Case Studies — Verus FDA

Proof, not promises.

A curated library of Verus FDA work across 510(k), SaMD/AI, OTC-to-insurance growth, FSA/HSA eligibility, remediation, predicate strategy, international entry, and payer alignment—built to rank in search and convert serious founders, brands, and manufacturers.

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Case study series across Verus FDA services

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510(k) SaMD / AI OTC → Insurance FSA / HSA Remediation International
510(k) Clearance Class II Light-Based Devices

How Verus FDA Secured 510(k) Clearance for a Light-Based Acne Device in 92 Days

The Challenge

A dermatology-focused device company developed a blue-light acne treatment device but underestimated FDA submission complexity. They believed they could “add blue light” to an existing predicate without new regulatory analysis.

Regulatory Risk

  • New wavelength = new technological characteristic
  • Risk of FDA Additional Information (AI) hold
  • Biocompatibility testing gaps
  • Incomplete ISO 14971 risk management file
  • Labeling inconsistencies

Verus Strategy

  • Predicate matrix + technology comparison grid
  • Risk assessment per ISO 14971
  • IEC 60601 testing alignment
  • eSTAR build-out
  • Indications for Use refinement
  • Clinical literature bridging strategy

Outcome

  • Submission accepted without Refuse to Accept (RTA)
  • No major Additional Information cycle
  • Cleared in 92 days
  • Enabled dermatology distribution expansion
Blue light acne 510(k) Light therapy FDA clearance Modify a predicate device Adding technology to 510(k)
SaMD / AI FDA Strategy Cybersecurity

Navigating FDA Clearance for an AI-Powered Neurological Software Platform

The Challenge

An AI-driven neurological assessment platform assumed that “software” meant lower FDA scrutiny.

Regulatory Risk

  • Incorrect device classification
  • Algorithm change control uncertainty
  • Insufficient clinical validation
  • Lack of cybersecurity documentation

Verus Strategy

  • Classification triage
  • Q-Sub strategy
  • Algorithm transparency documentation
  • Clinical performance framework
  • Cybersecurity risk file
  • SaMD-specific labeling

Outcome

  • Defined appropriate regulatory pathway
  • Avoided unnecessary De Novo
  • Strengthened investor confidence
  • Reduced regulatory timeline by 6–9 months
Do AI medical devices require FDA clearance SaMD FDA requirements FDA AI algorithm submission
OTC → Insurance Market Access Dermatology

Transitioning an OTC Dermatology Brand into Insurance-Reimbursable Channels

The Challenge

An established OTC eczema brand wanted payer access but had no ICD-10 alignment, NDC strategy, or reimbursement pathway.

Regulatory & Commercial Risk

  • No recognized coding pathway
  • IRS 213(d) ambiguity
  • Inability to access HSA/FSA channels
  • Retail margin pressure

Verus Strategy

  • ICD-10 disease-state mapping
  • NDC drug listing strategy
  • Label claims review
  • Insurance positioning assessment
  • 213(d) qualification framework
  • Commercial access roadmap

Outcome

  • Eligible for FSA/HSA programs
  • Positioned for Medicaid discussions
  • Improved retail leverage
  • Enhanced perceived medical legitimacy
Can OTC products be covered by insurance How to get eczema cream reimbursed OTC to prescription pathway
FSA / HSA IRS 213(d) Substantiation

Making a Red-Light Therapy Device Eligible Under IRS 213(d)

The Challenge

A wellness device brand wanted to advertise “FSA/HSA eligible” but had no substantiation framework.

Risk

  • IRS compliance exposure
  • Marketing misrepresentation
  • Retail rejection
  • Consumer chargebacks

Verus Strategy

  • IRS 213(d) analysis
  • Medical purpose documentation
  • Indications alignment
  • Letter of Medical Necessity structure
  • Marketplace compliance alignment

Outcome

  • Approved for FSA/HSA platforms
  • Increased conversion rates
  • No price discounting required
  • Expanded DTC profitability
How to get FSA HSA eligible IRS 213(d) medical device Is red light therapy FSA eligible
Remediation Warning Letter QMS / CAPA

Responding to an FDA Warning Letter in 15 Business Days

The Challenge

A manufacturer received an FDA warning letter for QMS deficiencies and improper labeling claims.

Risk

  • Product seizure
  • Import detention
  • Retail termination
  • Reputation damage

Verus Strategy

  • Gap assessment
  • CAPA rebuild
  • Risk file remediation
  • Revised labeling
  • Formal FDA response drafting

Outcome

  • FDA accepted response
  • Avoided escalation
  • Restored commercial operations
  • Implemented audit-ready QMS
FDA warning letter help FDA remediation consultant How to respond to FDA warning letter
Predicate Strategy 510(k) De Novo Avoidance

Avoiding a Costly De Novo Through Strategic Predicate Selection

The Challenge

A startup believed their device had no predicate.

Risk

  • $200K+ unnecessary regulatory pathway
  • 2–3 year delay

Verus Strategy

  • Expanded technological search
  • Cross-indication comparison
  • Regulatory database deep dive
  • Substantial equivalence matrix

Outcome

  • Identified viable predicate
  • Avoided De Novo
  • Reduced timeline by 18+ months
How to find a predicate device 510(k) predicate search Avoid De Novo FDA
International Brazil Distributor Vetting

Regulatory Strategy for Entering the Brazilian Medical Device Market

The Challenge

A U.S.-cleared device sought Brazil distribution without a local regulatory partner.

Risk

  • ANVISA noncompliance
  • Distributor misalignment
  • Labeling rejection

Verus Strategy

  • Classification analysis
  • Brazil regulatory mapping
  • Label translation compliance
  • Distributor regulatory vetting

Outcome

  • Market entry structured
  • Reduced approval timeline
  • Local compliance safeguards established
Enter Brazil medical device market ANVISA medical device approval
Medicaid Reimbursement Disease-State

Structuring a Dermatology Device for Medicaid Recognition

The Challenge

A brand wanted access to Medicaid but lacked coding and disease-state positioning.

Verus Strategy

  • ICD-10 mapping
  • CPT cross-reference
  • State Medicaid framework review
  • Label positioning guidance

Outcome

  • Reimbursement pathway clarity
  • Improved payer discussions
  • Increased institutional interest

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