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tion organizations--in particular, the American Society for
Testing and Materials (ASTM) and the American National
Standards Institute (ANSI), but some are UL standards. As
an NRTL, UL certifies the safety of products that affect the
occupational safety of employees. Most of UL's work as an
NRTL involves electrical products, but it also evaluates
fire suppressant and elimination products and liquid petro-
leum gas appliances.25
Even medical equipment carries UL's safety certifica-
tion. UL tests medical equipment and devices for safety.
Turn over most medical equipment, and there will be the UL
mark.26 To be sold as medical devices, the equipment must
still be approved by the FDA, at enormous cost, but UL has
already certified its safety.
As described below, FDA has initiated a study of alter-
natives to its current regulatory program for medical devic-
es. UL is one of the certified third parties in the pro-
gram. That does not mean that the FDA is one of UL's cli-
ents, but it demonstrates that the FDA recognizes UL's
competency.
The Success of Market Certification
In Senate testimony, FDA Commissioner Kessler stated,
"The assurance that FDA is there everyday doing its job is
so fundamental that we have the luxury of taking it for
granted." One implication of his statement is that the FDA
is necessary for Americans to feel secure about their medi-
cal devices. Extending that logic, do consumers worry that
their televisions will start fires, or that they will be
injured using their toasters? Is there a strong popular
demand for the federal government to certify the safety of
consumer products and restrict consumers' access to these
products?
There is no such demand because UL and the other com-
peting certifying organizations already fill the role. The
market system already produces accurate information about
the quality of consumer products.
The FDA and Medical Devices
Developing a medical device is a lengthy process that
usually goes through three steps after prototypes are first
manufactured: pre-clinical testing on animals, clinical
testing involving human beings, and FDA review for approval.