This was discussed on a long thread in May 2004 at the topica.com site
in which I cited some of the FDA links after struggling to put them in a
context.
http://lists.topica.com/lists/hardhats/read/message.html?mid=910130973

 In the use of language about *closed* or *open*,  do you mean Title 21
Part 11 ?  This part seems to be concerned only with FDA defining under
what circumstances it will accept Electronic records in lieu of paper
records whenever a given party is submitting data to comply with any
regulatory review or approval.
  This soothes my belief that FDA is not charged with regulating  medical
record systems in medical practices.... even if viewing any image
involves some generic technology (whether it be adjusting ambient light
in a room or adjusting pixels on your monitor). I would like to believe
that generic technology is not a medical device, at least once the given
 procedure is completed and archived...and ...I would be disappointed if
medical practice did not leverage generic technology while keeping FDA
busy with other more critical beats.
  Here is the link to Title21 Part 11  Do a *Find* on  "closed" and "open"
 and the discussion is not very enlightening....hardly a mandate for FDA
to scrutinize medical records software as if record keeping and
subsequent access and display of images  constitutes  a device.

http://ecfr.gpoaccess.gov/cgi/t/text/text-idx?c=ecfr&sid=ebf33225bf8a91b5c943d06831b245ce&rgn=div5&view=text&node=21:1.0.1.1.7&idno=21

Is there another place where FDA discusses the open/closed paradigm which
you describe as a *cognitive loop*?

Rusty Maynard

(from A Forrey)
> The FDA has repeated said that the difference of a device from other
> non-regulated software is whether its control capability has the inclusion
> of an open cognitive loop that precedes the control of a device. In any
> particular situation the can be consulted to determine whether this
> control criterion has been met. Display software (text or otherwise) that
> involves human interpretation is generally considered and open loop.
>




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