21 CFR Part 807 · 21 CFR Part 812

US Agent versus US Sponsor of Record: what foreign device manufacturers get wrong

Under 21 CFR 807.40, a US Agent is a registration liaison who receives FDA correspondence and has no responsibility for adverse event reporting or premarket submissions. Under 21 CFR 812.18(a), a US sponsor holds every Part 812 obligation for an IDE study. One role does not become the other by contract wording.

The Rule

Two Separate Roles, Two Separate Regulations

A Part 807 US Agent is a registration liaison with no study responsibility. A Part 812 sponsor holds every sponsor obligation. The two roles are governed by different regulations, serve different FDA purposes, and are never interchangeable.

"In addition to complying with other requirements of this part, a person who imports or offers for importation an investigational device subject to this part shall be the agent of the foreign exporter with respect to investigations of the device and shall act as the sponsor of the clinical investigation, or ensure that another person acts as the agent of the foreign exporter and the sponsor of the investigation."

21 CFR 812.18(a). Read the full section on eCFR →

"Please note that the U.S. agent has no responsibility related to reporting of adverse events under the Medical Device Reporting regulation (21 CFR Part 803), or submitting 510(k) Premarket Notifications (21 CFR Part 807, Subpart E)."

FDA, U.S. Agents. Read the FDA page →

What Goes Wrong

Three Misconceptions

"My US Agent can sign the IDE"

What the buyer assumes
Because the US Agent already represents the establishment to FDA, the same firm can sign and submit the IDE application.
What the regulation says
21 CFR 807.40 limits the US Agent role to correspondence and registration for the commercial establishment. The IDE application is governed separately by 21 CFR Part 812, and FDA's own US Agent page states the agent carries no responsibility for premarket submissions.
What happens at inspection
FDA asks who holds the sponsor obligations in the IDE file, not who registered the establishment. A US Agent's signature on correspondence does not substitute for a named sponsor of record.
What to do instead
Designate a sponsor of record under 812.18(a) as a separate, formal engagement, even if the same firm ultimately performs both roles.

"A US address is a US sponsor"

What the buyer assumes
A registered US mailing address satisfies the US presence requirement for the IDE study.
What the regulation says
812.18(a) requires a US person to act as sponsor and hold every Part 812 obligation, not merely maintain a US address. A shell address performs no sponsor function.
What happens at inspection
FDA inspects the oversight actually exercised, monitoring records, investigator agreements, and correspondence, not the existence of an address.
What to do instead
Confirm whether the US entity is staffed to perform the obligations, or contract a sponsor of record that is.

"My CRO is my sponsor"

What the buyer assumes
The contract research organization manages the study day to day, so it must be the sponsor.
What the regulation says
"The term 'sponsor' also refers to any entity to whom one or more of the obligations of the sponsor has been transferred in writing" (FDA Compliance Program 7348.810). An obligation never documented as transferred stays with whoever held it to begin with.
What happens at inspection
An undocumented obligation traces back to the entity that never actually transferred it, not the CRO performing tasks without a signed transfer.
What to do instead
Confirm in writing exactly which obligations transfer to the CRO, and name who holds sponsor of record for everything that does not.

Side by Side

US Agent and US Sponsor of Record Compared

US Agent (21 CFR 807.40) US Sponsor of Record (21 CFR 812.18(a))
Legal basis 21 CFR Part 807 21 CFR Part 812
Purpose FDA correspondence liaison for commercial establishment registration Holds every IDE obligation for a clinical study
Responsibilities Receive correspondence, facilitate inspection access, manage annual renewal IDE application, FDA correspondence, investigator oversight, monitoring, safety reporting
Liability None for adverse event reporting or premarket submissions (FDA, U.S. Agents page) Full Part 812 accountability for the study
Who typically provides it A registration or compliance firm, or a mailbox service A contracted sponsor of record, a US subsidiary, or a sponsor investigator
Typical cost $595 per year From $2,495 initiation (nonsignificant risk) to $3,500 initiation (significant risk)

A Note on Terminology

What Representation Firms Sell

Some firms market the phrase "US sponsor representation" for the role 21 CFR 812.18(a) actually requires. The phrase is a representation firm's term for the Part 812 sponsor role itself, not a lesser or different service; whoever performs it still holds the full obligation set, under whatever label it is sold under.

The Three Structures

How a US Sponsor of Record Is Put in Place

A non US manufacturer has three structures available to satisfy 21 CFR 812.18(a):

ADB Consulting and CRO Inc. acts as the US sponsor of record under 21 CFR 812.18(a) for non US medical device companies conducting IDE studies, from $2,495 initiation for non-significant-risk studies and from $3,500 initiation for significant-risk studies, with an optional $4,500 Sponsor Readiness Assessment credited in full within 90 days for sponsors who want a scoping review first.

See the full US Sponsor of Record tier structure → · Use the decision tool → · Download the obligations checklist →

Common Questions

Frequently Asked Questions

US Agent versus US Sponsor, what's the difference?

A US Agent (21 CFR 807.40) only receives FDA correspondence on a foreign establishment's behalf and carries no clinical study responsibility. A US Sponsor of Record (21 CFR 812.18(a)) assumes full legal accountability for an IDE study's conduct, monitoring, and reporting.

Can my US Agent be the sponsor?

Not automatically. A US Agent designation under 21 CFR 807.40 and a sponsor of record designation under 21 CFR 812.18(a) are two separate legal roles with separate obligations. The same firm can hold both, but only if it is separately engaged and formally designated as sponsor, not by virtue of already being the US Agent.

Can a CRO take over sponsor obligations?

Yes. 21 CFR 812.3(n) lets a sponsor transfer specific obligations to a contract research organization in writing, but unless every obligation transfers, the sponsor remains legally accountable for the rest. ADB can serve as the full named sponsor of record, not just a delegated functions vendor.

Reviewed October 18, 2026 by ADB's regulatory team.

Further Reading

US Agent vs US Sponsor of Record: Which One Does a Foreign IDE Sponsor Actually Need? →

Need a Named Sponsor in Place?

Talk to the Clinical & IDE Practice

For a scoping review of your specific study, start with the Sponsor Readiness Assessment on the US Sponsor of Record page, or reach the practice group directly.