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CE Marking for Medical Devices “Basic Steps to Compliance”. Ján Petrík, PhD. EVPÚ, a.s. Nová Dubnica Medical Devices Branch Office Bratislava. 4/27/06 EVPÚ, a.s., NB No. 1293. Basic Steps to Compliance Determining Whether or Not the Product is Within the Scope of the Directive
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CE Marking for Medical Devices “Basic Steps to Compliance” Ján Petrík, PhD. EVPÚ, a.s. Nová Dubnica Medical Devices Branch Office Bratislava 4/27/06 EVPÚ, a.s., NB No. 1293
Basic Steps to Compliance • Determining Whether or Not the Product is • Within the Scope of the Directive • Classification • Conformity Assessment Routes • Compliance to the Essential Requirements of • the Directive • Harmonized Standards • Technical File • Risk Analysis • Notified Body • Authorized Representative and Competent Authority • - Registration • Vigilance System • CE Marking • Declaration of Conformity 4/27/06 EVPÚ, a.s., NB No. 1293
Within the Scope of the Directive? • Medical Device (MDD) 93/42/EEC • Active Implantable Medical Device (AIMD) • 90/385/EEC • In-vitro Diagnostics (IVDD) 98/79/EC • The definition will determine the scope 4/27/06 EVPÚ, a.s., NB No. 1293
What are Medical Devices? Medical devices are defined as all devices which according to the manufacturer are intended to be used in the treatment of humans, whether it concerns diagnosing, monitoring, prevention, treatment or alleviation. 4/27/06 EVPÚ, a.s., NB No. 1293
Classification All medical devices must comply with all relevant requirements of the Directive. Therefore the classification only serves to determine which conformity assessment procedure to apply and whether or not a notified body must co-operate. Annex IX 18 rules based on - intended use - duration of contact - degree of invasiveness - special situations 4/27/06 EVPÚ, a.s., NB No. 1293
Classification The Directive divides the medical devices into four different classes (I, IIa, IIb and III). In addition, class I is subdivided into devices which are sold in a sterile condition and devices which are sold with a measuring function.The classification reflects the risks involved in the use of the product, the vulnerability of the parts of the body on which the devices are to be applied and the duration of use. • Classes • Class I - low risk • Class IIa - medium risk • Classes IIb & III - high risk 4/27/06 EVPÚ, a.s., NB No. 1293
Classification Duration of Contact up to 60 minutes - ‘transient’ up to 30 days - ‘short term’ beyond 30 days - ‘long term’ 4/27/06 EVPÚ, a.s., NB No. 1293
Classification • Degree of Invasiveness • application to body surface or into body orifice (as far as pharynx) • surgically invasive • implantable 4/27/06 EVPÚ, a.s., NB No. 1293
Classification • Invasive + Duration of Contact • ‘transient’ - Class I • ‘short term’ - Class IIa • ‘long term’ - Class IIb 4/27/06 EVPÚ, a.s., NB No. 1293
Conformity Assessment Route Class I (Sterile and Measuring), Class IIa, IIb, and III require the intervention of a Notified Body which will be responsible for auditing the Manufacturer’s quality system 4/27/06 EVPÚ, a.s., NB No. 1293
In-vitro Diagnostic Devices (IVDD) • "any medical device which is a reagent, reagent product, calibrator, control material, kit, instrument, apparatus, equipment, or system, whether used alone or in combination, intended by the manufacturer to be used in-vitro for the examination of specimens, including blood and tissue donations, derived from the human body, solely or principally for the purpose of providing information: • concerning a physiological or pathological state, or • concerning a congenital abnormality, or • to determine the safety and compatibility with potential • recipients, or • to monitor therapeutic measures". 4/27/06 EVPÚ, a.s., NB No. 1293
IVDDClassification Directive 98/79/EC divides in vitro diagnostic medical devices into the following four classes: • All devices except devices for self-testing and devices in Annex II • Devices for self-testing which are not included in Annex II • Devices in Annex II, List A • Devices in Annex II, List B 4/27/06 EVPÚ, a.s., NB No. 1293
IVDDWho Ensures that the Requirements Are Fulfilled? The manufacturers themselves to some extent assume the responsibility of complying with the requirements.With respect to general IVDD, except from devices for self-testing and devices in Annex II, it is the manufacturer alone who carries out the necessary evaluations. In the case of devices for self-testing and devices in Annex II, the manufacturer must always have the design and/or the production of the device approved by an independent third party, a notified body, before the product may be CE-marked and marketed. 4/27/06 EVPÚ, a.s., NB No. 1293
Technical File Technical File contains all the relevant information that is needed to demonstrate that the product meets the essential health and safety requirements of theDirective ...information on e.g. product design, manufacture, testing, risk analysis and clinical evaluations must be included in the documentation.The purpose of the documentation is to enable the manufacturer to prove that his product complies with the "Essential Requirements" of the Directive. 4/27/06 EVPÚ, a.s., NB No. 1293
Technical File • Application for the conformity assessment • Notified Body • Type of certification (e.g. CE marking...) • Device classification (product + specified • Directive,Rule used for the devices • classification) • Conformity assessment route 4/27/06 EVPÚ, a.s., NB No. 1293
Technical File • General description of the product • Intended Use (intended use of MD should be stated) • Principle of the Assay / Test / Function (exactdescription of theMD’sfunction) • Device / Kit Content (description of the content of apack, set, etc.) • Shelf-life of the Device(the duration of shelf-life should • bespecified, validity testing – references to relevantstandard(s), theplace where the expiration date is stated(label and its location,etc….)) • Storage & Stability of the Product / Material / Reagent • (descriptionof conditions in the raw material, semifinished products anddevices finished storerooms:temperatures and other physicalconditions, stability ofmaterial, semi products and devices atdefinedconditions..etc.) • Assay / Testing Procedure • Criteria of Acceptability of the Test Results • Calculation & Interpretation of the Results • Assay / Test Performance – Sensitivity, Specificity, Reproducibility, • Stability 4/27/06 EVPÚ, a.s., NB No. 1293
Technical File • Regulatory standards applied • List of the Standards Applied (list of all applied standards / • regulations (usually EN and/or harmonized ones). Add relevant • standards for sterilization, testing for biological safety, etc – if • applicable) • Check List in Respect to the Directive (Essential Safety • Requirements) @ • Correlation among Technical Documents (references, links) • Risk Analysis (Application of the Risk Management to Medical Devices according with EN ISO 14971) • Clinical Evaluation (copies of completed clinical studies) 4/27/06 EVPÚ, a.s., NB No. 1293
Technical File • List of documents • Labelling • Package content • Instruction for use • Product technical sheet (product description, manufacturer – name • & address, technical features, in case of set give its content with • description of individual parts, shelf-life, storage and stability, • testing – type of test, results, protocols, standards used) • Material safety data sheet (identification of raw materials: • physical/chemical properties, supplier, relevant tests – required • quality of materials, hazard identification, health • measures (if applicable during handling with • materials/components), storage - conditions, quality check, • exposure control/ personal protection, stability, toxicological • information, ecological effects, disposal info, transport • information, directives & standards) 4/27/06 EVPÚ, a.s., NB No. 1293
Technical File • Project Description • History of the product (description of the device manufacture • with respect to its (respective) development (modifications) if • applicable, over the years) • Customer Complaints (list of professional complaints to the • device according to complaint date, description of • complaint/problem, name of customer, list of investigations to • relevant complaints and solutions) • Detailed list of raw material(s) • Strategic Raw Material / Reagents (the system of checking of • raw material and its components (references to standard, GMP • manual, QS manual should be stated) • Material of Human Origin (if applicable) • Information on Substances & Dangerous Materials 4/27/06 EVPÚ, a.s., NB No. 1293
Technical File Specification of the Product (description of product characteristics (e.g. by the references to documents given in other part of the TF) Compatibility with other MDs (if applicable) Evaluation Results (if applicable) Electric Safety, EMC, etc. Data of Stability (references to the relevant tests of device stability should be stated) 4/27/06 EVPÚ, a.s., NB No. 1293
Technical File • Production • Method of Manufacture & Procedure Standards • Validation of the Production/Manufacturing Processes • List of Equipments(description of purpose of individual • equipment + its location in the manufacture facility) • Maintenance & Control Program 4/27/06 EVPÚ, a.s., NB No. 1293
Technical File • Quality System Documenation • Control of Production (reference to GMP(QS) manual chapter(s), • paragraph(s), etc.) • Equipments (list of equipments used for QC. References to • standards/directives/technical procedures according to which is • the control performed) • Product Maintenance (If applicable. reference(s) to internal • manuals (GMP, QS…) according to which is maintenance • provided) • Characteristic of the Environment (description of manufacture • facilities & premises. Description of individual floors/ rooms, give • dimension, type of activity, equipments installed…etc.) • Declaration of Conformity • Declaration of Agreement with a Notified Body 4/27/06 EVPÚ, a.s., NB No. 1293
Essential Requirements • General Requirements • Design & Construction Requirements • Chemical, Physical and Biological Properties • Infection and Microbial Contamination • Construction and Environmental Properties • Information Supplied by the Manufacturer on • the Label and in the Instructions for Use 4/27/06 EVPÚ, a.s., NB No. 1293