman on it and find out more www.diclegis.com; www.DiclegisImportantSafetyInfo.com

Omission of Material Fact

Did not provide information about it’s full approved indication

No studies or indication for women with hyperemesis

gravidarum

FDA Warning Letter

Omission of All Risk Information

Did not list any of the major risks:

Contraindicated in women with known hypersensitivity to doxylamine succinate, other ethanolamine derivative antihistamines, pyridoxine

hydrochloride or any inactive ingredient in the formulation, as well as in women who are taking monoamine oxidase inhibitors (MAOIs).

Warnings and Precautions regarding activities requiring mental alertness and

concomitant medical conditions.

The most common adverse reaction was somnolence.

Hyperlink unacceptable for risk communication

FDA Warning Letter

Agenda

•  FDA Guidelines for Promotional Labeling using Social Media with Limited Characters –  Case Study

•  Iceberg Tweets –  Case Study

•  Opportunities

A tweet is so much more than 140

characters

Iceberg Tweeting @craigmod Link

Text

Text

Date, Time

Text

Photo/Video

Date, Time

Text

Date, Time

Retweet

Favorite

Photo/Video

Text

Date, Time

Retweet

Favorite

Individuals

Photo/Video

Replies

Hashtag

Quote Tweet

Tag

Tweetstorm (pork.io)

Metadata

“Invisible data”

Summary Card Summary Card (Large Photo)

Photo Card Panel Card

Player Card Product Card App Card

No risks outlined on the Youtube Twitter Card metatags!

Agenda

•  FDA Guidelines for Promotional Labeling using Social Media with Limited Characters –  Case Study

•  Iceberg Tweets –  Case Study

•  Opportunities

Take advantage of the Twitter iceberg?

Use metadata? Use images? Use cards? Use hashtags? Be a good citizen on social media?

Use social media to help

Tap into hashtag trends

Throwback Thursday!

http://twittersuperuser.com/ http://www.doctorasdesigner.com/

[email protected]