80 likes | 211 Views
Slots/Windows of Opportunities HTA – Medical Devices. Dr. Wolfgang Ecker EUnetHTA , Rome , 30 . 10. 2014. 3 Directives : > Transposition into national law. Directive 90/385/EEC Active Implantable Medical Devices. 2 Regulations : > directly applicable EU- legislation. Regulation
E N D
Slots/Windows ofOpportunitiesHTA – Medical Devices Dr. Wolfgang Ecker EUnetHTA, Rome, 30. 10. 2014
3 Directives:> Transposition into national law Directive 90/385/EEC ActiveImplantable Medical Devices 2 Regulations:> directlyapplicable EU-legislation Regulation Medical Devices Directive 93/42/EEC Medical Devices Regulation In-vitro-Diagnostic- Medical Devices Directive 98/79/EC In-vitro-Diagnostic- Medical Devices
Considerableimprovement in Clinicalsexpected: NotifiedBodies – betterclinicalqualification NotifiedBodiesunderbetter EU-scrutiny Scrutinyprocedure(pre-/post-market?) Clinical Evaluation (MD) – Life cycleprocess Performance Evaluation (IVD) – betterdefinedprocess Scientific infrastructure: Device/expert Panels; RefLabs Long term: Registries, PMCF, PMPF Betterclinicaltransparency But: Still weakness in terminology! (Efficacy? Effectiveness?) MD - Progress on Clinicals EUnetHTA, Rome, MD-HTA-Slots
HTA – MD Interaction:Governance Device/Expert Panels MS CompetentandDesignatingAuthorities MD CoordinatingComittee (MDCG) Joint Assessment Team (JAT) (EU Reference Labs for IVDs?) Device Registry evaluations HTA toserveasexpertsfor Expert/Device Panels and/orfor MS, MDCG, JAT:
ScrutinyDiscussion: pre-/post market? Device/Expert Panels + EU RefLabs MS-DA JAT Expert Panel? Clinical Evaluation Plan + Report Clinical Evaluation Assessment Report MDCG? COM? MDCG? COM? Clinical AUDIT Notified Body PMCF; Updates of Clinical Evaluation; Recertification Manufacturer Notified Body Pre- Post-market Clinical AUDIT MS-DA JAT Expert Panel? HTA in agreementwith MF/NB orasexpertsfor DP or MS/JAT EUnetHTA, Rome, MD-HTA-Slots
HTA – MD Interaction:Guidance Common Specifications (CS): Clinical Investigations Clinical Evaluation Post Market Follow-up (PMCF) SummaryofSafetyand Clinical Performance Data (SSPD) Templates Harmonised Standards? HTA aspartof Expert/Device Panels couldcontributetoGuidanceforspecificdevicetypes:
HTA – MD Interaction:Training Literature reviews Gradingqualityofclinicalinvestigations Currentstateoftheart in medicine(HTA, EBM) HTA tocooperate on web-basedtrainingfor MD-stakeholders