Gulfstream Daily Brief

Regulatory intelligence and policy · Issue 048

FDA classifies congestion device as MHRA updates key guidance

Today’s updates span device classification, clinical oversight, software regulation, drug safety and ICH implementation in the United States and United Kingdom.

By Scott Morvay, Founder November 6, 2026 Official sources linked

FDA

FDA classifies external congestion stimulator into class II

FDA issued a final rule classifying the external mechanical stimulator for congestion relief into class II with special controls intended to provide reasonable assurance of safety and effectiveness.

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MHRA

MHRA addresses medical device clinical investigation notifications

MHRA published guidance on notifying the agency of an intention to conduct a clinical investigation for medical devices.

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MHRA

MHRA updates GCP inspection information

MHRA published guidance covering good clinical practice inspections for clinical trials of medicines.

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MHRA

MHRA outlines steps for bringing medical device software to market

The guidance provides an overview of key regulatory steps and considerations for bringing software as a medical device to market in Great Britain and Northern Ireland.

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MHRA

MHRA issues interim givinostat risk mitigation advice

Following international reports of deaths in patients with Duchenne muscular dystrophy taking givinostat, MHRA reviewed the cases and associated evidence and proposed product information updates.

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MHRA

MHRA publishes directory of implemented ICH guidelines

MHRA published a directory of current ICH guidelines implemented by the agency.

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Why this matters

Regulatory teams have several operational references to review across device classification, investigation notifications, inspection readiness and software market access. The givinostat communication also warrants attention to MHRA’s interim advice and proposed product information changes, while the ICH directory provides a practical reference for guidelines implemented by the agency.

Scott Morvay

Founder, Gulfstream Intelligence

This brief provides general regulatory news and educational information. It is not legal or regulatory advice.