Category: Preparing for First-In-Human Studies

Offers insights and best practices for Medtech, Biopharma, and Radiopharma companies preparing for their first-in-human clinical trials.

  • Centro de Intervenciones Cardiovasculares Santiago de los Caballeros: Named Akura ATC Site, Not the DIGEMAPS File

    Figures cited from the live ClinicalTrials.gov record NCT06152341 (last update posted 31 August 2026; first posted 30 November 2023) and the published bioaccess® Dominican Republic country page, verified 3 September 2026. General information, not legal or regulatory advice. Confirm current DIGEMAPS, CONABIOS, and FDA rules with qualified advisers. We name only the facility and the trial those sources support. No principal investigator is named on this NCT location row; we will not invent one. Akura Medical is not claimed as a bioaccess® client. bioaccess® is not listed on this NCT.

    If you searched Centro de Intervenciones Cardiovasculares clinical trial, CIC Santiago de los Caballeros, Akura Medical ATC System, pulmonary embolism thrombectomy Dominican Republic, or “go direct to the Santiago site,” you followed a facility string ClinicalTrials.gov still publishes on 31 August 2026. Centro de Intervenciones Cardiovasculares in Santiago de los Caballeros, Santiago Province, is a real named cardiovascular facility on that record. It is not the operator of the DIGEMAPS file.

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

    This page is the intercept for the Santiago de los Caballeros query. It does not clone clinical trials in the Dominican Republic. That page stays the country operating system. Sister Dominican intercepts stay on their own buildings: Laser Center Santo Domingo, Instituto Espaillat Cabral, and Clínica Canela La Romana. Santiago de los Caballeros is a different city from Santo Domingo and from La Romana. Do not merge the slugs. The two São Paulo rows on the same NCT already have their own intercepts: Instituto Dante Pazzanese and InCor HCFMUSP.

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

    NCT06152341 is an industry device listing. Brief title: Safety and Effectiveness of the ATC System in the Treatment of Acute PE. Official title: Safety and Effectiveness of the ATC System in the Treatment of Acute Pulmonary Embolism. Organization study ID: CP-60003. Lead sponsor: Akura Medical, class INDUSTRY, responsible party the sponsor. No collaborator is listed. No CRO is listed. The record publishes no central contact and no overall official.

    Design on the 3 September 2026 snapshot: interventional; prospective, single-arm, multicenter; no masking; primary purpose treatment; phase N/A; estimated enrollment 30. Actual start 15 May 2024; estimated primary completion April 2027; estimated completion May 2027. Study first posted 30 November 2023; last update posted 31 August 2026. Condition: acute pulmonary embolism.

    Status on that snapshot is SUSPENDED. The registry’s own reason, quoted as published: enrollment is temporarily paused pending device resupply to sites; enrollment is expected to resume to reach the target sample size following a recently approved protocol amendment; and the pause is not related to subject safety or device performance. We report that as written and add nothing to it.

    Intervention, in the registry’s words: a device — the ATC System, designed to mechanically remove emboli and restore blood flow through the pulmonary arteries in patients experiencing acute PE. The oversight module records the study as an FDA-regulated device study of an unapproved device that is a U.S. export. An unapproved, exported thrombectomy system running at 30 patients across three Latin American buildings is a CRO file, not a hospital favour.

    The three location rows currently published:

    • Instituto Dante Pazzanese de Cardiologia, São Paulo, Brazil — already intercepted.
    • Instituto do Coracao (InCor), São Paulo, Brazil — already intercepted.
    • Centro de Intervenciones Cardiovasculares, Santiago de los Caballeros, Santiago Province, Dominican Republic — this page. No principal investigator, contact, or row-level status is published for it.

    Read the record as it is. Two Brazilian cardiology institutes had public intercepts and the Dominican row did not, even though it is the only Caribbean building on an unapproved-device PE study. That is the site-direct leak: a sponsor searching Akura, ATC System, or Santiago de los Caballeros interventional cardiology lands on a named hospital with no operator in the public copy.

    Santiago de los Caballeros is a site. The CRO is the operator.

    A Dominican interventional-cardiology centre can provide cath-lab time, a PE response pathway, imaging, and operators who do pulmonary-artery work. That is necessary. It is not sufficient for an unapproved, U.S.-exported thrombectomy system a sponsor expects to defend to a U.S. board later.

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

    • Discuss investigator interest and procedural feasibility for a PE protocol — when that service is available and appropriate for your device, which is not automatic.
    • Share institutional Research Ethics Committee calendars and hospital research rules.
    • Quote procedure, bed, and local staffing costs for the cases they will physically run.

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

    • DIGEMAPS. The Ministry of Public Health, through the Dirección General de Medicamentos, Alimentos y Productos Sanitarios, is the national authority for health products including medical devices. A cath-lab conversation is not that submission.
    • CONABIOS-overseen ethics. The Consejo Nacional de Bioética en Salud oversees Research Ethics Committees; institutional REC review is tied to the host institution once the site is chosen.
    • Investigational import. A separate permit from the trial authorization and from a later commercial DIGEMAPS registration. The live importer-of-record guide already records DIGEMAPS as created by Decreto 82-15 (2015), with registration and import rules in Decreto 246-06. See importer of record for clinical trial devices in Latin America.
    • Clinical trial insurance. Required. We will not invent a Santiago-only premium here.
    • ISO 14155 monitoring, EDC, SAE reporting, and the TMF — including across the two São Paulo rows on the same NCT.
    • The 21 CFR 812.28 package. Foreign data is eligible for FDA submission and review after the GCP and ethics documentation that rule defines. Eligibility is not clearance. See OUS FIH and FDA IDE.
    • Multi-country optionality. A suspended-for-resupply study is precisely when a single-hospital MSA stops stretching.

    Going direct to Centro de Intervenciones Cardiovasculares is how you confirm a cath lab. It is not how you open an investigational file.

    Site versus CRO

    Workstream What the Santiago centre (site) typically owns What the CRO still owns
    Procedure Cath lab, PE pathway, imaging, local staff Protocol fit, training, device accountability and resupply logistics
    Ethics Institutional REC calendar and local rules Packet, ICF, IB alignment, deficiency cycle under CONABIOS oversight
    National authority Not the permit holder by being listed on an NCT DIGEMAPS clinical-trial file
    Import Receiving and storage if contracted Importer of record for an unapproved, U.S.-exported system
    Quality Hospital quality and the case ISO 14155 monitoring, EDC, SAE, TMF
    FDA conversation Source documents from cases they run 21 CFR 812.28 narrative — eligibility, not clearance
    Country optionality One Santiago building (plus two São Paulo rows on the same NCT) Colombia (INVIMA), Panama, and the rest of the bioaccess® platform

    How DIGEMAPS and CONABIOS sit next to the hospital

    Use clinical trials in the Dominican Republic for the full pathway. Facts a sponsor searching this hospital needs on one screen, already published there and not re-averaged here:

    • Institutional REC review averages ~30 days; CONABIOS-level review averages ~45 days, up to 120 depending on complexity.
    • DIGEMAPS is the national regulatory authority for health products including medical devices; CONABIOS oversees Research Ethics Committees.
    • Protocols follow the Declaration of Helsinki and the CIOMS international ethical guidelines. The submission package is in Spanish.
    • The country hub publishes ~30% lower program cost than a comparable U.S. or EU program — an experience-based estimate from work since 2010, not a formal study.
    • Under 21 CFR 812.28, foreign clinical data is eligible for FDA submission and review when the investigation meets that rule’s GCP conditions. Eligibility is not clearance or approval.
    • A commercial DIGEMAPS registration is a second, separate file from a clinical-trial authorization.

    We will not invent a Santiago-only day count. Ask for a protocol-specific calendar. A hospital email is not a DIGEMAPS authorization.

    What the Akura public file actually supports — and what it does not

    • Device: the ATC System for mechanical removal of emboli in acute pulmonary embolism, as described on NCT06152341.
    • Sponsor: Akura Medical (industry). No collaborator. No CRO named.
    • Sites: Instituto Dante Pazzanese and Instituto do Coracao, São Paulo (existing intercepts); Centro de Intervenciones Cardiovasculares, Santiago de los Caballeros (this page).
    • Design: prospective single-arm multicenter, phase N/A, estimated n=30, actual start 15 May 2024.
    • Status: SUSPENDED — enrollment paused pending device resupply, expected to resume after an approved protocol amendment; the registry states the pause is not related to subject safety or device performance.
    • Regulatory flags on the record: FDA-regulated device; unapproved device; U.S. export.
    • Not claimed here: that the NCT named bioaccess®; that Akura Medical is a bioaccess® client; that we have ATC outcomes; that a named investigator exists on this row when the registry prints none; that Santiago de los Caballeros is the same building as Santo Domingo or La Romana.

    What the CRO still does after you have a hospital name

    • Regulatory-fit, not tourism. The Dominican Republic is a lead first-in-human jurisdiction on the published platform. It is not automatically the right country for every indication. bioaccess® still runs clinical trials in Colombia and the rest of the platform.
    • Protocol, IB, ICF, insurance, and the DIGEMAPS / CONABIOS packet — in Spanish.
    • Importer of record and device accountability, including resupply across activated rows.
    • ISO 14155 monitoring and the 21 CFR 812.28 narrative for a later FDA conversation.
    • Optionality when one Caribbean cath lab is not enough.

    The founder podcast, when a conversation needs a voice, is Global Trial Accelerators™. Background: ClinicalTrials.gov FIH sites vs the CRO.

    Frequently asked questions

    Can I contract Centro de Intervenciones Cardiovasculares directly?

    You can try. The facility can discuss investigator interest, local procedure costs, and REC calendars. It cannot become your DIGEMAPS applicant, importer of record, insurer, ISO 14155 monitor, or 21 CFR 812.28 packager because Akura listed Santiago on a registry row. Contract the CRO; let the CRO activate the site.

    Did bioaccess® run the Akura ATC study?

    No public bioaccess® page says so. We will not invent that claim. This page intercepts the search; it does not claim the study.

    The study is SUSPENDED. Is that a safety problem?

    The registry says no. Its stated reason is a temporary enrollment pause pending device resupply to sites, with enrollment expected to resume after an approved protocol amendment, and it explicitly states the pause is not related to subject safety or device performance. We quote that; we do not reinterpret it. Resupply across three countries is, however, exactly the import-and-accountability workstream a site does not own.

    Who is the principal investigator in Santiago de los Caballeros?

    The registry does not name one on this location row, and neither will we.

    Is Colombia still an option?

    Yes. bioaccess® still runs trials in Colombia. A Dominican search is not an instruction to abandon INVIMA. See CRO in Colombia.

  • Centro de Retina Médica y Quirúrgica Zapopan: Named Alcon Feasibility IOL Site, Not the COFEPRIS File

    Figures cited from the live ClinicalTrials.gov record NCT05317728 (last update posted 1 September 2026; first posted 8 April 2022) and the published bioaccess® Mexico country page, verified 3 September 2026. General information, not legal or regulatory advice. Confirm current COFEPRIS, ethics-committee, and FDA rules with qualified advisers. We name only the facility and the trial those sources support. No principal investigator is named on this NCT location row; we will not invent one. Alcon is not claimed as a bioaccess® client. bioaccess® is not listed on this NCT.

    If you searched Centro de Retina Médica y Quirúrgica clinical trial, Zapopan Jalisco IOL study, Alcon fluid accommodating IOL Mexico, BAL-FAIOL site, or “go direct to the Zapopan site,” you followed a facility string ClinicalTrials.gov still publishes on 1 September 2026. Centro de Retina Medica y Quirurgica SC is a real named ophthalmology facility on that record. It is not the operator of the COFEPRIS file.

    bioaccess®’s position is simple and it is not adversarial: Centro de Retina Medica y Quirurgica SC is the site. The First-in-Human CRO still owns COFEPRIS, institutional 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 Zapopan is not the only fit. Sponsors who skip the CRO and email the clinic still have to rebuild that stack. An NCT location row does not become a CRO.

    This page is the intercept for the Zapopan query. It does not clone clinical trials in Mexico. That page stays the country operating system. The two Mexico City rows on this same NCT get their own slugs: Asociación Para Evitar la Ceguera en México and Salauno Salud. This slug is the Zapopan retina campus string (ZIP 45116, Jalisco) only. It is not any other Jalisco research centre already on this site. Do not merge them.

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

    NCT05317728 is an industry device feasibility listing. Brief title: Clinical Study of a Fluid Accommodating Intraocular Lens (IOL) Design. Official title: Randomized Controlled Study of Fluid Accommodating IOL Outcomes Versus Monofocal Control. Organization study ID: ILR286-E002. Lead sponsor: Alcon Research, class INDUSTRY, responsible party the sponsor. No collaborator is listed. No CRO is listed. The only overall official on the record is an unnamed “Clinical Trial Lead, Surgical” at Alcon Research, LLC. There is no central contact and no principal investigator is named on any location row — we will not invent one.

    Design on the 3 September 2026 snapshot: interventional; primary purpose DEVICE_FEASIBILITY; phase N/A; Cohort 1 randomized parallel-group with participant and outcomes-assessor masking, Cohort 2 single-group unmasked; actual enrollment 175; status ACTIVE_NOT_RECRUITING. Actual start 31 March 2023; estimated primary completion and completion November 2026. Study first posted 8 April 2022; last update posted 1 September 2026. Condition: cataract.

    Interventions, in the registry’s words: the BAL-FAIOL IOL, an investigational implantable medical device intended for long-term use over the lifetime of the cataract subject; a commercially available monofocal IOL control (other name AcrySof IQ monofocal IOL, SN60WF); and cataract surgery by phacoemulsification with a clear corneal incision. The oversight module records the study as an FDA-regulated device study of an unapproved device that is a U.S. export. That combination — unapproved investigational IOL, exported from the United States, run in Latin America under a feasibility purpose — is exactly the file a CRO carries.

    The six location rows currently published:

    Read the record as it is. Primary purpose is DEVICE_FEASIBILITY. The device is unapproved. Three of the six buildings are in Mexico, and until this batch none of the three had a dedicated public intercept. That is the site-direct leak: a sponsor searching a fluid-accommodating IOL, Alcon feasibility, or a Mexican ophthalmology campus lands on a named facility with no operator between them and the file.

    Zapopan is a site. The CRO is the operator.

    Centro de Retina Medica y Quirurgica SC can provide cataract surgical volume, biometry and refractive outcome measurement, and surgeons who implant IOLs every week. That is necessary. It is not sufficient for an unapproved, U.S.-exported investigational lens a sponsor expects to defend later.

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

    • Discuss surgeon interest and surgical feasibility for an investigational IOL — when that service is available and appropriate for your lens, which is not automatic.
    • Share institutional ethics-committee calendars and clinic research rules.
    • Quote surgery, visit, and local staffing costs for the cases they will physically run.

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

    • COFEPRIS. Clinical investigations sit under the Ley General de Salud and its implementing regulations. The submission is in Spanish: protocol, investigator brochure, informed consent, ethics approval, proof of insurance. A conversation with a Monterrey dermatologist is not that dossier.
    • Institutional ethics. Ethics-committee review under NOM-012-SSA3-2012 sits in front of the COFEPRIS file, and the committee is tied to the host institution once the site is chosen.
    • Investigational import. Bringing an unapproved device into Mexico is a separate workstream from the trial authorization and from a later commercial registro sanitario. See importer of record for clinical trial devices in Latin America.
    • Clinical trial insurance. Required. We will not invent a site-only premium here.
    • ISO 14155 monitoring, EDC, adverse-event reporting, and the TMF.
    • The 21 CFR 812.28 package. Foreign data is eligible for FDA submission and review after the GCP and ethics documentation that rule defines. Eligibility is not clearance. See OUS FIH and FDA IDE.
    • Multi-country optionality. If one Mexican room is not enough, a single-clinic MSA will not stretch to Colombia, Panama, or Costa Rica.

    Going direct to Centro de Retina Medica y Quirurgica SC is how you confirm an operating list. It is not how you open an investigational file.

    Site versus CRO

    Workstream What the Zapopan retina centre (site) typically owns What the CRO still owns
    Procedure OR list, phacoemulsification, biometry, refractive follow-up, local staff Protocol fit, surgeon training, investigational IOL accountability
    Ethics Institutional committee calendar and local rules Packet, ICF, IB alignment, deficiency cycle (NOM-012-SSA3-2012)
    National authority Not the permit holder by being listed on an NCT COFEPRIS clinical-investigation file, in Spanish
    Import Receiving and storage if contracted Importer of record for an unapproved, U.S.-exported lens
    Quality Clinic quality and the case ISO 14155 monitoring, EDC, AE reporting, TMF
    FDA conversation Source documents from cases they run 21 CFR 812.28 narrative — eligibility, not clearance
    Country optionality One building on a six-site record Colombia (INVIMA) and the rest of the bioaccess® platform

    How COFEPRIS and ethics sit next to the clinic

    Use clinical trials in Mexico for the full pathway. Facts a sponsor searching this facility needs on one screen, already published there and not re-averaged here:

    • Ethics at 4–6 weeks under NOM-012-SSA3-2012; COFEPRIS review at 4–8 weeks after ethics clearance; 2.8-month median start-up (attributed on that hub to NIH ClinRegs).
    • Published per-patient range $18,000–$30,000; 10+ pre-qualified sites across Mexico City, Guadalajara, and Monterrey.
    • The ~30-working-day COFEPRIS figure is registro sanitario / vía abreviada — a commercial market-access clock, not this trial clock.
    • All COFEPRIS submissions are in Spanish, including protocol, investigator brochure, and informed consent.
    • Under 21 CFR 812.28, foreign clinical data is eligible for FDA submission and review when the investigation meets that rule’s GCP conditions. Eligibility is not a guarantee of clearance or approval.
    • bioaccess®’s published cost comparison versus a typical U.S. or EU program is an experience-based estimate from work since 2010, not a formal study.

    We will not invent a facility-only day count. Ask for a protocol-specific calendar. A clinic email is not a COFEPRIS authorization.

    What the Alcon public file actually supports — and what it does not

    • Device: BAL-FAIOL fluid-accommodating intraocular lens, investigational and implantable, versus an AcrySof IQ SN60WF monofocal control, as described on NCT05317728.
    • Sponsor: Alcon Research (industry). No collaborator. No CRO named.
    • Site: Centro de Retina Medica y Quirurgica SC — one of six published location rows.
    • Design: DEVICE_FEASIBILITY, phase N/A, actual n=175, ACTIVE_NOT_RECRUITING, actual start 31 March 2023, estimated completion November 2026.
    • Regulatory flags on the record: FDA-regulated device; unapproved device; U.S. export.
    • Not claimed here: that the NCT named bioaccess®; that Alcon is a bioaccess® client; that we have BAL-FAIOL outcomes; that a named investigator exists on this row when the registry prints none; that this facility is the same building as any sibling intercept.

    What the CRO still does after you have a clinic name

    • Regulatory-fit, not tourism. Mexico is a sourced device geography. It is not automatically the right country for every indication. bioaccess® still runs clinical trials in Colombia and the rest of the platform.
    • Protocol, IB, ICF, insurance, and the COFEPRIS / ethics packet — in Spanish.
    • Importer of record and device accountability across every activated row.
    • ISO 14155 monitoring and the 21 CFR 812.28 narrative for a later FDA conversation.
    • Optionality across Costa Rica, the Dominican Republic, Panama, Colombia, and the rest of the platform when one campus is not enough.

    The founder podcast, when a conversation needs a voice, is Global Trial Accelerators™. Background on why registry rows keep outranking operators: ClinicalTrials.gov FIH sites vs the CRO and LATAM FIH hospitals vs the CRO.

    Frequently asked questions

    Can I contract Centro de Retina Medica y Quirurgica SC directly?

    You can try. The facility can discuss surgeon interest, local case costs, and ethics-committee calendars. It cannot become your COFEPRIS applicant, importer of record, insurer, ISO 14155 monitor, or 21 CFR 812.28 packager because Alcon listed it on a registry row. Contract the CRO; let the CRO activate the site.

    Did bioaccess® run the Alcon fluid-accommodating IOL study?

    No public bioaccess® page says so. We will not invent that claim. This page intercepts the search; it does not claim the study.

    Who is the principal investigator at this site?

    The registry does not name one on this location row, and neither will we. The only official on the record is an unnamed “Clinical Trial Lead, Surgical” at Alcon Research, LLC. A page that invents a surgeon name to look authoritative is a page a sponsor should not trust.

    The study is ACTIVE_NOT_RECRUITING. Why does this page exist?

    Because the row is still published and still ranks. Sponsors planning the next feasibility IOL study search the campus strings on the last one. Enrollment status changes; the search behaviour does not.

    Is Colombia still an option?

    Yes. bioaccess® still runs trials in Colombia. A Mexican ophthalmology search is not an instruction to abandon INVIMA. See CRO in Colombia.

  • Salauno Salud Mexico City: Named Alcon Feasibility IOL Site, Not the COFEPRIS File

    Figures cited from the live ClinicalTrials.gov record NCT05317728 (last update posted 1 September 2026; first posted 8 April 2022) and the published bioaccess® Mexico country page, verified 3 September 2026. General information, not legal or regulatory advice. Confirm current COFEPRIS, ethics-committee, and FDA rules with qualified advisers. We name only the facility and the trial those sources support. No principal investigator is named on this NCT location row; we will not invent one. Alcon is not claimed as a bioaccess® client. bioaccess® is not listed on this NCT.

    If you searched Salauno clinical trial, Salauno Salud SAPI de CV Mexico City, Alcon fluid accommodating IOL Mexico, BAL-FAIOL site, or “go direct to the Mexico City site,” you followed a facility string ClinicalTrials.gov still publishes on 1 September 2026. Salauno Salud SAPI de CV is a real named ophthalmology facility on that record. It is not the operator of the COFEPRIS file.

    bioaccess®’s position is simple and it is not adversarial: Salauno Salud SAPI de CV is the site. The First-in-Human CRO still owns COFEPRIS, institutional 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 Mexico City is not the only fit. Sponsors who skip the CRO and email the clinic still have to rebuild that stack. An NCT location row does not become a CRO.

    This page is the intercept for the Mexico City query. It does not clone clinical trials in Mexico. That page stays the country operating system. The two other Mexican rows on this same NCT get their own slugs: Asociación Para Evitar la Ceguera en México and Centro de Retina Médica y Quirúrgica Zapopan. This slug is the Salauno legal-entity string only. Salauno is a separate organisation from APEC and from Conde de Valenciana. Do not merge them.

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

    NCT05317728 is an industry device feasibility listing. Brief title: Clinical Study of a Fluid Accommodating Intraocular Lens (IOL) Design. Official title: Randomized Controlled Study of Fluid Accommodating IOL Outcomes Versus Monofocal Control. Organization study ID: ILR286-E002. Lead sponsor: Alcon Research, class INDUSTRY, responsible party the sponsor. No collaborator is listed. No CRO is listed. The only overall official on the record is an unnamed “Clinical Trial Lead, Surgical” at Alcon Research, LLC. There is no central contact and no principal investigator is named on any location row — we will not invent one.

    Design on the 3 September 2026 snapshot: interventional; primary purpose DEVICE_FEASIBILITY; phase N/A; Cohort 1 randomized parallel-group with participant and outcomes-assessor masking, Cohort 2 single-group unmasked; actual enrollment 175; status ACTIVE_NOT_RECRUITING. Actual start 31 March 2023; estimated primary completion and completion November 2026. Study first posted 8 April 2022; last update posted 1 September 2026. Condition: cataract.

    Interventions, in the registry’s words: the BAL-FAIOL IOL, an investigational implantable medical device intended for long-term use over the lifetime of the cataract subject; a commercially available monofocal IOL control (other name AcrySof IQ monofocal IOL, SN60WF); and cataract surgery by phacoemulsification with a clear corneal incision. The oversight module records the study as an FDA-regulated device study of an unapproved device that is a U.S. export. That combination — unapproved investigational IOL, exported from the United States, run in Latin America under a feasibility purpose — is exactly the file a CRO carries.

    The six location rows currently published:

    Read the record as it is. Primary purpose is DEVICE_FEASIBILITY. The device is unapproved. Three of the six buildings are in Mexico, and until this batch none of the three had a dedicated public intercept. That is the site-direct leak: a sponsor searching a fluid-accommodating IOL, Alcon feasibility, or a Mexican ophthalmology campus lands on a named facility with no operator between them and the file.

    Mexico City is a site. The CRO is the operator.

    Salauno Salud SAPI de CV can provide cataract surgical volume, biometry and refractive outcome measurement, and surgeons who implant IOLs every week. That is necessary. It is not sufficient for an unapproved, U.S.-exported investigational lens a sponsor expects to defend later.

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

    • Discuss surgeon interest and surgical feasibility for an investigational IOL — when that service is available and appropriate for your lens, which is not automatic.
    • Share institutional ethics-committee calendars and clinic research rules.
    • Quote surgery, visit, and local staffing costs for the cases they will physically run.

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

    • COFEPRIS. Clinical investigations sit under the Ley General de Salud and its implementing regulations. The submission is in Spanish: protocol, investigator brochure, informed consent, ethics approval, proof of insurance. A conversation with a Monterrey dermatologist is not that dossier.
    • Institutional ethics. Ethics-committee review under NOM-012-SSA3-2012 sits in front of the COFEPRIS file, and the committee is tied to the host institution once the site is chosen.
    • Investigational import. Bringing an unapproved device into Mexico is a separate workstream from the trial authorization and from a later commercial registro sanitario. See importer of record for clinical trial devices in Latin America.
    • Clinical trial insurance. Required. We will not invent a site-only premium here.
    • ISO 14155 monitoring, EDC, adverse-event reporting, and the TMF.
    • The 21 CFR 812.28 package. Foreign data is eligible for FDA submission and review after the GCP and ethics documentation that rule defines. Eligibility is not clearance. See OUS FIH and FDA IDE.
    • Multi-country optionality. If one Mexican room is not enough, a single-clinic MSA will not stretch to Colombia, Panama, or Costa Rica.

    Going direct to Salauno Salud SAPI de CV is how you confirm an operating list. It is not how you open an investigational file.

    Site versus CRO

    Workstream What Salauno (site) typically owns What the CRO still owns
    Procedure OR list, phacoemulsification, biometry, refractive follow-up, local staff Protocol fit, surgeon training, investigational IOL accountability
    Ethics Institutional committee calendar and local rules Packet, ICF, IB alignment, deficiency cycle (NOM-012-SSA3-2012)
    National authority Not the permit holder by being listed on an NCT COFEPRIS clinical-investigation file, in Spanish
    Import Receiving and storage if contracted Importer of record for an unapproved, U.S.-exported lens
    Quality Clinic quality and the case ISO 14155 monitoring, EDC, AE reporting, TMF
    FDA conversation Source documents from cases they run 21 CFR 812.28 narrative — eligibility, not clearance
    Country optionality One building on a six-site record Colombia (INVIMA) and the rest of the bioaccess® platform

    How COFEPRIS and ethics sit next to the clinic

    Use clinical trials in Mexico for the full pathway. Facts a sponsor searching this facility needs on one screen, already published there and not re-averaged here:

    • Ethics at 4–6 weeks under NOM-012-SSA3-2012; COFEPRIS review at 4–8 weeks after ethics clearance; 2.8-month median start-up (attributed on that hub to NIH ClinRegs).
    • Published per-patient range $18,000–$30,000; 10+ pre-qualified sites across Mexico City, Guadalajara, and Monterrey.
    • The ~30-working-day COFEPRIS figure is registro sanitario / vía abreviada — a commercial market-access clock, not this trial clock.
    • All COFEPRIS submissions are in Spanish, including protocol, investigator brochure, and informed consent.
    • Under 21 CFR 812.28, foreign clinical data is eligible for FDA submission and review when the investigation meets that rule’s GCP conditions. Eligibility is not a guarantee of clearance or approval.
    • bioaccess®’s published cost comparison versus a typical U.S. or EU program is an experience-based estimate from work since 2010, not a formal study.

    We will not invent a facility-only day count. Ask for a protocol-specific calendar. A clinic email is not a COFEPRIS authorization.

    What the Alcon public file actually supports — and what it does not

    • Device: BAL-FAIOL fluid-accommodating intraocular lens, investigational and implantable, versus an AcrySof IQ SN60WF monofocal control, as described on NCT05317728.
    • Sponsor: Alcon Research (industry). No collaborator. No CRO named.
    • Site: Salauno Salud SAPI de CV — one of six published location rows.
    • Design: DEVICE_FEASIBILITY, phase N/A, actual n=175, ACTIVE_NOT_RECRUITING, actual start 31 March 2023, estimated completion November 2026.
    • Regulatory flags on the record: FDA-regulated device; unapproved device; U.S. export.
    • Not claimed here: that the NCT named bioaccess®; that Alcon is a bioaccess® client; that we have BAL-FAIOL outcomes; that a named investigator exists on this row when the registry prints none; that this facility is the same building as any sibling intercept.

    What the CRO still does after you have a clinic name

    • Regulatory-fit, not tourism. Mexico is a sourced device geography. It is not automatically the right country for every indication. bioaccess® still runs clinical trials in Colombia and the rest of the platform.
    • Protocol, IB, ICF, insurance, and the COFEPRIS / ethics packet — in Spanish.
    • Importer of record and device accountability across every activated row.
    • ISO 14155 monitoring and the 21 CFR 812.28 narrative for a later FDA conversation.
    • Optionality across Costa Rica, the Dominican Republic, Panama, Colombia, and the rest of the platform when one campus is not enough.

    The founder podcast, when a conversation needs a voice, is Global Trial Accelerators™. Background on why registry rows keep outranking operators: ClinicalTrials.gov FIH sites vs the CRO and LATAM FIH hospitals vs the CRO.

    Frequently asked questions

    Can I contract Salauno Salud SAPI de CV directly?

    You can try. The facility can discuss surgeon interest, local case costs, and ethics-committee calendars. It cannot become your COFEPRIS applicant, importer of record, insurer, ISO 14155 monitor, or 21 CFR 812.28 packager because Alcon listed it on a registry row. Contract the CRO; let the CRO activate the site.

    Did bioaccess® run the Alcon fluid-accommodating IOL study?

    No public bioaccess® page says so. We will not invent that claim. This page intercepts the search; it does not claim the study.

    Who is the principal investigator at this site?

    The registry does not name one on this location row, and neither will we. The only official on the record is an unnamed “Clinical Trial Lead, Surgical” at Alcon Research, LLC. A page that invents a surgeon name to look authoritative is a page a sponsor should not trust.

    The study is ACTIVE_NOT_RECRUITING. Why does this page exist?

    Because the row is still published and still ranks. Sponsors planning the next feasibility IOL study search the campus strings on the last one. Enrollment status changes; the search behaviour does not.

    Is Colombia still an option?

    Yes. bioaccess® still runs trials in Colombia. A Mexican ophthalmology search is not an instruction to abandon INVIMA. See CRO in Colombia.

  • Asociación Para Evitar la Ceguera en México: Named Alcon Feasibility IOL Site, Not the COFEPRIS File

    Figures cited from the live ClinicalTrials.gov record NCT05317728 (last update posted 1 September 2026; first posted 8 April 2022) and the published bioaccess® Mexico country page, verified 3 September 2026. General information, not legal or regulatory advice. Confirm current COFEPRIS, ethics-committee, and FDA rules with qualified advisers. We name only the facility and the trial those sources support. No principal investigator is named on this NCT location row; we will not invent one. Alcon is not claimed as a bioaccess® client. bioaccess® is not listed on this NCT.

    If you searched Asociación Para Evitar la Ceguera en México clinical trial, APEC Mexico City IOL study, Alcon fluid accommodating IOL Mexico, BAL-FAIOL site, or “go direct to the Mexico City site,” you followed a facility string ClinicalTrials.gov still publishes on 1 September 2026. Asociación Para Evitar la Ceguera en México is a real named ophthalmology facility on that record. It is not the operator of the COFEPRIS file.

    bioaccess®’s position is simple and it is not adversarial: Asociación Para Evitar la Ceguera en México is the site. The First-in-Human CRO still owns COFEPRIS, institutional 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 Mexico City is not the only fit. Sponsors who skip the CRO and email the clinic still have to rebuild that stack. An NCT location row does not become a CRO.

    This page is the intercept for the Mexico City query. It does not clone clinical trials in Mexico. That page stays the country operating system. Sibling Mexico City intercepts stay on their own buildings: Instituto de Oftalmología Conde de Valenciana. The two other Mexican rows on this same NCT get their own slugs: Salauno Salud and Centro de Retina Médica y Quirúrgica Zapopan. This slug is the APEC campus string only. It is not CODET Vision Institute Tijuana and it is not Conde de Valenciana. Do not merge them.

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

    NCT05317728 is an industry device feasibility listing. Brief title: Clinical Study of a Fluid Accommodating Intraocular Lens (IOL) Design. Official title: Randomized Controlled Study of Fluid Accommodating IOL Outcomes Versus Monofocal Control. Organization study ID: ILR286-E002. Lead sponsor: Alcon Research, class INDUSTRY, responsible party the sponsor. No collaborator is listed. No CRO is listed. The only overall official on the record is an unnamed “Clinical Trial Lead, Surgical” at Alcon Research, LLC. There is no central contact and no principal investigator is named on any location row — we will not invent one.

    Design on the 3 September 2026 snapshot: interventional; primary purpose DEVICE_FEASIBILITY; phase N/A; Cohort 1 randomized parallel-group with participant and outcomes-assessor masking, Cohort 2 single-group unmasked; actual enrollment 175; status ACTIVE_NOT_RECRUITING. Actual start 31 March 2023; estimated primary completion and completion November 2026. Study first posted 8 April 2022; last update posted 1 September 2026. Condition: cataract.

    Interventions, in the registry’s words: the BAL-FAIOL IOL, an investigational implantable medical device intended for long-term use over the lifetime of the cataract subject; a commercially available monofocal IOL control (other name AcrySof IQ monofocal IOL, SN60WF); and cataract surgery by phacoemulsification with a clear corneal incision. The oversight module records the study as an FDA-regulated device study of an unapproved device that is a U.S. export. That combination — unapproved investigational IOL, exported from the United States, run in Latin America under a feasibility purpose — is exactly the file a CRO carries.

    The six location rows currently published:

    Read the record as it is. Primary purpose is DEVICE_FEASIBILITY. The device is unapproved. Three of the six buildings are in Mexico, and until this batch none of the three had a dedicated public intercept. That is the site-direct leak: a sponsor searching a fluid-accommodating IOL, Alcon feasibility, or a Mexican ophthalmology campus lands on a named facility with no operator between them and the file.

    Mexico City is a site. The CRO is the operator.

    Asociación Para Evitar la Ceguera en México can provide cataract surgical volume, biometry and refractive outcome measurement, and surgeons who implant IOLs every week. That is necessary. It is not sufficient for an unapproved, U.S.-exported investigational lens a sponsor expects to defend later.

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

    • Discuss surgeon interest and surgical feasibility for an investigational IOL — when that service is available and appropriate for your lens, which is not automatic.
    • Share institutional ethics-committee calendars and clinic research rules.
    • Quote surgery, visit, and local staffing costs for the cases they will physically run.

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

    • COFEPRIS. Clinical investigations sit under the Ley General de Salud and its implementing regulations. The submission is in Spanish: protocol, investigator brochure, informed consent, ethics approval, proof of insurance. A conversation with a Monterrey dermatologist is not that dossier.
    • Institutional ethics. Ethics-committee review under NOM-012-SSA3-2012 sits in front of the COFEPRIS file, and the committee is tied to the host institution once the site is chosen.
    • Investigational import. Bringing an unapproved device into Mexico is a separate workstream from the trial authorization and from a later commercial registro sanitario. See importer of record for clinical trial devices in Latin America.
    • Clinical trial insurance. Required. We will not invent a site-only premium here.
    • ISO 14155 monitoring, EDC, adverse-event reporting, and the TMF.
    • The 21 CFR 812.28 package. Foreign data is eligible for FDA submission and review after the GCP and ethics documentation that rule defines. Eligibility is not clearance. See OUS FIH and FDA IDE.
    • Multi-country optionality. If one Mexican room is not enough, a single-clinic MSA will not stretch to Colombia, Panama, or Costa Rica.

    Going direct to Asociación Para Evitar la Ceguera en México is how you confirm an operating list. It is not how you open an investigational file.

    Site versus CRO

    Workstream What the APEC campus (site) typically owns What the CRO still owns
    Procedure OR list, phacoemulsification, biometry, refractive follow-up, local staff Protocol fit, surgeon training, investigational IOL accountability
    Ethics Institutional committee calendar and local rules Packet, ICF, IB alignment, deficiency cycle (NOM-012-SSA3-2012)
    National authority Not the permit holder by being listed on an NCT COFEPRIS clinical-investigation file, in Spanish
    Import Receiving and storage if contracted Importer of record for an unapproved, U.S.-exported lens
    Quality Clinic quality and the case ISO 14155 monitoring, EDC, AE reporting, TMF
    FDA conversation Source documents from cases they run 21 CFR 812.28 narrative — eligibility, not clearance
    Country optionality One building on a six-site record Colombia (INVIMA) and the rest of the bioaccess® platform

    How COFEPRIS and ethics sit next to the clinic

    Use clinical trials in Mexico for the full pathway. Facts a sponsor searching this facility needs on one screen, already published there and not re-averaged here:

    • Ethics at 4–6 weeks under NOM-012-SSA3-2012; COFEPRIS review at 4–8 weeks after ethics clearance; 2.8-month median start-up (attributed on that hub to NIH ClinRegs).
    • Published per-patient range $18,000–$30,000; 10+ pre-qualified sites across Mexico City, Guadalajara, and Monterrey.
    • The ~30-working-day COFEPRIS figure is registro sanitario / vía abreviada — a commercial market-access clock, not this trial clock.
    • All COFEPRIS submissions are in Spanish, including protocol, investigator brochure, and informed consent.
    • Under 21 CFR 812.28, foreign clinical data is eligible for FDA submission and review when the investigation meets that rule’s GCP conditions. Eligibility is not a guarantee of clearance or approval.
    • bioaccess®’s published cost comparison versus a typical U.S. or EU program is an experience-based estimate from work since 2010, not a formal study.

    We will not invent a facility-only day count. Ask for a protocol-specific calendar. A clinic email is not a COFEPRIS authorization.

    What the Alcon public file actually supports — and what it does not

    • Device: BAL-FAIOL fluid-accommodating intraocular lens, investigational and implantable, versus an AcrySof IQ SN60WF monofocal control, as described on NCT05317728.
    • Sponsor: Alcon Research (industry). No collaborator. No CRO named.
    • Site: Asociación Para Evitar la Ceguera en México — one of six published location rows.
    • Design: DEVICE_FEASIBILITY, phase N/A, actual n=175, ACTIVE_NOT_RECRUITING, actual start 31 March 2023, estimated completion November 2026.
    • Regulatory flags on the record: FDA-regulated device; unapproved device; U.S. export.
    • Not claimed here: that the NCT named bioaccess®; that Alcon is a bioaccess® client; that we have BAL-FAIOL outcomes; that a named investigator exists on this row when the registry prints none; that this facility is the same building as any sibling intercept.

    What the CRO still does after you have a clinic name

    • Regulatory-fit, not tourism. Mexico is a sourced device geography. It is not automatically the right country for every indication. bioaccess® still runs clinical trials in Colombia and the rest of the platform.
    • Protocol, IB, ICF, insurance, and the COFEPRIS / ethics packet — in Spanish.
    • Importer of record and device accountability across every activated row.
    • ISO 14155 monitoring and the 21 CFR 812.28 narrative for a later FDA conversation.
    • Optionality across Costa Rica, the Dominican Republic, Panama, Colombia, and the rest of the platform when one campus is not enough.

    The founder podcast, when a conversation needs a voice, is Global Trial Accelerators™. Background on why registry rows keep outranking operators: ClinicalTrials.gov FIH sites vs the CRO and LATAM FIH hospitals vs the CRO.

    Frequently asked questions

    Can I contract Asociación Para Evitar la Ceguera en México directly?

    You can try. The facility can discuss surgeon interest, local case costs, and ethics-committee calendars. It cannot become your COFEPRIS applicant, importer of record, insurer, ISO 14155 monitor, or 21 CFR 812.28 packager because Alcon listed it on a registry row. Contract the CRO; let the CRO activate the site.

    Did bioaccess® run the Alcon fluid-accommodating IOL study?

    No public bioaccess® page says so. We will not invent that claim. This page intercepts the search; it does not claim the study.

    Who is the principal investigator at this site?

    The registry does not name one on this location row, and neither will we. The only official on the record is an unnamed “Clinical Trial Lead, Surgical” at Alcon Research, LLC. A page that invents a surgeon name to look authoritative is a page a sponsor should not trust.

    The study is ACTIVE_NOT_RECRUITING. Why does this page exist?

    Because the row is still published and still ranks. Sponsors planning the next feasibility IOL study search the campus strings on the last one. Enrollment status changes; the search behaviour does not.

    Is Colombia still an option?

    Yes. bioaccess® still runs trials in Colombia. A Mexican ophthalmology search is not an instruction to abandon INVIMA. See CRO in Colombia.

  • Especialistas de la Piel y Cirugía Monterrey: Named Jeisys Linear Z Site, Not the COFEPRIS File

    Figures cited from the live ClinicalTrials.gov record NCT07802431 (study first posted 3 September 2026; last update posted 3 September 2026) and the published bioaccess® Mexico country page, verified 3 September 2026. General information, not legal or regulatory advice. Confirm current COFEPRIS, ethics-committee, and FDA rules with qualified advisers. We name only the facility, the investigator, and the trial those sources support. We do not publish site contact emails or phone numbers here. Jeisys Medical is not claimed as a bioaccess® client. bioaccess® is not listed on this NCT.

    If you searched Especialistas de la Piel y Cirugía clinical trial, Jeisys Linear Z Mexico, LinearZ HIFU body contouring study, Hector Leal Leal Monterrey, or “go direct to the Monterrey site,” you followed a facility string ClinicalTrials.gov published for the first time on 3 September 2026. Especialistas de la Piel y Cirugía, S.C. in Monterrey, Nuevo León is a real named facility on that record. It is not the operator of the COFEPRIS file.

    bioaccess®’s position is simple and it is not adversarial: Especialistas de la Piel y Cirugía is the site. The First-in-Human CRO still owns COFEPRIS, institutional 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 Monterrey is not the only fit. Sponsors who skip the CRO and email the clinic still have to rebuild that stack. A recruiting location row does not become a CRO.

    This page is the intercept for the Monterrey query. It does not clone clinical trials in Mexico. That page stays the country operating system. Sibling Mexican intercepts stay on their own buildings: Centro de Dermatología de Monterrey, CODET Vision Institute Tijuana, and Instituto de Oftalmología Conde de Valenciana. Do not merge them into this slug.

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

    NCT07802431 is a brand-new industry device listing. The registry’s own dates, retrieved 3 September 2026: study first submitted 27 August 2026; QC submitted 1 September 2026; first posted 3 September 2026; last update posted 3 September 2026. Brief title: Clinical Evaluation of Linear Z for Body Contouring. Official title: Prospective, Single-center, Single-arm Clinical Research Evaluating the Safety and Effectiveness of Linear Z for Non-invasive Body Contouring of the Abdomen and Flanks. Organization study ID: LIN-BD-01-2026. Lead sponsor: Jeisys Medical Inc, class INDUSTRY, responsible party the sponsor. No collaborator is listed. No CRO is listed.

    Design on the 3 September 2026 snapshot: interventional; single-center, single-arm; allocation N/A; no masking; primary purpose treatment; phase N/A; estimated enrollment 30; status RECRUITING. Estimated start 1 September 2026; estimated primary completion 20 December 2026; estimated completion 31 December 2026. Condition: non-invasive body contouring. Registry keywords: body contouring; high-intensity focused ultrasound (HIFU); localized adiposity; fat reduction.

    Intervention, in the registry’s words: a device — high intensity focused ultrasound. Participants receive a single treatment with the LinearZ focused ultrasound device to the lower abdomen and bilateral flanks, delivered at specific depths within subcutaneous tissue per the sponsor-approved treatment manual, with roughly 90 days of follow-up. The registry’s oversight module records no data monitoring committee, and marks the study as not FDA-regulated drug and not FDA-regulated device — a sponsor-entered flag about this listing, not a statement about what a later U.S. filing would require.

    Location rows currently published:

    • Especialistas de la Piel y Cirugía, S.C. — the only location on the record — RECRUITING. The registry prints the geography as city “Nuevo León,” state “Monterrey,” ZIP 64060, Mexico. We report that as published; the two fields appear transposed on the row and we will not silently rewrite a sponsor’s entry.
    • Named site contact on that row: Hector Leal Leal, Dr. Central contact on the record: Narendra Kumar, Dr., PhD, Jeisys. We do not reprint their direct contact details here.

    Read the record as it is. A single Mexican site, an estimated 30 participants, a 90-day endpoint window, an industry sponsor in Korea, and no CRO in the public copy. That is the site-direct leak: a sponsor searching LinearZ, Jeisys, or Monterrey body contouring now lands on a named clinic with no operator between them and the file.

    Monterrey is a site. The CRO is the operator.

    A Monterrey dermatology and surgery practice can provide treatment rooms, standardized photography and 3D imaging, subjects with localized abdominal and flank adiposity, and an investigator the registry already named. That is necessary. It is not sufficient for an investigational-device study a U.S. board expects to survive later scrutiny.

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

    • Discuss investigator interest and procedural feasibility for an energy-device protocol — when that service is available and appropriate for your device, which is not automatic.
    • Share institutional ethics-committee calendars and clinic research rules.
    • Quote procedure, visit, and local staffing costs for the sessions they will physically run.

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

    • COFEPRIS. Clinical investigations sit under the Ley General de Salud and its implementing regulations. The submission is in Spanish: protocol, investigator brochure, informed consent, ethics approval, proof of insurance. A conversation with a Monterrey dermatologist is not that dossier.
    • Institutional ethics. Ethics-committee review under NOM-012-SSA3-2012 sits in front of the COFEPRIS file, and the committee is tied to the host institution once the site is chosen.
    • Investigational import. Bringing an unapproved device into Mexico is a separate workstream from the trial authorization and from a later commercial registro sanitario. See importer of record for clinical trial devices in Latin America.
    • Clinical trial insurance. Required. We will not invent a site-only premium here.
    • ISO 14155 monitoring, EDC, adverse-event reporting, and the TMF.
    • The 21 CFR 812.28 package. Foreign data is eligible for FDA submission and review after the GCP and ethics documentation that rule defines. Eligibility is not clearance. See OUS FIH and FDA IDE.
    • Multi-country optionality. If one Mexican room is not enough, a single-clinic MSA will not stretch to Colombia, Panama, or Costa Rica.

    Going direct to Especialistas de la Piel y Cirugía is how you confirm a room. It is not how you open an investigational file.

    Site versus CRO

    Workstream What the Monterrey clinic (site) typically owns What the CRO still owns
    Procedure Treatment room, HIFU sessions, photography and 3D imaging, local staff Protocol fit, training, device accountability
    Ethics Institutional committee calendar and local rules Packet, ICF, IB alignment, deficiency cycle (NOM-012-SSA3-2012)
    National authority Not the permit holder by being listed on an NCT COFEPRIS clinical-investigation file, in Spanish
    Import Receiving and storage if contracted Importer of record for the investigational system
    Quality Clinic quality and the treatment session ISO 14155 monitoring, EDC, AE reporting, TMF
    FDA conversation Source documents from sessions they run 21 CFR 812.28 narrative — eligibility, not clearance
    Country optionality One Monterrey practice Colombia (INVIMA) and the rest of the bioaccess® platform

    How COFEPRIS and ethics sit next to the clinic

    Use clinical trials in Mexico for the full pathway. Facts a sponsor searching this facility needs on one screen, already published there and not re-averaged here:

    • Ethics at 4–6 weeks under NOM-012-SSA3-2012; COFEPRIS review at 4–8 weeks after ethics clearance; 2.8-month median start-up (attributed on that hub to NIH ClinRegs).
    • Published per-patient range $18,000–$30,000; 10+ pre-qualified sites across Mexico City, Guadalajara, and Monterrey.
    • The ~30-working-day COFEPRIS figure is registro sanitario / vía abreviada — a commercial market-access clock, not this trial clock.
    • All COFEPRIS submissions are in Spanish, including protocol, investigator brochure, and informed consent.
    • Under 21 CFR 812.28, foreign clinical data is eligible for FDA submission and review when the investigation meets that rule’s GCP conditions. Eligibility is not a guarantee of clearance or approval.
    • bioaccess®’s published cost comparison versus a typical U.S. or EU program is an experience-based estimate from work since 2010, not a formal study.

    We will not invent a facility-only day count. Ask for a protocol-specific calendar. A clinic email is not a COFEPRIS authorization.

    What the Jeisys public file actually supports — and what it does not

    • Device: LinearZ high-intensity focused ultrasound for non-invasive body contouring of the lower abdomen and flanks, as described on NCT07802431.
    • Sponsor: Jeisys Medical Inc (industry). No collaborator. No CRO named.
    • Site: Especialistas de la Piel y Cirugía, S.C., Monterrey / Nuevo León, Mexico — the only location row, RECRUITING.
    • Design: single-center, single-arm, phase N/A; estimated n=30; estimated start 1 September 2026; ~90-day follow-up.
    • Named investigator (as published): Hector Leal Leal, Dr., site contact on the location row.
    • Not claimed here: that the NCT named bioaccess®; that Jeisys is a bioaccess® client; that we have LinearZ outcomes; that this listing is an FDA IDE; that the clinic holds a COFEPRIS authorization because it is printed on a registry row.

    What the CRO still does after you have a clinic name

    • Regulatory-fit, not tourism. Mexico is a sourced device geography. It is not automatically the right country for every indication. bioaccess® still runs clinical trials in Colombia and the rest of the platform.
    • Protocol, IB, ICF, insurance, and the COFEPRIS / ethics packet — in Spanish.
    • Importer of record and device accountability for the investigational system.
    • ISO 14155 monitoring and the 21 CFR 812.28 narrative for a later FDA conversation.
    • Optionality if one Nuevo León room is not enough.

    The founder podcast, when a conversation needs a voice, is Global Trial Accelerators™. Background on why registry rows keep outranking operators: ClinicalTrials.gov FIH sites vs the CRO.

    Frequently asked questions

    Can I contract Especialistas de la Piel y Cirugía directly?

    You can try. The facility can discuss investigator interest, local session costs, and ethics-committee calendars. It cannot become your COFEPRIS applicant, importer of record, insurer, ISO 14155 monitor, or 21 CFR 812.28 packager because Jeisys listed Monterrey. Contract the CRO; let the CRO activate the site.

    Did bioaccess® run the Linear Z study?

    No public bioaccess® page says so. We will not invent that claim. This page intercepts the search; it does not claim the study.

    The registry says this is not an FDA-regulated device study. Does 21 CFR 812.28 still matter?

    It matters the moment you want the data to travel. That sponsor-entered flag describes this listing. If a U.S. submission is ever the goal, the GCP, ethics, and documentation conditions in 21 CFR 812.28 are what make foreign data eligible for FDA submission and review — and eligibility is still not clearance.

    Why does the record print Nuevo León as the city and Monterrey as the state?

    Because that is what the sponsor entered. Monterrey is the city and Nuevo León is the state. We report the row as published and flag the transposition rather than quietly rewriting a public record.

    Is Colombia still an option?

    Yes. bioaccess® still runs trials in Colombia. A Monterrey search is not an instruction to abandon INVIMA. See CRO in Colombia.

  • Three public LATAM graphs: trials, first registration, subcontractors

    Figures cited from a ClinicalTrials.gov LATAM facility sweep (API pull 1 September 2026, 6:32 PM ET) and published bioaccess® country and market-access pages. Registry ranking is not a bioaccess® claim that we ran any of these studies. General information, not legal or regulatory advice.

    Latin America is not opaque. Clinical-trial sites, commercial device registrations, and (separately) the people who run the work already sit on public government tools or on pages bioaccess® has already shipped. What is missing is one index that keeps the three graphs apart so a sponsor does not mix a first-in-human clock with a sanitary registro or a directory join form.

    bioaccess® (a DBA of IMH ASSETS CORP.; Julio G. Martinez-Clark, Co-Founder & CEO) already publishes the operating products: First-in-Human CRO, LATAM Launch / market access, and the free join page at network.bioaccessla.com. This index is the public-data door, not a new SKU.

    Graph 1 — Trials (registry activity, not bioaccess® studies)

    On 1 September 2026 (6:32 PM ET) bioaccess® pulled ClinicalTrials.gov Data API v2 for interventional studies with at least one location in a named Latin American country. Official endpoint: clinicaltrials.gov/data-api/api. No API key. No HTML scrape. Counts are unique NCT IDs with ≥1 location in that country; multinational trials appear in every matching country. Unique OR across the country set: 17,497 interventional studies; 1,892 of those also carry InterventionType DEVICE.

    Country All interventional Device interventional
    Brazil 10,208 1,165
    Mexico 5,160 241
    Argentina 4,148 110
    Chile 2,544 199
    Colombia 1,911 116
    Peru 1,238 35
    Panama 346 38
    Dominican Republic 234 25
    Costa Rica 204 16
    Ecuador 147 11
    Paraguay 90 50
    Uruguay 63 7
    El Salvador 62 14

    These numbers are registry activity. They are not a claim that bioaccess® ran the studies. They are not a site-chase list. The country-count table above is the only public count on this page.

    National trial lists that already have a public, no-login face (open the government page; we will not scrape a login):

    Already live on bioaccessla.com for this graph: Independent LATAM early-phase industry tracker (July 2026, Phase 1 / Early Phase 1, industry-sponsored, start ≥ 1 Jan 2023 — narrower than the 1 Sep pull above). trial-evidence-registry is the published-case graph only. CT.gov FIH sites vs the CRO is an intercept hub, not a bulk directory.

    Public line, unchanged: bioaccess® still runs clinical trials in Colombia — local entity, Miami headquarters, own CRO in Colombia. Because INVIMA clinical-trial approval timelines have become unpredictable, bioaccess® does not currently recommend Colombia for new FIH trial execution. INVIMA commercial registration remains. We pick the country the device needs.

    Graph 2 — First registration / market access (titular, not a trial permit)

    A sanitary registro and a trial authorization are different files. The visor or fila that names a holder is not an ethics clock. Live bioaccess® product page: bioaccessla.com/market-access (LATAM Launch Subscription, USD 7,500/year per country, first device family — already published). Country IoR rules: LATAM Importer of Record.

    Official public lookups already opened (no unpublished holder invented):

    • Mexico COFEPRIS Visor de Registros Sanitarios de Dispositivos Médicos — Comunicado 21/2026 (20 Aug 2026); tool at registros.cofepris.gob.mx/BRSDM. Operator page already live: COFEPRIS visor of active Mexico device registrations. The visor is JS; we do not publish a bulk CSV dump here.
    • Brazil ANVISA FILA de análisis de dispositivos médicos — official CSV on dados.anvisa.gov.br. Not republished here as a download. Use the agency open-data page.
    • Colombia INVIMA registros sanitarios DM — public consulta remains the agency pages. We do not republish those CSVs here.
    • Chile ISP Decreto Exento N° 25 (2026) device-registration wave — live post chile-isp-decreto-exento-25-2026-device-registration.

    Trial-authorization vs registro cuts already live (do not clone): El Salvador CNEIS vs DNM; ANMAT trial vs registro; Peru INS vs DIGEMID; Paraguay DINAVISA; Ecuador ARCSA. A trial permit is not a sanitary registro.

    Graph 3 — Subcontractors (join page, not a fake member list)

    The live join surface is network.bioaccessla.com. Homepage professional cards on that host are marketing. An anonymous read of the public contractors table on 28 Aug 2026 returned 0 rows. This page will not reprint those labels as verified members.

    If you are a CRA, regulatory consultant, translator, SMO, or local RA firm: use the free join form on that host. Fallback published on the page: info@bioaccessla.com with name, country, specialty. Do not treat a marketing card as a subcontract.

    What this index is not

    • Not a harvest of PI emails. Facility-level emails stay off this page.
    • Not PHI. No patient names, no implant dates, no imaging.
    • Not unpublished clients. The evidence registry and case studies already name the public set; this page does not add names.
    • Not a site-direct intercept. Campus kill-pages stay on their own family.

    Contact: bioaccessla.com/contact. Book: book-a-meeting.

    Julio G. Martinez-Clark, CEO · bioaccess®

  • Hospital Nacional Hipólito Unanue: The NCT Campus String Is Not the INS 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 INS, 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 Nacional Hipólito Unanue as a bioaccess® client.

    If you searched Hospital Nacional Hipolito Unanue first-in-human, Hipolito Unanue Lima clinical trial, Unanue CRO, or “go direct Hospital Nacional Hipólito Unanue,” you followed a campus string ClinicalTrials.gov still publishes. Hospital Nacional Hipólito Unanue in Lima, Peru, is a real named national-hospital string on ClinicalTrials.gov. It is not a first-in-human medical-device CRO, and it is not the operator of the INS file.

    bioaccess®’s position is simple and it is not adversarial: the hospital is the site. The First-in-Human CRO still owns INS / DIGEMID, 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 Lima Hipólito Unanue campus. Skip INEN Lima (CMS 95644) on this slug. It is not Clínica Vesalio Lima (CMS 96116), not Clínica San Borja Lima (already live), and not a DIGESA invention. Sharing Lima is not a license to collapse them. Unanue is not INEN. Unanue is not Vesalio.

    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; complete dump), this campus sits here after filters:

    Counts come from leftover unique strings after the last live leftover-site batch plus unique NCT IDs in /workspace/five-trials/ctgov-raw/all_interventional.jsonl (17497 studies; ClinicalTrials.gov LATAM facility sweep, API pull 1 September 2026, 6:32 PM ET; dump confirmed 1 September 2026). Alias strings are listed separately. We do not publish a unique-study union across alias strings. We do not invent a global CSV rank. We do not invent unpublished CMS IDs. Registry ranking is not a bioaccess® claim that we ran any of these studies.

    • Hospital Nacional Hipólito Unanue (Lima, Peru) — canonical NCT string: ALL interventional n=8; DEVICE n=1. Example NCT IDs: NCT00685360, NCT00868959, NCT01284517.

    Cite canonical ALL n=8 and DEVICE n=1. Do not clone INEN or Vesalio onto this slug. We do not invent a Peruvian legal entity.

    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 Hipólito Unanue first-in-human finds ALL n=8 (DEVICE n=1) without finding INS / DIGEMID. A named national hospital 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:

    • INS. INS (DIIS, formerly OGITT) authorizes trials in Peru. DIGEMID under MINSA regulates devices and investigational import. Accredited ethics is required. A hallway conversation in Lima is not that stack. We will not invent DIGESA onto this page. We do not invent a Peruvian legal entity. A hallway conversation at Hipólito Unanue is not an INEN file and is not a Vesalio 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 INS actually works (the short version)

    Use clinical-trials-peru. INS (DIIS, formerly OGITT) authorizes trials. A published statutory target on that hub is 40 business days in the drug-trial framework, and 60 business days when a biologics / technical commission applies. A novel first-in-human device may take longer. We will not invent a new Peruvian clock on this page. DIGEMID under MINSA regulates devices and investigational import. Accredited ethics is required. The Peru hub already cites experience-based cost on the order of ~30% lower versus US/EU — that is a country-page figure, not a campus quote we invent here. We do not invent a Peruvian legal entity on this page.

    Ask for a protocol-specific calendar. A hospital email is not INS 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.

    Do not smear the hospital

    Hospital Nacional Hipólito Unanue is a serious named Lima campus on the public registry. ALL n=8 and DEVICE n=1 are registry volume, not a punchline. Do not invent a PI. Do not invent DIGESA. Do not invent a Peruvian legal entity. 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 INS / 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, unchanged: bioaccess® still runs clinical trials in Colombia — local entity, Miami headquarters, own CRO in Colombia. Because INVIMA clinical-trial approval timelines have become unpredictable, bioaccess® does not currently recommend Colombia for new FIH trial execution. INVIMA commercial registration remains. The country page’s published comparison: Panama ethics 3–5 weeks vs. Colombia 4–6 weeks; per-patient $12K–$22K vs. $15K–$25K as published on clinical-trials-panama. We pick the country the device needs. The founder podcast is Global Trial Accelerators™.

    Frequently asked questions

    Can I contract Hospital Nacional Hipólito Unanue 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 INS 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 intercepts the search; it does not claim the studies.

    Is this the same page as INEN Lima or Clínica Vesalio?

    No. INEN Lima is CMS 95644 and stays skipped on this slug. Clínica Vesalio Lima is CMS 96116. This page is Hospital Nacional Hipólito Unanue only.

    Did bioaccess® run NCT00685360?

    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. Lima sibling (do not merge): Clínica Vesalio Lima.

    Julio G. Martinez-Clark, CEO · bioaccess®

  • Fundación Reumatología Fernando Chalem Bogotá: The NCT Campus String Is Not the INVIMA 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 INVIMA, 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 Fundación Reumatología Fernando Chalem as a bioaccess® client.

    If you searched Fundacion Reumatologia Fernando Chalem Bogota first-in-human, Chalem rheumatology clinical trial, Chalem CRO, or “go direct Fundación Reumatología Fernando Chalem,” you followed a campus string ClinicalTrials.gov still publishes. Fundación Reumatología Fernando Chalem in Bogotá, Colombia, is a real named rheumatology-foundation string on ClinicalTrials.gov. It is not a first-in-human medical-device CRO, and it is not the operator of the INVIMA file.

    bioaccess®’s position is simple and it is not adversarial: the foundation is the site. The First-in-Human CRO still owns INVIMA, 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 foundation still have to rebuild that stack. An NCT location row is not a CRO.

    This page is the named Bogotá Chalem campus. It is not Clínica del Country Bogotá (CMS 96051), not Fundación CTIC Bogotá (CMS 96096), and not CIPNA Barranquilla (already live). Sharing Bogotá is not a license to collapse them. Chalem is not Country. Chalem is not CTIC. This intercept does not recommend Colombia for new FIH execution.

    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; complete dump), this campus sits here after filters:

    Counts come from leftover unique strings after the last live leftover-site batch plus unique NCT IDs in /workspace/five-trials/ctgov-raw/all_interventional.jsonl (17497 studies; ClinicalTrials.gov LATAM facility sweep, API pull 1 September 2026, 6:32 PM ET; dump confirmed 1 September 2026). Alias strings are listed separately. We do not publish a unique-study union across alias strings. We do not invent a global CSV rank. We do not invent unpublished CMS IDs. Registry ranking is not a bioaccess® claim that we ran any of these studies.

    • Fundación Reumatología Fernando Chalem (Bogotá, Colombia) — canonical NCT string: ALL interventional n=12; DEVICE n=0. Example NCT IDs: NCT00424476, NCT00848354, NCT00883896.

    Cite canonical ALL n=12 and DEVICE n=0. Do not clone Country or CTIC onto this slug. Colombia NEW-FIH line unchanged: bioaccess® does not currently recommend Colombia for new FIH trial execution.

    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 foundation as a client site.

    That is the leak: a founder searching Chalem Bogotá first-in-human finds ALL n=12 (DEVICE n=0) without finding INVIMA. A named foundation is still a site. An NCT location row is not a CRO.

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

    A named foundation 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 foundation 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 foundation is not built to own for an investigational device:

    • INVIMA. INVIMA is the national file for an investigational device in Colombia. Resolución 8430/1993 still sits on the ethics and research side of that stack. A hallway conversation on this campus is not the INVIMA dossier. Resolución 2378 does not govern device clinical trials — see the live country pages rather than importing a drug-GCP resolution onto a device file. A hallway conversation at Chalem is not a Country file and is not a CTIC 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 INVIMA actually works (the short version)

    Use CRO in Colombia. Published comparison already on the Panama country page: Colombia ethics typically 4–6 weeks; per-patient $15,000–$25,000. bioaccess® still runs clinical trials in Colombia — local entity, INVIMA clocks in-country. We pick the country the device needs. A hospital email in Montería is not INVIMA clearance.

    Ask for a protocol-specific calendar. A hospital email is not INVIMA 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.

    Do not smear the hospital

    Fundación Reumatología Fernando Chalem is a serious named Bogotá campus on the public registry. ALL n=12 is registry volume, not a punchline. Do not invent a DEVICE n. Do not invent a PI. Use the site when the protocol fits. Hire the operator. Colombia NEW-FIH guidance stays unchanged 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 INVIMA / 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, unchanged: bioaccess® still runs clinical trials in Colombia — local entity, Miami headquarters, own CRO in Colombia. Because INVIMA clinical-trial approval timelines have become unpredictable, bioaccess® does not currently recommend Colombia for new FIH trial execution. INVIMA commercial registration remains. The country page’s published comparison: Panama ethics 3–5 weeks vs. Colombia 4–6 weeks; per-patient $12K–$22K vs. $15K–$25K as published on clinical-trials-panama. We pick the country the device needs. The founder podcast is Global Trial Accelerators™.

    Frequently asked questions

    Can I contract Fundación Reumatología Fernando Chalem directly for a device FIH?

    You can try. The foundation can discuss investigator interest, local visit costs, and ethics calendars. It cannot, by ranking on ClinicalTrials.gov, become your INVIMA 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 foundation. We will not invent that claim. This page intercepts the search; it does not claim the studies.

    Is this the same page as Clínica del Country or Fundación CTIC?

    No. Clínica del Country Bogotá is CMS 96051. Fundación CTIC Bogotá is CMS 96096. This page is Fundación Reumatología Fernando Chalem only.

    Does this page recommend Colombia for a new FIH?

    No. The public line is unchanged: bioaccess® still runs clinical trials in Colombia, and bioaccess® does not currently recommend Colombia for new FIH trial execution because INVIMA clinical-trial approval timelines have become unpredictable. INVIMA commercial registration remains. We pick the country the device needs.

    Did bioaccess® run NCT00424476?

    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. Bogotá sibling (do not merge): Fundación CTIC Bogotá.

    Julio G. Martinez-Clark, CEO · bioaccess®

  • Orlandi Oncología Providencia: 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 Orlandi Oncología Providencia as a bioaccess® client.

    If you searched Orlandi Oncologia Providencia first-in-human, Orlandi Santiago clinical trial, Orlandi CRO, or “go direct Orlandi Oncología Providencia,” you followed a campus string ClinicalTrials.gov still publishes. Orlandi Oncología in Providencia, Chile, is a real named oncology-center 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 center 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 center still have to rebuild that stack. An NCT location row is not a CRO.

    This page is the named Providencia Orlandi campus. Skip PUC / Hospital Clínico Universidad Católica on this slug. It is not FALP Santiago (already live), not Fundación Médica San Cristóbal Santiago (CMS 96124), and not Clínica Dávila Santiago (CMS 96117). Sharing Santiago metro is not a license to collapse them. Orlandi is not FALP. Orlandi is not San Cristóbal. Orlandi is not Dávila.

    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; complete dump), this campus sits here after filters:

    Counts come from leftover unique strings after the last live leftover-site batch plus unique NCT IDs in /workspace/five-trials/ctgov-raw/all_interventional.jsonl (17497 studies; ClinicalTrials.gov LATAM facility sweep, API pull 1 September 2026, 6:32 PM ET; dump confirmed 1 September 2026). Alias strings are listed separately. We do not publish a unique-study union across alias strings. We do not invent a global CSV rank. We do not invent unpublished CMS IDs. Registry ranking is not a bioaccess® claim that we ran any of these studies.

    Cite canonical ALL n=10 and DEVICE n=0. Do not clone FALP, San Cristóbal, Dávila, or PUC onto this slug.

    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 center as a client site.

    That is the leak: a founder searching Orlandi Providencia first-in-human finds ALL n=10 (DEVICE n=0) without finding ISP. A named oncology center is still a site. An NCT location row is not a CRO.

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

    A named center 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 center 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 center 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 Orlandi is not a FALP file, not a San Cristóbal file, and not a Dávila 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-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.

    Do not smear the hospital

    Orlandi Oncología is a serious named Providencia campus on the public registry. ALL n=10 is registry volume, not a punchline. Do not invent a DEVICE n. Do not invent a PI. Do not invent PAHO/WHO Level 4 for ISP. 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, unchanged: bioaccess® still runs clinical trials in Colombia — local entity, Miami headquarters, own CRO in Colombia. Because INVIMA clinical-trial approval timelines have become unpredictable, bioaccess® does not currently recommend Colombia for new FIH trial execution. INVIMA commercial registration remains. The country page’s published comparison: Panama ethics 3–5 weeks vs. Colombia 4–6 weeks; per-patient $12K–$22K vs. $15K–$25K as published on clinical-trials-panama. We pick the country the device needs. The founder podcast is Global Trial Accelerators™.

    Frequently asked questions

    Can I contract Orlandi Oncología Providencia directly for a device FIH?

    You can try. The center 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 center. We will not invent that claim. This page intercepts the search; it does not claim the studies.

    Is this the same page as FALP, San Cristóbal, Dávila, or PUC Católica?

    No. FALP is already live. Fundación Médica San Cristóbal is CMS 96124. Clínica Dávila is CMS 96117. PUC / Hospital Clínico Universidad Católica stays off this slug. This page is Orlandi Oncología Providencia only.

    Did bioaccess® run NCT01523587?

    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): Fundación Médica San Cristóbal Santiago.

    Julio G. Martinez-Clark, CEO · bioaccess®

  • NPCRS Porto Alegre: 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 NPCRS Porto Alegre as a bioaccess® client.

    If you searched NPCRS Porto Alegre first-in-human, Nucleo Pesquisa Clinica Rio Grande do Sul clinical trial, NPCRS CRO, or “go direct NPCRS Porto Alegre,” you followed a campus string ClinicalTrials.gov still publishes. NPCRS (Núcleo de Pesquisa Clínica do Rio Grande do Sul) in Porto Alegre, Brazil, is a real named research-center 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 center 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 center still have to rebuild that stack. An NCT location row is not a CRO.

    This page is the named Porto Alegre NPCRS campus. It is not Hospital de Clínicas UFRGS Porto Alegre (CMS 96094), not Centro Gaúcho Integrado de Oncologia (CMS 96091), and not Núcleo da Rede São Camilo (already live — São Paulo). Sharing Porto Alegre is not a license to collapse them. NPCRS is not UFRGS. NPCRS is not Gaúcho.

    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; complete dump), this campus sits here after filters:

    Counts come from leftover unique strings after the last live leftover-site batch plus unique NCT IDs in /workspace/five-trials/ctgov-raw/all_interventional.jsonl (17497 studies; ClinicalTrials.gov LATAM facility sweep, API pull 1 September 2026, 6:32 PM ET; dump confirmed 1 September 2026). Alias strings are listed separately. We do not publish a unique-study union across alias strings. We do not invent a global CSV rank. We do not invent unpublished CMS IDs. Registry ranking is not a bioaccess® claim that we ran any of these studies.

    Cite canonical ALL n=10 and DEVICE n=0. Do not clone UFRGS or Gaúcho onto this slug.

    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 center as a client site.

    That is the leak: a founder searching NPCRS Porto Alegre first-in-human finds ALL n=10 (DEVICE n=0) without finding ANVISA. A named research center is still a site. An NCT location row is not a CRO.

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

    A named center 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 center 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 center 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 NPCRS is not a UFRGS file and is not a Gaúcho 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-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.

    Do not smear the hospital

    NPCRS is a serious named Porto Alegre campus on the public registry. ALL n=10 is registry volume, not a punchline. Do not invent a DEVICE n. Do not invent a PI. 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, unchanged: bioaccess® still runs clinical trials in Colombia — local entity, Miami headquarters, own CRO in Colombia. Because INVIMA clinical-trial approval timelines have become unpredictable, bioaccess® does not currently recommend Colombia for new FIH trial execution. INVIMA commercial registration remains. The country page’s published comparison: Panama ethics 3–5 weeks vs. Colombia 4–6 weeks; per-patient $12K–$22K vs. $15K–$25K as published on clinical-trials-panama. We pick the country the device needs. The founder podcast is Global Trial Accelerators™.

    Frequently asked questions

    Can I contract NPCRS Porto Alegre directly for a device FIH?

    You can try. The center 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 center. We will not invent that claim. This page intercepts the search; it does not claim the studies.

    Is this the same page as UFRGS or Centro Gaúcho Porto Alegre?

    No. Hospital de Clínicas UFRGS is CMS 96094. Centro Gaúcho is CMS 96091. This page is NPCRS only.

    Did bioaccess® run NCT04033445?

    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. Porto Alegre sibling (do not merge): Hospital de Clínicas UFRGS Porto Alegre.

    Julio G. Martinez-Clark, CEO · bioaccess®