Category: First-in-Human

  • IECED Guayaquil: The NCT Campus String Is Not the ARCSA File

    Figures cited from a ClinicalTrials.gov LATAM facility sweep (API pull 1 September 2026, 6:32 PM ET) and published bioaccess® country pages. Registry ranking is not a bioaccess® claim that we ran any of these studies. General information, not legal or regulatory advice. Confirm current ARCSA, ethics, and FDA rules with qualified advisers. We name only the facility strings and example NCT IDs those sources support. We do not invent a principal investigator. We do not claim IECED Guayaquil as a bioaccess® client.

    If you searched IECED Guayaquil first-in-human, Instituto Ecuatoriano de Enfermedades Digestivas clinical trial, IECED Ecuador CRO, or “go direct IECED Guayaquil,” you followed a campus string ClinicalTrials.gov still publishes. Instituto Ecuatoriano de Enfermedades Digestivas (IECED) in Guayaquil, Ecuador, is a real named institute-campus string on ClinicalTrials.gov. It is not a first-in-human medical-device CRO, and it is not the operator of the ARCSA file.

    bioaccess®’s position is simple and it is not adversarial: the institute is the site. The First-in-Human CRO still owns ARCSA, CEISH ethics, investigational import, insurance, ISO 14155 monitoring, and the FDA 21 CFR 812.28 package — plus the option to add Colombia or another Latin American country if this campus is not the only fit. Sponsors who skip the CRO and email the institute still have to rebuild that stack. An NCT location row is not a CRO.

    This page is the named Guayaquil IECED campus. English-alias strings for IECED Guayaquil are not listed as separate entries. Sharing Guayaquil / IECED is not a license to multiply pages. IECED is not a Quito National Police UDV string. IECED is not a generic Ecuador fold.

    Why the campus name wins the search — and why that is not a CRO

    Device registries write the city, the hospital, and a list of NCT IDs. They rarely write the CRO. On the 1 September 2026 ClinicalTrials.gov LATAM sweep (interventional studies; all years), this campus sits here after filters:

    Counts are unique NCT IDs from a ClinicalTrials.gov sweep of Latin American facilities pulled 1 September 2026.

    • Instituto Ecuatoriano de Enfermedades Digestivas (IECED) (Guayaquil, Ecuador) — canonical NCT string: ALL interventional n=8; DEVICE n=4. Example NCT IDs: NCT05640401, NCT06102980, NCT06264466.

    ARCSA: Agencia Nacional de Regulación, Control y Vigilancia Sanitaria.

    Those are unique NCT IDs per facility string + city + country. They are not a count of first-in-human device programs bioaccess® ran. They are how a sponsor searching the hospital name lands on a campus without landing on an operator.

    We cite the IDs as facility evidence. We will not invent a PI. We will not claim bioaccess® ran any of them. No live bioaccess® case-study page names this institute as a client site.

    That is the leak: a founder searching IECED Guayaquil first-in-human finds ALL n=8 (DEVICE n=4) without finding ARCSA (Agencia Nacional de Regulación, Control y Vigilancia Sanitaria). A named institute campus is still a site. An NCT location row is not a CRO.

    The site is the site. The CRO is the operator.

    A named institute can provide rooms, coordinators, institutional ethics calendars, and investigators who already appear on NCT rows. That is necessary. It is not sufficient for a first-in-human medical device study a U.S. board expects to survive FDA review.

    What the institute can typically do when a sponsor “goes direct”:

    • Discuss investigator interest and whether a protocol can sit in an existing service line.
    • Share institutional ethics-committee calendars and hospital research rules.
    • Quote visit, staffing, and local procedure costs for the cases they will physically run.

    What the institute is not built to own for an investigational device:

    • ARCSA. ARCSA (Agencia Nacional de Regulación, Control y Vigilancia Sanitaria) is the national file for an investigational device study in Ecuador. CEISH ethics still has to sit before enrollment. A hallway conversation on this campus is not that stack. Live Ecuador blogs already use study-specific ethics language and 30–90 day submission language; we will not invent a new median here. We do not invent an Ecuadorian legal entity. A hallway conversation at IECED Guayaquil is not an ARCSA / CEISH clearance and is not an English-alias IECED file.
    • Investigational import. Ethics letter, investigator’s brochure, and an importation permit — end-to-end work, not a PI email. See importer of record for clinical trial devices in Latin America.
    • Clinical trial insurance. Required. We will not invent a campus-only premium here.
    • ISO 14155 monitoring, EDC, SAE reporting, and the TMF. The site may run visits. The CRO runs the quality system the FDA will later ask about.
    • The 21 CFR 812.28 package. Foreign data is eligible for FDA submission and review after GCP / ethics documentation. Eligibility is not clearance, and a site MSA does not produce it.
    • Multi-country optionality. If enrollment or the indication later needs another Latin American country, a single-hospital MSA will not stretch.

    Going direct to this campus is how you confirm a room. It is not how you open an investigational file.

    How ARCSA actually works (the short version)

    Use Clinical Trials in Ecuador. ARCSA (Agencia Nacional de Regulación, Control y Vigilancia Sanitaria) — a decentralized Ministry of Health agency — authorizes clinical trials and classifies devices (I, IIa, IIb, III). Every study also needs written approval from a Human Research Ethics Committee (CEISH — Comité de Ética de Investigación en Seres Humanos) before enrollment. That hub does not invent a new Ecuador day-count; live Ecuador blogs already use study-specific ethics language and 30–90 day submission language under Ministerial Agreement 0075-2017 and later reforms. Ask for a protocol-specific calendar. Commercial sanitary / device classification is a second file. We will not invent PAHO/WHO Level 4 standing for ARCSA. We do not invent an Ecuadorian legal entity on this page. Headline ~30% lower (experience-based) program cost versus typical US baselines is already on that hub — not a campus quote we invent here.

    Ask for a protocol-specific calendar. A hospital email is not ARCSA clearance. bioaccess® manages the file. That is CRO work, not site work.

    All bioaccess® device protocols in this country are run under ISO 14155 and the Declaration of Helsinki. Data is designed to be eligible for FDA submission and review under 21 CFR 812.28 on a case-by-case basis — not a guarantee of clearance or approval. See OUS FIH and FDA IDE.

    Not a critique of the hospital

    IECED Guayaquil is a serious named Ecuadorian campus on the public registry. ALL n=8 and DEVICE n=4 are registry volume, not a punchline. Use the site when the protocol fits. Hire the operator. We do not invent an Ecuadorian legal entity on this page.

    What the CRO still does after you have the campus on a slide

    1. Regulatory-fit, not tourism. This geography is sourced. One campus is not automatically the right room for every indication. bioaccess® still runs trials in Colombia and the rest of the platform.
    2. Protocol, IB, ICF, insurance, and the ARCSA / ethics packet.
    3. Importer of record and device accountability.
    4. Site activation that is more than a tour: contracts, training, investigational product, EDC, monitoring plan. Activate this campus only if it fits the protocol.
    5. ISO 14155 monitoring and the 21 CFR 812.28 narrative so the dataset is built for a later Pre-Sub, IDE, 510(k), De Novo, PMA, or HDE — eligibility, not a promise of FDA action.

    The firm was founded in 2010. That is the operator layer around a campus string.

    Colombia is still on the map

    Public line: bioaccess® runs first-in-human studies in Colombia now — local entity, Miami headquarters, own CRO in Colombia. Colombia’s regulatory framework is changing for the better. INVIMA commercial registration remains. Ethics review in both Panama and Colombia runs on each committee’s meeting schedule. The country page’s published per-patient comparison: $12K–$22K vs. $15K–$25K as published on Clinical Trials in Panama. We pick the country the device needs. The founder podcast is Global Trial Accelerators™.

    Frequently asked questions

    Can I contract IECED Guayaquil directly for a device FIH?

    You can try. The institute can discuss investigator interest, local visit costs, and ethics calendars. It cannot, by ranking on ClinicalTrials.gov, become your ARCSA applicant, importer of record, insurer, ISO 14155 monitor, or 21 CFR 812.28 packager. Contract the CRO, then let the CRO activate the site if the site fits.

    Did bioaccess® run the NCT IDs listed here?

    No public bioaccess® case-study page names this institute. We will not invent that claim. This page answers the search; it does not claim the studies.

    Is this the same page as Ecuadorian Institute of Digestive Diseases (English alias) or academy tertiary IECED?

    No. Those are alias and department strings for the same Guayaquil IECED campus. This page is Instituto Ecuatoriano de Enfermedades Digestivas (IECED) Guayaquil only — do not publish the English alias or academy-tertiary ranks separately.

    Did bioaccess® run NCT05640401?

    No. We cite it as facility evidence. We will not invent a sponsor or a PI.

    Next step

    If the search that brought you here was this campus, start as the operator: contact bioaccess® or book from First-in-Human CRO. Country operator page: clinical trials in Ecuador (ARCSA / CEISH file).

    Julio G. Martinez-Clark, CEO · bioaccess®

  • Hospital Luis Tisné Santiago: The NCT Campus String Is Not the ISP File

    Figures cited from a ClinicalTrials.gov LATAM facility sweep (API pull 1 September 2026, 6:32 PM ET) and published bioaccess® country pages. Registry ranking is not a bioaccess® claim that we ran any of these studies. General information, not legal or regulatory advice. Confirm current ISP, ethics, and FDA rules with qualified advisers. We name only the facility strings and example NCT IDs those sources support. We do not invent a principal investigator. We do not claim Hospital Luis Tisné Santiago as a bioaccess® client.

    If you searched Hospital Luis Tisne Santiago first-in-human, Hospital Santiago Oriente Luis Tisne Brousse clinical trial, Hospital Luis Tisne CRO, or “go direct Hospital Luis Tisné Santiago,” you followed a campus string ClinicalTrials.gov still publishes. Hospital Luis Tisné in Santiago, Chile, is a real named hospital-campus string on ClinicalTrials.gov (aliases include Hospital Santiago Oriente Dr. Luis Tisné Brousse). It is not a first-in-human medical-device CRO, and it is not the operator of the ISP file.

    bioaccess®’s position is simple and it is not adversarial: the hospital is the site. The First-in-Human CRO still owns ISP, accredited ethics, investigational import, insurance, ISO 14155 monitoring, and the FDA 21 CFR 812.28 package — plus the option to add Colombia or another Latin American country if this campus is not the only fit. Sponsors who skip the CRO and email the hospital still have to rebuild that stack. An NCT location row is not a CRO.

    This page is the named Santiago Hospital Luis Tisné campus. It is DISTINCT from Hospital Luis Calvo Mackenna Santiago (near-dup flag — different hospital). Do NOT also publish a Hospital Tisne alias rank. Sharing a Luis / Santiago name is not a license to collapse them. Hospital Luis Tisné is not Hospital Luis Calvo Mackenna. Hospital Luis Tisné is not Clínica Colonial. Hospital Luis Tisné is not Clínica Santa María.

    Why the campus name wins the search — and why that is not a CRO

    Device registries write the city, the hospital, and a list of NCT IDs. They rarely write the CRO. On the 1 September 2026 ClinicalTrials.gov LATAM sweep (interventional studies; all years), this campus sits here after filters:

    Counts are unique NCT IDs from a ClinicalTrials.gov sweep of Latin American facilities pulled 1 September 2026.

    Those are unique NCT IDs per facility string + city + country. They are not a count of first-in-human device programs bioaccess® ran. They are how a sponsor searching the hospital name lands on a campus without landing on an operator.

    We cite the IDs as facility evidence. We will not invent a PI. We will not claim bioaccess® ran any of them. No live bioaccess® case-study page names this hospital as a client site.

    That is the leak: a founder searching Hospital Luis Tisné Santiago first-in-human finds ALL n=8 (DEVICE n=4) without finding ISP. A named hospital campus is still a site. An NCT location row is not a CRO.

    The site is the site. The CRO is the operator.

    A named hospital can provide rooms, coordinators, institutional ethics calendars, and investigators who already appear on NCT rows. That is necessary. It is not sufficient for a first-in-human medical device study a U.S. board expects to survive FDA review.

    What the hospital can typically do when a sponsor “goes direct”:

    • Discuss investigator interest and whether a protocol can sit in an existing service line.
    • Share institutional ethics-committee calendars and hospital research rules.
    • Quote visit, staffing, and local procedure costs for the cases they will physically run.

    What the hospital is not built to own for an investigational device:

    • ISP. Instituto de Salud Pública (ISP) authorizes studies and investigational-device import in Chile. Live Chile blogs already put a typical ISP review in a band of about 30 business days. Commercial ISP registration (30–90 days) is a different file. An Ethical-Scientific Committee under Law 20.120 still has to sit. A hallway conversation on this campus is not that stack. We will not invent PAHO/WHO Level 4 standing for ISP. A hallway conversation at Hospital Luis Tisné is not a Hospital Luis Calvo Mackenna file.
    • Investigational import. Ethics letter, investigator’s brochure, and an importation permit — end-to-end work, not a PI email. See importer of record for clinical trial devices in Latin America.
    • Clinical trial insurance. Required. We will not invent a campus-only premium here.
    • ISO 14155 monitoring, EDC, SAE reporting, and the TMF. The site may run visits. The CRO runs the quality system the FDA will later ask about.
    • The 21 CFR 812.28 package. Foreign data is eligible for FDA submission and review after GCP / ethics documentation. Eligibility is not clearance, and a site MSA does not produce it.
    • Multi-country optionality. If enrollment or the indication later needs another Latin American country, a single-hospital MSA will not stretch.

    Going direct to this campus is how you confirm a room. It is not how you open an investigational file.

    How ISP actually works (the short version)

    Use Clinical Trials in Chile. Instituto de Salud Pública (ISP) authorizes studies and investigational-device import. Live Chile blogs already put a typical ISP review in a band of about 30 business days. Commercial ISP registration in a 30–90 day band is a different file — do not put trial authorization and commercial registro on one Gantt labeled “Chile.” An Ethical-Scientific Committee under Law 20.120 still has to sit. We will not invent PAHO/WHO Level 4 standing for ISP on this page.

    Ask for a protocol-specific calendar. A hospital email is not ISP clearance. bioaccess® manages the file. That is CRO work, not site work.

    All bioaccess® device protocols in this country are run under ISO 14155 and the Declaration of Helsinki. Data is designed to be eligible for FDA submission and review under 21 CFR 812.28 on a case-by-case basis — not a guarantee of clearance or approval. See OUS FIH and FDA IDE.

    Not a critique of the hospital

    Hospital Luis Tisné Santiago is a serious named Chilean campus on the public registry. ALL n=8 and DEVICE n=4 are registry volume, not a punchline. Use the site when the protocol fits. Hire the operator.

    What the CRO still does after you have the campus on a slide

    1. Regulatory-fit, not tourism. This geography is sourced. One campus is not automatically the right room for every indication. bioaccess® still runs trials in Colombia and the rest of the platform.
    2. Protocol, IB, ICF, insurance, and the ISP / ethics packet.
    3. Importer of record and device accountability.
    4. Site activation that is more than a tour: contracts, training, investigational product, EDC, monitoring plan. Activate this campus only if it fits the protocol.
    5. ISO 14155 monitoring and the 21 CFR 812.28 narrative so the dataset is built for a later Pre-Sub, IDE, 510(k), De Novo, PMA, or HDE — eligibility, not a promise of FDA action.

    The firm was founded in 2010. That is the operator layer around a campus string.

    Colombia is still on the map

    Public line: bioaccess® runs first-in-human studies in Colombia now — local entity, Miami headquarters, own CRO in Colombia. Colombia’s regulatory framework is changing for the better. INVIMA commercial registration remains. In Panama and Colombia alike, ethics timing depends on each committee’s meeting schedule. The country page’s published per-patient comparison: $12K–$22K vs. $15K–$25K as published on Clinical Trials in Panama. We pick the country the device needs. The founder podcast is Global Trial Accelerators™.

    Frequently asked questions

    Can I contract Hospital Luis Tisné Santiago directly for a device FIH?

    You can try. The hospital can discuss investigator interest, local visit costs, and ethics calendars. It cannot, by ranking on ClinicalTrials.gov, become your ISP applicant, importer of record, insurer, ISO 14155 monitor, or 21 CFR 812.28 packager. Contract the CRO, then let the CRO activate the site if the site fits.

    Did bioaccess® run the NCT IDs listed here?

    No public bioaccess® case-study page names this hospital. We will not invent that claim. This page answers the search; it does not claim the studies.

    Is this the same page as Hospital Luis Calvo Mackenna Santiago?

    No. Hospital Luis Calvo Mackenna Santiago is a distinct Santiago campus (near-dup flag only). This page is Hospital Luis Tisné / Hospital Santiago Oriente Dr. Luis Tisné Brousse only — do not merge and do not publish a Tisne alias rank.

    Did bioaccess® run NCT02049983?

    No. We cite it as facility evidence. We will not invent a sponsor or a PI.

    Next step

    If the search that brought you here was this campus, start as the operator: contact bioaccess® or book from First-in-Human CRO. Santiago sibling (do not merge): Clínica Colonial Santiago.

    Julio G. Martinez-Clark, CEO · bioaccess®

  • Associação Fundo de Incentivo à Pesquisa São Paulo: The NCT Campus String Is Not the ANVISA File

    Figures cited from a ClinicalTrials.gov LATAM facility sweep (API pull 1 September 2026, 6:32 PM ET) and published bioaccess® country pages. Registry ranking is not a bioaccess® claim that we ran any of these studies. General information, not legal or regulatory advice. Confirm current ANVISA, ethics, and FDA rules with qualified advisers. We name only the facility strings and example NCT IDs those sources support. We do not invent a principal investigator. We do not claim Associação Fundo de Incentivo à Pesquisa São Paulo as a bioaccess® client.

    If you searched Associacao Fundo de Incentivo a Pesquisa Sao Paulo first-in-human, AFIP Sao Paulo clinical trial, Associacao Fundo Incentivo Pesquisa CRO, or “go direct Associação Fundo de Incentivo à Pesquisa São Paulo,” you followed a campus string ClinicalTrials.gov still publishes. Associação Fundo de Incentivo à Pesquisa (AFIP) in São Paulo, Brazil, is a real named institute/research-foundation campus string on ClinicalTrials.gov. It is not a first-in-human medical-device CRO, and it is not the operator of the ANVISA file.

    bioaccess®’s position is simple and it is not adversarial: the institute is the site. The First-in-Human CRO still owns ANVISA, CEP / CONEP, investigational import, insurance, ISO 14155 monitoring, and the FDA 21 CFR 812.28 package — plus the option to add Colombia or another Latin American country if this campus is not the only fit. Sponsors who skip the CRO and email the institute still have to rebuild that stack. An NCT location row is not a CRO.

    This page is the named São Paulo Associação Fundo de Incentivo à Pesquisa campus. It is DISTINCT from Hcor São Paulo, Beneficência Portuguesa São Paulo, Medcin Instituto da Pele, and Passo Fundo campuses that share a Fundo/Passo string in near-dup flags. Sharing São Paulo metro or a Fundo name fragment is not a license to collapse them. AFIP São Paulo is not Hcor. AFIP São Paulo is not Beneficência Portuguesa. AFIP São Paulo is not Instituto Mederi Passo Fundo.

    Why the campus name wins the search — and why that is not a CRO

    Device registries write the city, the hospital, and a list of NCT IDs. They rarely write the CRO. On the 1 September 2026 ClinicalTrials.gov LATAM sweep (interventional studies; all years), this campus sits here after filters:

    Counts are unique NCT IDs from a ClinicalTrials.gov sweep of Latin American facilities pulled 1 September 2026.

    • Associação Fundo de Incentivo à Pesquisa (São Paulo, Brazil) — canonical NCT string: ALL interventional n=9; DEVICE n=4. Example NCT IDs: NCT01289392, NCT01289405, NCT01461486.

    Those are unique NCT IDs per facility string + city + country. They are not a count of first-in-human device programs bioaccess® ran. They are how a sponsor searching the hospital name lands on a campus without landing on an operator.

    We cite the IDs as facility evidence. We will not invent a PI. We will not claim bioaccess® ran any of them. No live bioaccess® case-study page names this institute as a client site.

    That is the leak: a founder searching Associação Fundo de Incentivo à Pesquisa São Paulo first-in-human finds ALL n=9 (DEVICE n=4) without finding ANVISA. A named research institute is still a site. An NCT location row is not a CRO.

    The site is the site. The CRO is the operator.

    A named institute can provide rooms, coordinators, institutional ethics calendars, and investigators who already appear on NCT rows. That is necessary. It is not sufficient for a first-in-human medical device study a U.S. board expects to survive FDA review.

    What the institute can typically do when a sponsor “goes direct”:

    • Discuss investigator interest and whether a protocol can sit in an existing service line.
    • Share institutional ethics-committee calendars and hospital research rules.
    • Quote visit, staffing, and local procedure costs for the cases they will physically run.

    What the institute is not built to own for an investigational device:

    • ANVISA. Device investigations sit under RDC 837/2023 (dossier in Portuguese: IB, protocol, ICF, insurance, GMP evidence). A hallway conversation at this campus is not that dossier. A hallway conversation at AFIP São Paulo is not a Hcor file and is not a Beneficência Portuguesa São Paulo file.
    • Investigational import. Ethics letter, investigator’s brochure, and an importation permit — end-to-end work, not a PI email. See importer of record for clinical trial devices in Latin America.
    • Clinical trial insurance. Required. We will not invent a campus-only premium here.
    • ISO 14155 monitoring, EDC, SAE reporting, and the TMF. The site may run visits. The CRO runs the quality system the FDA will later ask about.
    • The 21 CFR 812.28 package. Foreign data is eligible for FDA submission and review after GCP / ethics documentation. Eligibility is not clearance, and a site MSA does not produce it.
    • Multi-country optionality. If enrollment or the indication later needs another Latin American country, a single-hospital MSA will not stretch.

    Going direct to this campus is how you confirm a room. It is not how you open an investigational file.

    How ANVISA actually works (the short version)

    Use Clinical Trials in Brazil: combined ethics + ANVISA typically 6–10 weeks under Law 14874 and RDC 837/2023; CEPs capped at 30 business days; published per-patient range $20,000–$35,000. Trial authorization and later market registration are separate workstreams.

    Ask for a protocol-specific calendar. A hospital email is not ANVISA clearance. bioaccess® manages the file. That is CRO work, not site work.

    All bioaccess® device protocols in this country are run under ISO 14155 and the Declaration of Helsinki. Data is designed to be eligible for FDA submission and review under 21 CFR 812.28 on a case-by-case basis — not a guarantee of clearance or approval. See OUS FIH and FDA IDE.

    Not a critique of the hospital

    Associação Fundo de Incentivo à Pesquisa São Paulo is a serious named Brazilian campus on the public registry. ALL n=9 and DEVICE n=4 are registry volume, not a punchline. Use the site when the protocol fits. Hire the operator.

    What the CRO still does after you have the campus on a slide

    1. Regulatory-fit, not tourism. This geography is sourced. One campus is not automatically the right room for every indication. bioaccess® still runs trials in Colombia and the rest of the platform.
    2. Protocol, IB, ICF, insurance, and the ANVISA / ethics packet.
    3. Importer of record and device accountability.
    4. Site activation that is more than a tour: contracts, training, investigational product, EDC, monitoring plan. Activate this campus only if it fits the protocol.
    5. ISO 14155 monitoring and the 21 CFR 812.28 narrative so the dataset is built for a later Pre-Sub, IDE, 510(k), De Novo, PMA, or HDE — eligibility, not a promise of FDA action.

    The firm was founded in 2010. That is the operator layer around a campus string.

    Colombia is still on the map

    Public line: bioaccess® runs first-in-human studies in Colombia now — local entity, Miami headquarters, own CRO in Colombia. Colombia’s regulatory framework is changing for the better. INVIMA commercial registration remains. Ethics review in both Panama and Colombia runs on each committee’s meeting schedule. The country page’s published per-patient comparison: $12K–$22K vs. $15K–$25K as published on Clinical Trials in Panama. We pick the country the device needs. The founder podcast is Global Trial Accelerators™.

    Frequently asked questions

    Can I contract Associação Fundo de Incentivo à Pesquisa São Paulo directly for a device FIH?

    You can try. The institute can discuss investigator interest, local visit costs, and ethics calendars. It cannot, by ranking on ClinicalTrials.gov, become your ANVISA applicant, importer of record, insurer, ISO 14155 monitor, or 21 CFR 812.28 packager. Contract the CRO, then let the CRO activate the site if the site fits.

    Did bioaccess® run the NCT IDs listed here?

    No public bioaccess® case-study page names this institute. We will not invent that claim. This page answers the search; it does not claim the studies.

    Is this the same page as Hcor São Paulo or Beneficência Portuguesa São Paulo?

    No. Hcor São Paulo is already published. Beneficência Portuguesa São Paulo is already published — do not near-dup merge. This page is Associação Fundo de Incentivo à Pesquisa São Paulo only.

    Did bioaccess® run NCT01289392?

    No. We cite it as facility evidence. We will not invent a sponsor or a PI.

    Next step

    If the search that brought you here was this campus, start as the operator: contact bioaccess® or book from First-in-Human CRO. São Paulo sibling (do not merge): Hcor São Paulo.

    Julio G. Martinez-Clark, CEO · bioaccess®

  • Hospital Paitilla Panama City: The NCT Campus String Is Not the MINSA File

    Figures cited from a ClinicalTrials.gov LATAM facility sweep (API pull 1 September 2026, 6:32 PM ET) and published bioaccess® country pages. Registry ranking is not a bioaccess® claim that we ran any of these studies. General information, not legal or regulatory advice. Confirm current MINSA, ethics, and FDA rules with qualified advisers. We name only the facility strings and example NCT IDs those sources support. We do not invent a principal investigator. We do not claim Hospital Paitilla Panama City as a bioaccess® client.

    If you searched Hospital Paitilla Panama City first-in-human, Paitilla Medical Center clinical trial, Hospital Paitilla CRO, or “go direct Hospital Paitilla Panama City,” you followed a campus string ClinicalTrials.gov still publishes. Hospital Paitilla in Panama City, Panama, is a real named hospital-campus string on ClinicalTrials.gov (alias includes Paitilla Medical Center). It is not a first-in-human medical-device CRO, and it is not the operator of the MINSA file.

    bioaccess®’s position is simple and it is not adversarial: the hospital is the site. The First-in-Human CRO still owns MINSA, CNBI-registered ethics, investigational import, insurance, ISO 14155 monitoring, and the FDA 21 CFR 812.28 package — plus the option to add Colombia or another Latin American country if this campus is not the only fit. Sponsors who skip the CRO and email the hospital still have to rebuild that stack. An NCT location row is not a CRO.

    This page is the named Panama City Hospital Paitilla campus. It is DISTINCT from Hospital Punta Pacífica Panama City (also Panama City — keep both; call out distinct), from The Panama Clinic, and from CEVAXIN. Sharing Panama City is not a license to collapse them. Hospital Paitilla is not Hospital Punta Pacífica. Hospital Paitilla is not The Panama Clinic. Hospital Paitilla is not CEVAXIN.

    Why the campus name wins the search — and why that is not a CRO

    Device registries write the city, the hospital, and a list of NCT IDs. They rarely write the CRO. On the 1 September 2026 ClinicalTrials.gov LATAM sweep (interventional studies; all years), this campus sits here after filters:

    Counts are unique NCT IDs from a ClinicalTrials.gov sweep of Latin American facilities pulled 1 September 2026.

    Those are unique NCT IDs per facility string + city + country. They are not a count of first-in-human device programs bioaccess® ran. They are how a sponsor searching the hospital name lands on a campus without landing on an operator.

    We cite the IDs as facility evidence. We will not invent a PI. We will not claim bioaccess® ran any of them. No live bioaccess® case-study page names this hospital as a client site.

    That is the leak: a founder searching Hospital Paitilla Panama City first-in-human finds ALL n=8 (DEVICE n=5) without finding MINSA. A named hospital campus is still a site. An NCT location row is not a CRO.

    The site is the site. The CRO is the operator.

    A named hospital can provide rooms, coordinators, institutional ethics calendars, and investigators who already appear on NCT rows. That is necessary. It is not sufficient for a first-in-human medical device study a U.S. board expects to survive FDA review.

    What the hospital can typically do when a sponsor “goes direct”:

    • Discuss investigator interest and whether a protocol can sit in an existing service line.
    • Share institutional ethics-committee calendars and hospital research rules.
    • Quote visit, staffing, and local procedure costs for the cases they will physically run.

    What the hospital is not built to own for an investigational device:

    • MINSA. MINSA is the national file for an investigational device in Panama. CNBI-registered ethics still has to sit. A hallway conversation on this campus is not that stack. Early-feasibility on the live Panama blogs is ethics-committee-driven — not an INVIMA/ANVISA-style second national device step. We will not invent a new Panamanian clock on this page. A hallway conversation at Hospital Paitilla is not a Hospital Punta Pacífica file and is not The Panama Clinic file.
    • Investigational import. Ethics letter, investigator’s brochure, and an importation permit — end-to-end work, not a PI email. See importer of record for clinical trial devices in Latin America.
    • Clinical trial insurance. Required. We will not invent a campus-only premium here.
    • ISO 14155 monitoring, EDC, SAE reporting, and the TMF. The site may run visits. The CRO runs the quality system the FDA will later ask about.
    • The 21 CFR 812.28 package. Foreign data is eligible for FDA submission and review after GCP / ethics documentation. Eligibility is not clearance, and a site MSA does not produce it.
    • Multi-country optionality. If enrollment or the indication later needs another Latin American country, a single-hospital MSA will not stretch.

    Going direct to this campus is how you confirm a room. It is not how you open an investigational file.

    How MINSA actually works (the short version)

    Use Clinical Trials in Panama. Panama’s Ministry of Health (MINSA), through the Dirección Nacional de Farmacia y Drogas, is the national file. Ethics review runs through institutional bioethics committees registered with the Comité Nacional de Bioética de la Investigación (CNBI). Published ethics typically 3–5 weeks; with bioaccess® coordination, protocol submission to first-patient enrollment averages 6–8 weeks on that hub. Per-patient costs there: $12,000–$22,000 in U.S. dollars. A hallway conversation at this hospital is not MINSA clearance.

    Ask for a protocol-specific calendar. A hospital email is not MINSA clearance. bioaccess® manages the file. That is CRO work, not site work.

    All bioaccess® device protocols in this country are run under ISO 14155 and the Declaration of Helsinki. Data is designed to be eligible for FDA submission and review under 21 CFR 812.28 on a case-by-case basis — not a guarantee of clearance or approval. See OUS FIH and FDA IDE.

    Not a critique of the hospital

    Hospital Paitilla Panama City is a serious named Panamanian campus on the public registry. ALL n=8 and DEVICE n=5 are registry volume, not a punchline. Use the site when the protocol fits. Hire the operator.

    What the CRO still does after you have the campus on a slide

    1. Regulatory-fit, not tourism. This geography is sourced. One campus is not automatically the right room for every indication. bioaccess® still runs trials in Colombia and the rest of the platform.
    2. Protocol, IB, ICF, insurance, and the MINSA / ethics packet.
    3. Importer of record and device accountability.
    4. Site activation that is more than a tour: contracts, training, investigational product, EDC, monitoring plan. Activate this campus only if it fits the protocol.
    5. ISO 14155 monitoring and the 21 CFR 812.28 narrative so the dataset is built for a later Pre-Sub, IDE, 510(k), De Novo, PMA, or HDE — eligibility, not a promise of FDA action.

    The firm was founded in 2010. That is the operator layer around a campus string.

    Colombia is still on the map

    Public line: bioaccess® runs first-in-human studies in Colombia now — local entity, Miami headquarters, own CRO in Colombia. Colombia’s regulatory framework is changing for the better. INVIMA commercial registration remains. In Panama and Colombia alike, ethics timing depends on each committee’s meeting schedule. The country page’s published per-patient comparison: $12K–$22K vs. $15K–$25K as published on Clinical Trials in Panama. We pick the country the device needs. The founder podcast is Global Trial Accelerators™.

    Frequently asked questions

    Can I contract Hospital Paitilla Panama City directly for a device FIH?

    You can try. The hospital can discuss investigator interest, local visit costs, and ethics calendars. It cannot, by ranking on ClinicalTrials.gov, become your MINSA applicant, importer of record, insurer, ISO 14155 monitor, or 21 CFR 812.28 packager. Contract the CRO, then let the CRO activate the site if the site fits.

    Did bioaccess® run the NCT IDs listed here?

    No public bioaccess® case-study page names this hospital. We will not invent that claim. This page answers the search; it does not claim the studies.

    Is this the same page as Hospital Punta Pacífica or The Panama Clinic?

    No. Hospital Punta Pacífica is a distinct Panama City campus. The Panama Clinic has its own page and must not be republished. This page is Hospital Paitilla only.

    Did bioaccess® run NCT00719277?

    No. We cite it as facility evidence. We will not invent a sponsor or a PI.

    Next step

    If the search that brought you here was this campus, start as the operator: contact bioaccess® or book from First-in-Human CRO. Distinct Panama City sibling (do not merge): Hospital Punta Pacífica Panama City.

    Julio G. Martinez-Clark, CEO · bioaccess®

  • Hospital Punta Pacífica Panama City: The NCT Campus String Is Not the MINSA File

    Figures cited from a ClinicalTrials.gov LATAM facility sweep (API pull 1 September 2026, 6:32 PM ET) and published bioaccess® country pages. Registry ranking is not a bioaccess® claim that we ran any of these studies. General information, not legal or regulatory advice. Confirm current MINSA, ethics, and FDA rules with qualified advisers. We name only the facility strings and example NCT IDs those sources support. We do not invent a principal investigator. We do not claim Hospital Punta Pacífica Panama City as a bioaccess® client.

    If you searched Hospital Punta Pacifica Panama City first-in-human, Pacifica Salud Punta Pacifica clinical trial, Hospital Punta Pacifica CRO, or “go direct Hospital Punta Pacífica Panama City,” you followed a campus string ClinicalTrials.gov still publishes. Hospital Punta Pacífica in Panama City, Panama, is a real named hospital-campus string on ClinicalTrials.gov (aliases include Pacífica Salud Hospital Punta Pacífica). It is not a first-in-human medical-device CRO, and it is not the operator of the MINSA file.

    bioaccess®’s position is simple and it is not adversarial: the hospital is the site. The First-in-Human CRO still owns MINSA, CNBI-registered ethics, investigational import, insurance, ISO 14155 monitoring, and the FDA 21 CFR 812.28 package — plus the option to add Colombia or another Latin American country if this campus is not the only fit. Sponsors who skip the CRO and email the hospital still have to rebuild that stack. An NCT location row is not a CRO.

    This page is the named Panama City Hospital Punta Pacífica campus. It is DISTINCT from Hospital Paitilla Panama City (also Panama City — keep both; call out distinct), from The Panama Clinic, and from CEVAXIN. Sharing Panama City / Pacífica / Punta is not a license to collapse them. Hospital Punta Pacífica is not Hospital Paitilla. Hospital Punta Pacífica is not The Panama Clinic. Hospital Punta Pacífica is not CEVAXIN.

    Why the campus name wins the search — and why that is not a CRO

    Device registries write the city, the hospital, and a list of NCT IDs. They rarely write the CRO. On the 1 September 2026 ClinicalTrials.gov LATAM sweep (interventional studies; all years), this campus sits here after filters:

    Counts are unique NCT IDs from a ClinicalTrials.gov sweep of Latin American facilities pulled 1 September 2026.

    • Hospital Punta Pacifica (Panama City, Panama) — canonical NCT string: ALL interventional n=10; DEVICE n=7. Example NCT IDs: NCT01969396, NCT03169803, NCT03616678.

    Do not confuse with Club de Leones Cruz del Sur Punta Arenas (Chile).

    Those are unique NCT IDs per facility string + city + country. They are not a count of first-in-human device programs bioaccess® ran. They are how a sponsor searching the hospital name lands on a campus without landing on an operator.

    We cite the IDs as facility evidence. We will not invent a PI. We will not claim bioaccess® ran any of them. No live bioaccess® case-study page names this hospital as a client site.

    That is the leak: a founder searching Hospital Punta Pacífica Panama City first-in-human finds ALL n=10 (DEVICE n=7) without finding MINSA. A named hospital campus is still a site. An NCT location row is not a CRO.

    The site is the site. The CRO is the operator.

    A named hospital can provide rooms, coordinators, institutional ethics calendars, and investigators who already appear on NCT rows. That is necessary. It is not sufficient for a first-in-human medical device study a U.S. board expects to survive FDA review.

    What the hospital can typically do when a sponsor “goes direct”:

    • Discuss investigator interest and whether a protocol can sit in an existing service line.
    • Share institutional ethics-committee calendars and hospital research rules.
    • Quote visit, staffing, and local procedure costs for the cases they will physically run.

    What the hospital is not built to own for an investigational device:

    • MINSA. MINSA is the national file for an investigational device in Panama. CNBI-registered ethics still has to sit. A hallway conversation on this campus is not that stack. Early-feasibility on the live Panama blogs is ethics-committee-driven — not an INVIMA/ANVISA-style second national device step. We will not invent a new Panamanian clock on this page. A hallway conversation at Hospital Punta Pacífica is not a Hospital Paitilla file and is not The Panama Clinic file.
    • Investigational import. Ethics letter, investigator’s brochure, and an importation permit — end-to-end work, not a PI email. See importer of record for clinical trial devices in Latin America.
    • Clinical trial insurance. Required. We will not invent a campus-only premium here.
    • ISO 14155 monitoring, EDC, SAE reporting, and the TMF. The site may run visits. The CRO runs the quality system the FDA will later ask about.
    • The 21 CFR 812.28 package. Foreign data is eligible for FDA submission and review after GCP / ethics documentation. Eligibility is not clearance, and a site MSA does not produce it.
    • Multi-country optionality. If enrollment or the indication later needs another Latin American country, a single-hospital MSA will not stretch.

    Going direct to this campus is how you confirm a room. It is not how you open an investigational file.

    How MINSA actually works (the short version)

    Use Clinical Trials in Panama. Panama’s Ministry of Health (MINSA), through the Dirección Nacional de Farmacia y Drogas, is the national file. Ethics review runs through institutional bioethics committees registered with the Comité Nacional de Bioética de la Investigación (CNBI). Published ethics typically 3–5 weeks; with bioaccess® coordination, protocol submission to first-patient enrollment averages 6–8 weeks on that hub. Per-patient costs there: $12,000–$22,000 in U.S. dollars. A hallway conversation at this hospital is not MINSA clearance.

    Ask for a protocol-specific calendar. A hospital email is not MINSA clearance. bioaccess® manages the file. That is CRO work, not site work.

    All bioaccess® device protocols in this country are run under ISO 14155 and the Declaration of Helsinki. Data is designed to be eligible for FDA submission and review under 21 CFR 812.28 on a case-by-case basis — not a guarantee of clearance or approval. See OUS FIH and FDA IDE.

    Not a critique of the hospital

    Hospital Punta Pacífica Panama City is a serious named Panamanian campus on the public registry. ALL n=10 and DEVICE n=7 are registry volume, not a punchline. Use the site when the protocol fits. Hire the operator.

    What the CRO still does after you have the campus on a slide

    1. Regulatory-fit, not tourism. This geography is sourced. One campus is not automatically the right room for every indication. bioaccess® still runs trials in Colombia and the rest of the platform.
    2. Protocol, IB, ICF, insurance, and the MINSA / ethics packet.
    3. Importer of record and device accountability.
    4. Site activation that is more than a tour: contracts, training, investigational product, EDC, monitoring plan. Activate this campus only if it fits the protocol.
    5. ISO 14155 monitoring and the 21 CFR 812.28 narrative so the dataset is built for a later Pre-Sub, IDE, 510(k), De Novo, PMA, or HDE — eligibility, not a promise of FDA action.

    The firm was founded in 2010. That is the operator layer around a campus string.

    Colombia is still on the map

    Public line: bioaccess® runs first-in-human studies in Colombia now — local entity, Miami headquarters, own CRO in Colombia. Colombia’s regulatory framework is changing for the better. INVIMA commercial registration remains. In Panama and Colombia alike, ethics timing depends on each committee’s meeting schedule. The country page’s published per-patient comparison: $12K–$22K vs. $15K–$25K as published on Clinical Trials in Panama. We pick the country the device needs. The founder podcast is Global Trial Accelerators™.

    Frequently asked questions

    Can I contract Hospital Punta Pacífica Panama City directly for a device FIH?

    You can try. The hospital can discuss investigator interest, local visit costs, and ethics calendars. It cannot, by ranking on ClinicalTrials.gov, become your MINSA applicant, importer of record, insurer, ISO 14155 monitor, or 21 CFR 812.28 packager. Contract the CRO, then let the CRO activate the site if the site fits.

    Did bioaccess® run the NCT IDs listed here?

    No public bioaccess® case-study page names this hospital. We will not invent that claim. This page answers the search; it does not claim the studies.

    Is this the same page as Hospital Paitilla or The Panama Clinic?

    No. Hospital Paitilla is a distinct Panama City campus. The Panama Clinic has its own page and must not be republished. This page is Hospital Punta Pacífica only.

    Did bioaccess® run NCT01969396?

    No. We cite it as facility evidence. We will not invent a sponsor or a PI.

    Next step

    If the search that brought you here was this campus, start as the operator: contact bioaccess® or book from First-in-Human CRO. Distinct Panama City sibling (do not merge): Hospital Paitilla Panama City.

    Julio G. Martinez-Clark, CEO · bioaccess®

  • Clínica Colonial Santiago: The NCT Campus String Is Not the ISP File

    Figures cited from a ClinicalTrials.gov LATAM facility sweep (API pull 1 September 2026, 6:32 PM ET) and published bioaccess® country pages. Registry ranking is not a bioaccess® claim that we ran any of these studies. General information, not legal or regulatory advice. Confirm current ISP, ethics, and FDA rules with qualified advisers. We name only the facility strings and example NCT IDs those sources support. We do not invent a principal investigator. We do not claim Clínica Colonial Santiago as a bioaccess® client.

    If you searched Clinica Colonial Santiago first-in-human, Clinica Colonial Chile clinical trial, Clinica Colonial CRO, or “go direct Clínica Colonial Santiago,” you followed a campus string ClinicalTrials.gov still publishes. Clínica Colonial in Santiago, Chile, is a real named hospital/clinic-campus string on ClinicalTrials.gov. It is not a first-in-human medical-device CRO, and it is not the operator of the ISP file.

    bioaccess®’s position is simple and it is not adversarial: the hospital is the site. The First-in-Human CRO still owns ISP, accredited ethics, investigational import, insurance, ISO 14155 monitoring, and the FDA 21 CFR 812.28 package — plus the option to add Colombia or another Latin American country if this campus is not the only fit. Sponsors who skip the CRO and email the hospital still have to rebuild that stack. An NCT location row is not a CRO.

    This page is the named Santiago Clínica Colonial campus. It is DISTINCT from Clínica Santa María Santiago, Hospital San José Santiago, and Hospital Luis Tisné Santiago. Sharing Santiago metro is not a license to collapse them. Clínica Colonial is not Clínica Santa María. Clínica Colonial is not Hospital Luis Tisné.

    Why the campus name wins the search — and why that is not a CRO

    Device registries write the city, the hospital, and a list of NCT IDs. They rarely write the CRO. On the 1 September 2026 ClinicalTrials.gov LATAM sweep (interventional studies; all years), this campus sits here after filters:

    Counts are unique NCT IDs from a ClinicalTrials.gov sweep of Latin American facilities pulled 1 September 2026.

    Example device NCT IDs are the first 3 of the device list.

    Those are unique NCT IDs per facility string + city + country. They are not a count of first-in-human device programs bioaccess® ran. They are how a sponsor searching the hospital name lands on a campus without landing on an operator.

    We cite the IDs as facility evidence. We will not invent a PI. We will not claim bioaccess® ran any of them. No live bioaccess® case-study page names this hospital as a client site.

    That is the leak: a founder searching Clínica Colonial Santiago first-in-human finds ALL n=9 (DEVICE n=9) without finding ISP. A named hospital/clinic campus is still a site. An NCT location row is not a CRO.

    The site is the site. The CRO is the operator.

    A named hospital can provide rooms, coordinators, institutional ethics calendars, and investigators who already appear on NCT rows. That is necessary. It is not sufficient for a first-in-human medical device study a U.S. board expects to survive FDA review.

    What the hospital can typically do when a sponsor “goes direct”:

    • Discuss investigator interest and whether a protocol can sit in an existing service line.
    • Share institutional ethics-committee calendars and hospital research rules.
    • Quote visit, staffing, and local procedure costs for the cases they will physically run.

    What the hospital is not built to own for an investigational device:

    • ISP. Instituto de Salud Pública (ISP) authorizes studies and investigational-device import in Chile. Live Chile blogs already put a typical ISP review in a band of about 30 business days. Commercial ISP registration (30–90 days) is a different file. An Ethical-Scientific Committee under Law 20.120 still has to sit. A hallway conversation on this campus is not that stack. We will not invent PAHO/WHO Level 4 standing for ISP. A hallway conversation at Clínica Colonial is not a Clínica Santa María file and is not a Hospital Luis Tisné file.
    • Investigational import. Ethics letter, investigator’s brochure, and an importation permit — end-to-end work, not a PI email. See importer of record for clinical trial devices in Latin America.
    • Clinical trial insurance. Required. We will not invent a campus-only premium here.
    • ISO 14155 monitoring, EDC, SAE reporting, and the TMF. The site may run visits. The CRO runs the quality system the FDA will later ask about.
    • The 21 CFR 812.28 package. Foreign data is eligible for FDA submission and review after GCP / ethics documentation. Eligibility is not clearance, and a site MSA does not produce it.
    • Multi-country optionality. If enrollment or the indication later needs another Latin American country, a single-hospital MSA will not stretch.

    Going direct to this campus is how you confirm a room. It is not how you open an investigational file.

    How ISP actually works (the short version)

    Use Clinical Trials in Chile. Instituto de Salud Pública (ISP) authorizes studies and investigational-device import. Live Chile blogs already put a typical ISP review in a band of about 30 business days. Commercial ISP registration in a 30–90 day band is a different file — do not put trial authorization and commercial registro on one Gantt labeled “Chile.” An Ethical-Scientific Committee under Law 20.120 still has to sit. We will not invent PAHO/WHO Level 4 standing for ISP on this page.

    Ask for a protocol-specific calendar. A hospital email is not ISP clearance. bioaccess® manages the file. That is CRO work, not site work.

    All bioaccess® device protocols in this country are run under ISO 14155 and the Declaration of Helsinki. Data is designed to be eligible for FDA submission and review under 21 CFR 812.28 on a case-by-case basis — not a guarantee of clearance or approval. See OUS FIH and FDA IDE.

    Not a critique of the hospital

    Clínica Colonial Santiago is a serious named Chilean campus on the public registry. ALL n=9 and DEVICE n=9 are registry volume, not a punchline. Use the site when the protocol fits. Hire the operator.

    What the CRO still does after you have the campus on a slide

    1. Regulatory-fit, not tourism. This geography is sourced. One campus is not automatically the right room for every indication. bioaccess® still runs trials in Colombia and the rest of the platform.
    2. Protocol, IB, ICF, insurance, and the ISP / ethics packet.
    3. Importer of record and device accountability.
    4. Site activation that is more than a tour: contracts, training, investigational product, EDC, monitoring plan. Activate this campus only if it fits the protocol.
    5. ISO 14155 monitoring and the 21 CFR 812.28 narrative so the dataset is built for a later Pre-Sub, IDE, 510(k), De Novo, PMA, or HDE — eligibility, not a promise of FDA action.

    The firm was founded in 2010. That is the operator layer around a campus string.

    Colombia is still on the map

    Public line: bioaccess® runs first-in-human studies in Colombia now — local entity, Miami headquarters, own CRO in Colombia. Colombia’s regulatory framework is changing for the better. INVIMA commercial registration remains. Ethics timing in Panama and Colombia follows each committee’s meeting schedule. The country page’s published per-patient comparison: $12K–$22K vs. $15K–$25K as published on Clinical Trials in Panama. We pick the country the device needs. The founder podcast is Global Trial Accelerators™.

    Frequently asked questions

    Can I contract Clínica Colonial Santiago directly for a device FIH?

    You can try. The hospital can discuss investigator interest, local visit costs, and ethics calendars. It cannot, by ranking on ClinicalTrials.gov, become your ISP applicant, importer of record, insurer, ISO 14155 monitor, or 21 CFR 812.28 packager. Contract the CRO, then let the CRO activate the site if the site fits.

    Did bioaccess® run the NCT IDs listed here?

    No public bioaccess® case-study page names this hospital. We will not invent that claim. This page answers the search; it does not claim the studies.

    Is this the same page as Clínica Santa María Santiago or Hospital Luis Tisné?

    No. Clínica Santa María Santiago is already published. Hospital Luis Tisné Santiago is a distinct Santiago campus. This page is Clínica Colonial only.

    Did bioaccess® run NCT05695989?

    No. We cite it as facility evidence. We will not invent a sponsor or a PI.

    Next step

    If the search that brought you here was this campus, start as the operator: contact bioaccess® or book from First-in-Human CRO. Santiago sibling (do not merge): Clínica Santa María Santiago.

    Julio G. Martinez-Clark, CEO · bioaccess®

  • Clinical trial insurance for medical device studies in Latin America

    This guide has been merged into our updated hub, Clinical Trial Liability Insurance in Latin America: Requirements by Country, which sets out each country’s rule with links to the primary legal text (verified 29 October 2026).

  • El Salvador first-in-human cost and timeline vs the United States

    Boards keep asking how much a first-in-human medical device trial in El Salvador costs compared with the United States, and how long startup actually takes. Those are two questions. One is a published country clock. The other is a study-specific quote. Mixing them into one invented total is how diligence slides go soft.

    I am Julio Martinez-Clark, CEO of bioaccess®. This is an El Salvador country spotlight grounded in the live clinical trials in El Salvador hub, the fast-track FIH corridor post, and the sibling cost page that already covers Panama and El Salvador together. It is not a quote. Confirm budgets and calendars against your protocol.

    What “vs the United States” usually buys

    When sponsors say a U.S. FIH is too expensive, they usually mean three stacked costs:

    1. Time to first patient — site contracting, IRB sequencing, and treating first implant as a United States-only problem.
    2. Site and per-patient economics — hospital fees, investigator fees, and visit complexity priced from the schedule of events.
    3. Evidence quality for later FDA use — ISO 14155 discipline and a 21 CFR § 812.28 design, or you bought speed you cannot spend.

    An El Salvador investigation is not a discount coupon on FDA clearance. It is a second evidence calendar that can run while the U.S. path is still being built. Eligibility of foreign data for FDA submission and review is not a guarantee of clearance or approval.

    Published El Salvador clocks (investigation only)

    The live El Salvador hub already publishes a 30–60 day study-startup band via parallel review by the Superintendencia de Regulación Sanitaria (SRS) and the Comité Nacional de Ética de la Investigación en Salud (CNEIS) on one digital platform. That band is investigation authorization plus ethics — not commercial registro.

    SRS replaced the former Dirección Nacional de Medicamentos (DNM) in August 2024 under the Ley de la Superintendencia de Regulación Sanitaria (7 August 2024). Ethics stays centralized at CNEIS. The live step-by-step FIH guide already names the SRS-CNEIS-ES digital platform and the user manual issued 17 November 2025. Use that manual. Do not invent article numbers from reforms you have not opened.

    The official SRS route publishes the step clocks: research site registration 20 business days, CNEIS ethics approval 20 business days, then SRS trial authorization 20 business days, with a special import permit in 24 to 72 business hours (SRS evaluation route). The ethics and technical files go through one shared platform, and the authorization requires the CNEIS approval. For every country’s clock side by side, see our regulator approval times guide.

    In our site activation timeline guide, El Salvador sits with Panama, Chile, and Costa Rica in the fast corridor: in our recent plans, submission to approval in El Salvador took about 47 days without questions, and 67 to 85 days with one round of questions, and full activation from protocol synopsis to first patient takes months longer. Treat those as indicative operator bands. Ask for a study-specific calendar before you put a single date on a board slide.

    Cost: what is published vs what must be quoted

    Two cost facts already published on bioaccess® pages — and that is where I stop inventing:

    • The El Salvador hub already publishes roughly 60% cost savings versus equivalent U.S. programs, plus a dollarized (U.S. dollar) economy. That is orientation from the country page, not a formal study for your Class III implant.
    • Inside the fast corridor, El Salvador is the cost leader on hospital and site fees versus Panama. The corridor post states that gap in plain operator language. Panama remains the proven sprinter on activation; El Salvador undercuts it on site economics.

    I will not invent a dollar program total, a weekly burn, or a “typical U.S. per-patient” figure on this page. If your U.S. sites have not returned real bids, leave that cell blank. Blank is more honest than a blogger’s invented average. For how LATAM FIH money actually splits — site pass-throughs, CRO professional fees, third-party costs — start from the FIH Latin America budget guide.

    What drives cost and time in El Salvador

    Same four stages as the rest of the region; El Salvador compresses them when the file is clean:

    1. Preparation and Spanish package. Protocol, investigator’s brochure, informed consent, case report forms, and the insurance certificate the committee will stamp. Rework, not review, is the usual delay.
    2. CNEIS cadence. Centralized national ethics, not a tourism of local IRBs.
    3. SRS investigation authorization. Parallel with ethics on the published digital path — not a sequential hope.
    4. Investigational import. Units for research only. Do not put a cousin commercial registro number on FIH freight. That pattern burns weeks at customs and contaminates both tracks.

    Enrollment is a separate model. El Salvador is a small market. Activation in weeks means nothing if patient flow for your indication is thin. Model enrollment from real San Salvador site flow, prequalify backup sites, and keep the startup clock distinct from first-patient-in.

    Keep the trial file off the commercial holder track

    Cost discipline in El Salvador starts with two dossiers:

    • Trial file: Spanish protocol package, CNEIS ethics, SRS investigation authorization, investigational labeling, ISO 14155 monitoring plan, import story for study units only.
    • Registro / holder file (optional, later): commercial market access. Different petition. Different success criteria. Already spelled out on CNEIS/SRS trial authorization vs registro.

    If the same person owns both without two importers and two success criteria, you do not have an El Salvador plan. You have a hope that erases the calendar advantage the hub already publishes.

    Insurance and import are line items, not footnotes

    Ethics packets still want financial responsibility for participant injury documented before initiation — usually a Spanish certificate. Product liability is not clinical-trial liability. A U.S. master that never names El Salvador fails the exhibit. Budget the certificate with the CRO and a licensed broker before you present “LATAM is cheaper.” See the insurance hub and the language page on Spanish/Portuguese certificates.

    Public case work already on the site treated insurance placement and investigational import as operational workstreams — not as bioaccess® underwriting. We do not invent premiums from those pages.

    Colombia note

    Colombia remains a strong market-access geography for bioaccess®. bioaccess® runs first-in-human studies in Colombia now, and Colombia’s regulatory framework is changing for the better. Colombia, El Salvador, Panama, Chile, or the Dominican Republic are all options when the protocol needs a lead investigation desk; INVIMA registro stays on its own commercial track.

    Board slide that survives diligence

    • Evidence column. El Salvador CNEIS/SRS, investigational importer, § 812.28 owner, ISO 14155 TMF owner.
    • Published bands only. 30–60 day startup; corridor cost-leader note vs Panama; ~60% vs U.S. orientation from the hub — then a study-specific quote.
    • U.S. column as real bids — or blank.
    • Commercial column (optional). Holder / IOR countries on the market-access track. Already-cleared launch is a different SKU from FIH.

    Related reading

    Planning an El Salvador FIH file? bioaccess® is a US-headquartered, LATAM-native First-in-Human CRO. To discuss CNEIS/SRS sequencing, investigational import, and a study-specific cost/timeline quote — contact Julio Martinez-Clark, Co-Founder & CEO, at jmclark@bioaccessla.com or +1 (954) 903-7210.

    Frequently asked questions

    How much does a first-in-human medical device trial in El Salvador cost compared with the United States?

    Use published orientation, not an invented total. The El Salvador hub already cites roughly 60% cost savings versus equivalent U.S. programs and a dollarized economy. Inside the fast corridor, hospital and site fees run below Panama’s. Program totals still need a proposal priced from your schedule of events. Leave any U.S. comparator blank until named U.S. sites return real bids.

    How long does El Salvador FIH startup take?

    The country hub publishes 30–60 days via parallel SRS and CNEIS review. Our regional site activation guide groups El Salvador with the fast corridor; in our recent plans, submission to approval took about 47 days without questions, and 67 to 85 days with one round of questions. Confirm a study-specific calendar. Activation is not first-patient-in.

    Is El Salvador cheaper than Panama for FIH?

    On hospital and site fees, yes in bioaccess® operator experience — that is why the corridor post calls El Salvador the cost leader. Panama remains the documented extreme on activation speed. Pick on indication fit and patient flow, not the clock alone.

    Is the trial authorization the same as DNM/SRS registro?

    No. Investigation and commercial registro are separate files. Merging them creates rework that erases the published calendar advantage.

    Does the FDA accept clinical data from El Salvador?

    Foreign clinical data can be eligible for FDA submission and review under 21 CFR 812.28 when the investigation meets the GCP conditions in that rule, including SRS authorization and CNEIS ethics approval. Eligibility is not clearance or approval.

  • Latin America vs. Australia for FIH Medical Device Trials: Operational Realities Beyond the Tax Rebate

    Founders comparing FIH medical device clinical trials Latin America vs Australia usually start with one slide: Australia’s 43.5% Research & Development Tax Incentive. That offset is real for eligible entities. It is also not the whole operating picture. Once you price site access, timezone friction, principal-investigator bandwidth, and whether the file can survive an FDA foreign-data conversation under 21 CFR 812.28, the Australia-versus-Latin-America choice stops being a rebate math problem and becomes a calendar-and-execution problem.

    I am Julio Martinez-Clark, CEO of bioaccess®. This brief is the operational cut that sits beside our published Australian R&D rebate math and the live Australia comparison hub. It is not tax advice. Confirm current R&DTI rules with your Australian advisers. Confirm study-specific clocks with a proposal.

    1. Why founders look to Australia

    Australia earned its reputation with early-phase sponsors for four reasons that still matter for medical devices:

    • No US IND/IDE as a precondition to start. Under the Clinical Trial Notification (CTN) pathway, many device investigations can open without a TGA clinical pre-review of the protocol. English-language HREC review and site governance still apply. The CTN is not a free pass; it is a different gate than a US Investigational Device Exemption.
    • The 43.5% refundable R&D tax offset for eligible companies with aggregated turnover under A$20M (figures in force for FY2025–26 and FY2026–27 on our rebate article). Clinical-trial spend can sit outside the standard A$4M annual refund cap when the activities qualify. That is financing, not a 43.5% invoice discount.
    • English end-to-end. Protocol, consent, monitoring reports, and source can stay in English. For US regulatory affairs teams that have never run a Spanish ethics packet, that alone can feel like risk reduction.
    • Hospital-grade sites and ISO 14155 culture. Australian private HRECs (including Bellberry-style pathways) and public-hospital National Mutual Acceptance processes are documented. Experienced device CROs and hospital implant sites exist. For non-surgical wearables or diagnostic devices that fit a Phase I unit model, the Australian infrastructure is mature.

    None of that is marketing fluff. If your board already has an Australian subsidiary, a booked HREC slot, and a PI who has room, Australia can be the right first country. The question is whether that combination is what you actually have — or what the slide assumes you will have after six more months of contracting.

    2. Hidden friction: saturation, timezone, and travel

    The rebate slide rarely shows the three frictions US medtech operators hit after the LOI:

    Site and PI saturation. Australia’s device FIH market is smaller than the marketing deck implies. A handful of high-volume hospitals and implant-capable investigators take a disproportionate share of early-feasibility work. When several US startups chase the same orthopedic, cardiovascular, or neurotech wards in Melbourne, Sydney, or Brisbane, start-up stops being “6–8 weeks to HREC” and becomes a queue for investigator time, theatre slots, and competing protocols. Drug Phase I units are abundant; Class III implant bandwidth is not.

    Fourteen to sixteen hours from US Eastern Time. Same-day PI questions turn into next-calendar-day loops. Monitoring visits, serious-adverse-event triage, and FDA Pre-Sub prep calls stack against Australian business hours. Your clinical lead in Boston wakes up to yesterday’s answers. That is manageable for a single Phase I cohort. It is expensive when the device needs iterative implant feedback, imaging reads, and sponsor–CRO–PI huddles in the first ten patients.

    Travel and presence cost. A US engineering or medical director who needs to be in theatre for the first cases buys long-haul flights, jet lag, and limited week blocks. Latin America FIH hubs that sit on or near US Eastern Time (Panama City is the clearest example on our public hubs) let the same person leave Miami in the morning and stand in the OR the same afternoon. That is not tourism. It is how you keep design engineers inside the first-implant feedback loop without burning a week of runway per trip.

    Gross cash versus rebate recovery. As our rebate math article already states: you fund the Australian gross cost now and recover part of it after year-end lodgement — only if an eligible Australian entity exists, aggregated turnover clears the test (connected entities count), and AusIndustry accepts the activities. Rebate-advance lenders exist; they charge. On a gross cash basis, bioaccess® program experience still puts Latin America roughly 35–45% below Australia; after a fully captured rebate the gap can narrow to about 5–15%, and in some programs reverse. Treat that as published orientation, not a guarantee for your Class III cohort.

    Entity and compliance overhead. Standing up the Australian subsidiary, registering R&D activities, and defending the claim is real work. Teams that treat the 43.5% figure as a coupon often under-budget the local tax and legal stack that makes the coupon collectible.

    3. The Latin America counter-proposition

    Latin America’s offer for first-in-human and early-feasibility device work is not “cheaper Australia.” It is a different operating system built around calendar proximity to US teams, investigator engagement, and investigation desks that do not require a US IDE to start.

    Published start-up bands. On bioaccess® country hubs and FIH guides, coordinated programs in lead geographies such as Panama commonly show ethics in about 3–5 weeks and roughly 6–8 weeks to first patient when the Spanish package, insurance certificate, and investigational import are ready. El Salvador’s public language for CNEIS ethics plus SRS clinical-investigation authorization sits in a 30–60 day band. Those are investigation clocks — not commercial registro. Ask for a study-specific Gantt; do not paste a hub median onto a board slide as a promise.

    Same-timezone US proximity. Panama City runs on US Eastern Time. Miami is a short flight. For US sponsors, that means PI calls land in the same workday, monitoring can be planned without a 16-hour offset, and the medical director can attend early implants without a Pacific crossing. Other LATAM hubs add Spanish-language depth and surgical volume; the timezone argument is strongest where clocks align with US Eastern or Central.

    PI engagement and surgical volume. Early-feasibility device work needs investigators who already operate in the indication and hospitals that will treat a novel implant as a protocol, not a legal crisis. Latin American tertiary centers in published FIH geographies have run ISO 14155-style device investigations with bilingual teams. The operating move is named PI and named ward in the feasibility deliverable — not a country flag on a map.

    Where we point new FIH work. Colombia, where bioaccess® runs first-in-human studies now, and Latin America destinations that publish usable investigation frameworks for high-risk devices — Panama (MINSA / CNBI under Ley 84 and Decreto Ejecutivo No. 21 of 2026), El Salvador (CNEIS / SRS), and other hubs already on the clinical-trials hub — when the protocol needs a lead investigation desk. Colombia is both a first-in-human and a market-access geography. bioaccess® runs first-in-human studies in Colombia now, and Colombia’s regulatory framework is changing for the better. Keep INVIMA commercial registration on its own track.

    What LATAM is not. It is not a reason to skip ISO 14155 monitoring, device accountability, or a coherent preclinical narrative. Thin trial master files buy investor slides and FDA friction. It is also not automatic commercial sale: trial authorization and sanitary registration are different desks in every country we work.

    4. Data compatibility for FDA — 21 CFR 812.28

    Foreign clinical data can support an IDE or a device marketing application when the investigation meets 21 CFR 812.28 (final rule, 83 FR 7386, 21 February 2018). Eligibility is not clearance. Design for the rule; do not treat geography as a substitute for GCP.

    Section 812.28(a) requires, in substance:

    1. Good clinical practice — design, conduct, monitoring, auditing, recording, analysis, and reporting that keep data credible and protect subjects, including independent ethics-committee review before initiation and documented freely given informed consent. FDA has stated that conformance with ISO 14155:2020 will generally satisfy the GCP requirement of 812.28.
    2. Supporting information in 812.28(b) for significant-risk devices — investigators and sites; protocol and results; identity of the investigational device to the US device or a detailed comparison; IEC identity; consent, monitoring, and investigator GCP training.
    3. FDA can validate the data through onsite inspection or other means if the agency deems it necessary. A file that cannot be inspected is not an 812.28 file.

    Australia’s English TMF can feel easier to hand an inspector. That advantage disappears if the Australian site never had bandwidth to enroll, or if the sponsor never built monitoring and device accountability. Latin America files written in Spanish at the ethics desk still need English-capable source, EDC, and accountability that survive an FDA conversation — plus a Pre-Sub / Q-Sub before you lock endpoints when the Panama or El Salvador cohort is meant to support a later US IDE (written feedback in 75 calendar days is the usual Pre-Sub clock).

    Parallel clause already on our FDA-acceptance materials: 21 CFR 814.15 for foreign data in PMA applications. Plan for 812.28(a), not the residual 812.28(e) lifeline.

    How to choose this week

    1. Write two columns: Australia (entity + HREC + named PI + gross cash + rebate recovery timing) versus Latin America lead jurisdiction (ethics desk + investigational importer + 6–8 week band + US timezone plan).
    2. Price presence. Count flights and same-day PI loops for the first ten patients, not only per-patient fees.
    3. Name the 812.28 owner before first implant — TMF, device accountability, consent elements aligned to 21 CFR 50.25 if FDA use is intended.
    4. Keep commercial registro off the FIH critical path. Market-access holder strategy is a different SKU from investigation authorization.

    If your Australian path already has a free PI and a funded subsidiary, run the rebate math honestly and go. If you are still shopping for investigator time against a 14–16 hour offset, put Latin America on the same slide with published clocks from the clinical-trials hub and the Australia compare page — including Colombia, where bioaccess® runs first-in-human studies now.

    Related: Australia vs Latin America R&D tax incentive, compare Australia, and LATAM clinical trials. For a study-specific calendar, bring protocol stage, device risk class, intended US filing, and whether the investigational unit matches the US unit.

  • Hcor São Paulo: The NCT Campus String Is Not the ANVISA File

    Figures cited from a ClinicalTrials.gov LATAM facility sweep (API pull 1 September 2026, 6:32 PM ET) and published bioaccess® country pages. Registry ranking is not a bioaccess® claim that we ran any of these studies. General information, not legal or regulatory advice. Confirm current ANVISA, ethics, and FDA rules with qualified advisers. We name only the facility strings and example NCT IDs those sources support. We do not invent a principal investigator. We do not claim Hcor São Paulo as a bioaccess® client.

    If you searched Hcor Sao Paulo first-in-human, Hospital do Coracao Sao Paulo clinical trial, Hcor CRO, or “go direct Hcor São Paulo,” you followed a campus string ClinicalTrials.gov still publishes. Hcor in São Paulo, Brazil, is a real named hospital-campus string on ClinicalTrials.gov. It is not a first-in-human medical-device CRO, and it is not the operator of the ANVISA file.

    bioaccess®’s position is simple and it is not adversarial: the hospital is the site. The First-in-Human CRO still owns ANVISA, CEP / CONEP, investigational import, insurance, ISO 14155 monitoring, and the FDA 21 CFR 812.28 package — plus the option to add Colombia or another Latin American country if this campus is not the only fit. Sponsors who skip the CRO and email the hospital still have to rebuild that stack. An NCT location row is not a CRO.

    This page is the named São Paulo Hcor campus. It is DISTINCT from other live São Paulo campuses (Hospital São Paulo UNIFESP, Instituto do Coração HCFMUSP, Medcin, Beneficência Portuguesa — do not near-dup collapse Beneficência). Sharing São Paulo metro is not a license to collapse them. Hcor is not InCor HCFMUSP. Hcor is not Beneficência Portuguesa. Hcor is not Hospital São Paulo UNIFESP.

    Why the campus name wins the search — and why that is not a CRO

    Device registries write the city, the hospital, and a list of NCT IDs. They rarely write the CRO. On the 1 September 2026 ClinicalTrials.gov LATAM sweep (interventional studies; all years), this campus sits here after filters:

    Counts are unique NCT IDs from a ClinicalTrials.gov sweep of Latin American facilities pulled 1 September 2026.

    • Hcor (São Paulo, Brazil) — canonical NCT string: ALL interventional n=17; DEVICE n=1. Example NCT IDs: NCT05398497.

    Those are unique NCT IDs per facility string + city + country. They are not a count of first-in-human device programs bioaccess® ran. They are how a sponsor searching the hospital name lands on a campus without landing on an operator.

    We cite the IDs as facility evidence. We will not invent a PI. We will not claim bioaccess® ran any of them. No live bioaccess® case-study page names this hospital as a client site.

    That is the leak: a founder searching Hcor São Paulo first-in-human finds ALL n=17 (DEVICE n=1) without finding ANVISA. A named hospital campus is still a site. An NCT location row is not a CRO.

    The site is the site. The CRO is the operator.

    A named hospital can provide rooms, coordinators, institutional ethics calendars, and investigators who already appear on NCT rows. That is necessary. It is not sufficient for a first-in-human medical device study a U.S. board expects to survive FDA review.

    What the hospital can typically do when a sponsor “goes direct”:

    • Discuss investigator interest and whether a protocol can sit in an existing service line.
    • Share institutional ethics-committee calendars and hospital research rules.
    • Quote visit, staffing, and local procedure costs for the cases they will physically run.

    What the hospital is not built to own for an investigational device:

    • ANVISA. Device investigations sit under RDC 837/2023 (dossier in Portuguese: IB, protocol, ICF, insurance, GMP evidence). A hallway conversation at this campus is not that dossier. A hallway conversation at Hcor is not an InCor HCFMUSP file and is not a Beneficência Portuguesa file.
    • Investigational import. Ethics letter, investigator’s brochure, and an importation permit — end-to-end work, not a PI email. See importer of record for clinical trial devices in Latin America.
    • Clinical trial insurance. Required. We will not invent a campus-only premium here.
    • ISO 14155 monitoring, EDC, SAE reporting, and the TMF. The site may run visits. The CRO runs the quality system the FDA will later ask about.
    • The 21 CFR 812.28 package. Foreign data is eligible for FDA submission and review after GCP / ethics documentation. Eligibility is not clearance, and a site MSA does not produce it.
    • Multi-country optionality. If enrollment or the indication later needs another Latin American country, a single-hospital MSA will not stretch.

    Going direct to this campus is how you confirm a room. It is not how you open an investigational file.

    How ANVISA actually works (the short version)

    Use Clinical Trials in Brazil: combined ethics + ANVISA typically 6–10 weeks under Law 14874 and RDC 837/2023; CEPs capped at 30 business days; published per-patient range $20,000–$35,000. Trial authorization and later market registration are separate workstreams.

    Ask for a protocol-specific calendar. A hospital email is not ANVISA clearance. bioaccess® manages the file. That is CRO work, not site work.

    All bioaccess® device protocols in this country are run under ISO 14155 and the Declaration of Helsinki. Data is designed to be eligible for FDA submission and review under 21 CFR 812.28 on a case-by-case basis — not a guarantee of clearance or approval. See OUS FIH and FDA IDE.

    Not a critique of the hospital

    Hcor São Paulo is a serious named Brazilian campus on the public registry. ALL n=17 and DEVICE n=1 are registry volume, not a punchline. Use the site when the protocol fits. Hire the operator.

    What the CRO still does after you have the campus on a slide

    1. Regulatory-fit, not tourism. This geography is sourced. One campus is not automatically the right room for every indication. bioaccess® still runs trials in Colombia and the rest of the platform.
    2. Protocol, IB, ICF, insurance, and the ANVISA / ethics packet.
    3. Importer of record and device accountability.
    4. Site activation that is more than a tour: contracts, training, investigational product, EDC, monitoring plan. Activate this campus only if it fits the protocol.
    5. ISO 14155 monitoring and the 21 CFR 812.28 narrative so the dataset is built for a later Pre-Sub, IDE, 510(k), De Novo, PMA, or HDE — eligibility, not a promise of FDA action.

    The firm was founded in 2010. That is the operator layer around a campus string.

    Colombia is still on the map

    Public line: bioaccess® runs first-in-human studies in Colombia now — local entity, Miami headquarters, own CRO in Colombia. Colombia’s regulatory framework is changing for the better. INVIMA commercial registration remains. Ethics review in both Panama and Colombia runs on each committee’s meeting schedule. The country page’s published per-patient comparison: $12K–$22K vs. $15K–$25K as published on Clinical Trials in Panama. We pick the country the device needs. The founder podcast is Global Trial Accelerators™.

    Frequently asked questions

    Can I contract Hcor São Paulo directly for a device FIH?

    You can try. The hospital can discuss investigator interest, local visit costs, and ethics calendars. It cannot, by ranking on ClinicalTrials.gov, become your ANVISA applicant, importer of record, insurer, ISO 14155 monitor, or 21 CFR 812.28 packager. Contract the CRO, then let the CRO activate the site if the site fits.

    Did bioaccess® run the NCT IDs listed here?

    No public bioaccess® case-study page names this hospital. We will not invent that claim. This page answers the search; it does not claim the studies.

    Is this the same page as Instituto do Coração HCFMUSP or Beneficência Portuguesa?

    No. Instituto do Coração HCFMUSP is already published. Beneficência Portuguesa São Paulo is already published — do not near-dup merge. This page is Hcor only.

    Did bioaccess® run NCT05398497?

    No. We cite it as facility evidence. We will not invent a sponsor or a PI.

    Next step

    If the search that brought you here was this campus, start as the operator: contact bioaccess® or book from First-in-Human CRO. São Paulo sibling (do not merge): Instituto do Coração HCFMUSP.

    Julio G. Martinez-Clark, CEO · bioaccess®