When researchers and clinicians bring new medical advancements to light, they must navigate distinct regulatory pathways established by the U.S. Food and Drug Administration (FDA). These frameworks ensure that unapproved drugs and medical devices can be safely evaluated in clinical trials or distributed to patients with rare conditions under strict oversight. Depending on whether the innovation is a pharmaceutical, a standard medical device, or a specialized tool for rare diseases, it falls into one of three critical FDA categories: IND, IDE or HUD.