Regulatory Guidline
Regulatory Guidline
Regulatory Guidline
Guideline
2011
Acknowledgement
This guideline was prepared by a technical team under the supervision of:
References used:
A- Global Harmonization Task Force (GHTF) for Medical Device,
B- EU Medical Device Directives 93/42/EEC, EU .in Vitro Diagnostic Device Directive
(IVDD) 98/79/EC and EU Active Implantable Medical Device Directive (AIMDD)
90/385/EEC.
C- US FDA (United State Food & Drug Administration)
D- Australia TGA
E- Singapore HSA
Introduction
The regulation of medical devices in UAE is aimed to maintain a balance between ensuring
product safety, quality and effectiveness and providing the public with timely access to
medical devices and preventing the entrance of unsafe or ineffective devices into the UAE
market. Accordingly, this guideline is constructed to provide safeguard measures for
patients, appliers, users and third parties against possible hazards they may be exposed
to as regards their health and safety during the use of such devices and their accessories.
The essential requirements in medical devices and their accessories and its implementation
were laid down by this guideline to assure that these devices shall meet the internationally
established principles and requirements relating to their design, classification,
manufacture, placing on the market, putting into service and inspection.
In this document we referred to the available guidelines issued by the World Health
Organization (WHO), US Food and Drug Administration (FDA), Global Harmonization Task
Force (GHTF), Health Canada, Asian Harmonization Working Party (AHWP), European
Council Directives 90/385/EEC and 93/42/EEC, Health Science Authority (HAS) of Singapore.
Medical Device control and regulation in UAE will be supervised and directed by Drug
Control Dept / MOH. Classification, requirements and evaluation of Medical Devices in UAE
is supported by the UAE Pharmacy Law No 4 for 1983 and will conform with the global
trends, rules and regulations recognized as above.
Finally we acknowledge the efforts of the technical team who prepared this guideline and
we are looking forward to achieve our goals toward public welfare by their implementation.
CONTENTS
P. No.
Definitions
Preface
11
Part One
General Rules
12
Importation Rules
15
16
17
18
19
Conformity Assessment
21
22
23
24
37
41
Annex 3
45
47
Annex 5
54
Annex 6
57
76
Annex 8
87
DEFINITIONS
Accessory
Adverse Event
AIMD
Authorized
Representative
Body orifice
Any natural opening on the body including the external surface of the
eye socket and any artificially formed permanent opening.
CE Marking on a
product:
Conformity
Assessment
Conformity
A body engaged in the performance of procedures for determining
Assessment Body whether the relevant requirements in technical regulations or
standards are fulfilled.
(CAB)
Custom-made
device
Device for
performance
evaluation
EN
Establishment
EU
European Union
FDA
GHTF
GMP
Harm
Hazard
Implantable
device
Incident
Instructions for
use
Intended use or Objective intent of the company and its manufacturing site or other
intended purpose legal entity, or person, under whose name the device is placed on the
market, in respect of the application and performance of the device,
as indicated in the labeling and/or promotional material.
Invasive device
IVD
Label
devices.
Labeling
Manufacturer
(Company) and
its manufacturing
site
Medical device
control of conception,
disinfection substances,
devices incorporating animal and human tissues which may meet the
requirements of the above definition but are subject to different
controls.
MOH
Ministry of Health
Notified Body
PAL
Place on the
market
Putting into
service'
Means the stage at which a device is ready for use on the Community
market for the first time for its intended purpose.
Regulatory
Authority (RA)
Risk
Risk analysis
Risk assessment
Risk control
Risk evaluation
Technical
File/Technical
Documentation
Time (Duration)
Means the stage at which a device is ready for use on the Community
market for the first time for its intended purpose.
Transient
Normally intended for continuous use for less than 60 minutes
Short term
Normally intended for continuous use for not more than 30 days
Long term
Normally intended for continuous use for more than 30 days
Concept of continuous use
Concepts of duration such as transient short term and long term are
defined in terms of continuous use. Continuous must be understood as
an uninterrupted actual use for the intended purpose.
TGA
Validation
Vendor
Verification
WHO
10
PREFACE
The application to place a medical device on the UAE market must be made by the
device manufacturer or its authorized representative. The manufacturer or its
authorized representative is required to maintain objective evidence on the safety and
effectiveness of the medical device.
The objective evidence is used to assess the quality, safety and effectiveness of the
medical device for its intended use, to identify the risks involved when used for the
medical condition and to ensure that these risks are acceptable when weighed against
its benefits. T he application to place a medical device on the UAE market will result in
either Device listing or Device Registration based on approval of the relevant technical
committee.
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1.1
A.
products which come under listing rule, more than one category can be given at the
same time, given that categories are classified within the same line.
E. The applications will be processed both for expedite listing and will be issued a
listing certificate, or for the review of the Technical Committee which upon
approval will be granted a License certificate.
F. The registration files should include all required documents and studies for products
according to the presentation form and the class of the medical device product.
Annex 3 will list the following:
Types of medical devices that will be exempted from this guideline and will
be regulated at the time of importation.
processing shall halt until after the response to the query has been received. If no
response to the query or request is received within six months from the written
query notification date, the application could be subject for cancelation or
rejection.
1.2
1.3
1.4
device
with all the registration requirements, the
certificate of registration or listing shall be
would be attached with the registration
1.5
1.6
Termination of registration
The Registration and Drug Control Department may by giving reasons in writing suspend or
revoke the registration of a device, or amend the conditions of its registration. The
registrant may by giving 30 days written notice and reasons to the Registration and Drug
Control Department terminate the registration of a device.
1.7
1.8
deletion of a contraindication for the device and any change to the period used to
establish its expiry date.
The above mentioned major changes will require Registration and Drug Control
Department approval before they can be implemented. In case the Manufacturer was
not sure of the urgency to report a certain change, the subject of change should be
communicated in writing to the DC&RD with a detailed report of expected risk and
impact. The Manufacture has to follow the decisions and instruction of DR&CD with
regard to the change.
Any other minor change(s) should be notified immediately to the Registration and Drug
Control Department and may be implemented without prior approval. All applications for
variation to a registered/listed device shall be made in writing and shall be accompanied
by the variation application fee.
1.9
Importation Rules
2.1
All medical devices imports will not be cleared unless a pre-approval for
importation of the consignment is issued by Drug Registration and Control Department. This
is will be only allowed for importers with MOH medical store license.
2.2 Annex 3 lists all medical devices that are not subject for listing or registration as a
condition for pre-import application approval.
Documents to be attached to the consignment pre-import approval application form
1-ISO 13485 (or appropriate updated quality system in case this ISO standards are subject
to change; in case of any change/update the company should ensure that the substituting
certificate/document submission is endorsed by DR&CD) issued by recognized conformity
assessment Body for the Legal manufacturer and the source (the site where a significant
transformation of the medical device is carried out and where the medical device is
transformed into its first usable form).
2-Free sale Certificate / documentation or letters of regulatory approval / relevant CE
certification/ clearance to manufacture, sell, import and export the medical device from
competent authority in export country.
3-Declaration of conformity from legal manufacturer for class 1 devices.
2.3
Used medical devices are not allowed for importation and marketing into UAE. For
medical devices need to be exported from and then re-imported into UAE for
refurbishment/upgrading/maintenance purposes, the importer should ensure the
submission of documents which proofs that the subject medical devices were imported
into UAE through legal channels, then exported under approval of the DR&CD. Such
consignments will be cleared only upon a pre import permit signed by DR&CD and based
15
on proper documentation.
2.4 All devices should carry a clear labeling that includes the name of the company
responsible for the placement of the product in UAE market, Manufacturer at Country of
Origin , the local distributer address or website that mentions the local distributer name,
contact numbers and address. Local Distributors can add stickers on the outer pack of their
products in a way that doesnt conceal any basic or essential information. Any Medical
Device without distributer contact information will be liable for confiscation. The sticker
should be approved by DR&CD.
3
3.1 Where a company (Manufacturer) is based outside UAE, they have to appoint local
representative to act on behalf of them.
A local representative person is the legal entity licensed by ministry of Health, who has
received a mandate from the mother company (manufacture at Country of origin / company
that owns the rights of the device marketing worldwide) to act on its behalf with regard to
matters pertaining to placing the product in UAE Market and all its registration
requirements as set by DR&CD.
3.2 The local representative must be appointed in writing, by contract agreement; all
duties and responsibilities ought to be clearly defined and assigned. A legalized agreement
stating the appointment of the local authorized representative by the company should be
submitted.
The representative must file an evidence of a legalized Power of Attorney from the
company which authorizes him to delegate for his principals.
The local Representative may face liability claims resulting either from product malfunction
or serious complaint!
3.3
3.4 An application for registration of medical device(s) should be made & singed by the
Manufacturer in country of origin (MAH in case of pharmaceutical products) jointly with the
authorized and qualified local representative.
The applicant and its local authorized representative shall be responsible for the product,
information supplied in support of the application for registration and any variations
thereof.
3.5
(e) Required to notify Drug Control Department of any new models of medical devices they
market in UAE.
(f) Advise accurately on all the Regulatory issues of Labeling, including The Label itself,
Product Inserts, Inner and Outer Packaging, Instructions for Use and Advertising etc
(g) Can advice on effective implementation of all Regulatory Procedures, including
Adverse and Near Incident Reporting, Advisory Notice Issue (including Product Recall),
Post Market Feedback, Complaint Handling and Significant Change Notifications.
(h) The local representative should appoint a qualified person to act as a local contact
person responsible for the product, its registration or listing status updates, can
answer queries for all aspects regarding the device, its design and its use and can
effectively perform the above duties. The qualifications of this person should be
attached within the application along with documented proofs that supports his
training by the mother company on the device use and information.
3.6
3.7
The Import of Medical Devices through Distributor that is licensed as a medical store
by ministry of health - Drug Registration and Control Department has to comply with a code
of practice issued by the Drug Control Department.
The main consideration is whether or not an existing distributor of manufacturers products
can act as the authorized representative, in this case distributor has to show evidence of
his ability to effectively fulfill the regulatory responsibilities mentioned in above section
alongside their marketing activities.
The Registration and control Department in Ministry of Health may accept third party
conformity assessment procedures performed by recognized Conformity Assessment Body,
where they are registered and accredited by their respective Competent Authorities having
the capability of carrying out assessment of the medical devices. The Conformity
Assessment Body shall have technical qualification with the appropriate accreditation or
other official authorization and qualified personnel to conduct assessment of medical
devices within the scope accredited that shall include scientific technical evaluations of
high-risk medical devices and quality system assessments.
4.1
The Conformity Assessment Body shall fulfill the requirements of EN45000 series and
ISO/IEC 17025
4.2
UAE Ministry of Health Drug registration and Control Department shall accept
Accreditation of Conformity Assessment Bodies from European Union, Australia, Canada,
17
United State, Japan, and Singapore, that are equivalent to Notified Bodies associated with
CE marking.
4.3
18
Distributor
Medical Store
Licensed
Registration committee
(Generally for pharmaceutical dosage form, for
products with exaggerated medical claims intended for
patients, new technologies, self testing kits)
Assessment
Approval
Import permit
19
Vigilance Reporting
5.1 The control of medical devices will be based on a risk assessment and risk
management.
The level of regulatory control applied to the medical device is proportional to the degree
of perceived risk associated with the device. The requirements of the review process differ
for each class, type and technology of medical device.
5.2
Medical devices may be classified into 4 classes: Class l (low risk). II and III (medium
risk) or IV (high risk). Refer to annex 1 for classification rules of general medical devices.
Class I Devices those needing the lowest level of regulation because of low risk to the
patient except sterile products. They are subject to the General Controls requirements.
Declaration of conformity is accepted from the legal manufacturer.
Class II Devices are of a medium risk. These devices are invasive in their interaction with
the human body, but the methods of invasion are limited to natural body orifices. The
category may also include therapeutic devices used in diagnosis or in wound management
Class III Devices are of a medium risk. They are either partially or totally implantable within
the human body, and may modify the biological or chemical composition of body fluids.
Class IV devices are of high risk and require design/clinical trial reviews, product
certification and an assessed quality system involving clinical trials. These devices affect
the functioning of vital organs and/or life-support systems. Devices are usually invasive,
life-sustaining, life-supporting, or is used "in preventing impairment of human health or if
the device presents a potential unreasonable risk of illness or injury".
5.3 In-Vitro Diagnostic medical devices are based on the potential risk involved in their
use and interpretation clinically, refer to Annex 2 for their classification rules.
In-Vitro Diagnostic medical devices may be classified into 4 classes:
Class A (Low Individual Risk and Low Public Health Risk).
Class B (Moderate Individual Risk and/or Low Public Health Risk).
Class C (High Individual Risk and/or Moderate Public Health Risk).
Class D (High Individual Risk and High Public Health Risk).
5.4
In terms of further interpretation of the decision rules, the following should be considered:
A. It is the intended and not the accidental use of the device that determines the class of
the device. If a medical practitioner uses the device in a manner not intended by the
20
company this does not change the class of the device for purpose of conformity
assessment.
B. It is the intended purpose assigned by the company to the device that determines the
class of the device and not the class assigned to other similar products.
C. as an alternative to classifying the system as a whole the determination of the class of a
particular device may be made with respect to the simplest configuration that can still
be considered , in view of its proper functional features, as a device in its own right . A
device that is part of a system may be classed as a device in its own right rather than
classifying the system as a whole. Similarly combination devices with parts that have
different functional purpose may be analyzed separately with respect to each of these
parts for instance a drainage device will have an invasive tube and non-invasive
collections device. These components may be classified separately.
D. Accessories must be classified separated from their parent device.
E. If a given device can be classified according to several rules, then the highest possible
class applies.
F. If the device is not intended to be used solely or principally in a specific part of the
body, it must be considered and classified on the basis of the most critical specified use.
Classification of the device will have to be determined on the basis of claims contained
in the information provided with the device. The company and its manufacturing site
must be sufficiently specific in that regard. If the company and its manufacturing site
wants to avoid the particular higher classification, then it must clearly on the labeling
the intended purpose in such a way that device falls into the lower class. The company
and its manufacturing site must provide as a minimum requirement either appropriate
positive or negative indications for use.
G. For a device to be "specifically intended" for the purpose referenced in a particular
classification rule, the company and its manufacturing site must clearly indicate that the
device is intended for such a specific purpose in the information accompanying the
device. Otherwise it is deemed to intended to be used principally for the purpose that is
accepted in general medical practice.
H. Multi-application equipment such as laser printers and identification cameras, which may
be used in combination with medical devices, are not medical devices unless their
company and its manufacturing site places them on the market with specific intended
purpose as medical devices.
I. Standalone software, e.g. software which is used for image enhancement is regards as
driving or influencing the use of a device and so falls automatically into the same class.
Other standalone software, which neither is nor regarded as driving or influencing the
use of a device is classified in its own right.
6 Conformity assessment
Medical devices company is required to conduct conformity assessment according to the
Essential Principles mentioned in this guidance. In certain cases (mostly determined by
the risk class of the device), the Technical Documentation may need to be reviewed/
and approval by a Conformity Assessment foreign Notified Body before the applicable
device is placed on the UAE market.
21
7.2
7.3
7.4 The company shall inform the Registration and Drug Control Department any major
changes of his quality management system and change of certification of his quality
management system e.g. change of the scope of certification or suspension or withdrawal
of certification by the conformity assessment body.
7.5
The Company must prepare provision for audit plan and provide all documents
necessary and related to contract manufactures / sterilizers that it employs.
7.6
8.1
8.2
8.3
8.4
Site Master File for each manufacturing site (if applicable- mainly required for
8.5
8.6
8.7
recognized notified bodies (section above) for each manufacturing facility that involved in
the manufacturing of the medical device intended for registration in UAE.
23
8.8
certificate (or equivalent) and manufacturing License (or equivalent after endorsing that
equivalent document by DR&CD) for each of the manufacturing sites is required.
8.9
For classes III & IV / IVD C & D manufacturer: Copies of the Design Examination,
Type Examination certificates or equivalent health authority approvals issued for these
devices should be provided as a proof of compliance of the company with best practices.
8.10 Report of Recent audit by other auditing organization includes the nonconformities points and evidence of corrective action program and supporting
documentation (if applicable).
8.11
8.12
8.13
9.1
i.e. has a definite pharmaceutical dosage form, the applicant for these products has to
submit the following requirements based on their classification as Sterile or non Sterile:
A. Filled application form.
24
J. Arabic- English leaflet and labeling artwork that conforms to COO marketing
approval (the Department may ask for some changes, if this is the case the product
will not get the marketing approval unless the MAH in UAE submit the new artwork
with a sample from the first consignment that conforms to the approved Labeling
and packaging artwork. (see labeling requirements in the general guidelines
K. For products containing any animal/ human tissues or content, TSE and other
requirements may apply, (see appendix for explanation and Guidelines for Biologic
and Blood Derivative Products registration and import batch release).
L. Price certificate (only required for products subject to pricing, products used for
non therapeutic use and aesthetic purpose are exempted from pricing)
9.2
The technical requirements to be submitted within the application file are based according
to the medical device class, table 2 in Annex 8 show the main classes for General Medical
Devices and IN-Vito Diagnostic classes and the required attachment for documents under
each type. In addition to the covering letter on the top, the requirements should be
25
attached within the application file in the same order of corresponding letters in the table
1 in annex 7 which is clarified in below per attachment:
26
CLASS
ANNEX (according to EU
Directive)
TYPE of Certificate
Declaration of Conformity by
Manufacturer per Product
Family
Notified
Body
Product
Production
Notes
Fullfillment of Essential Requirements
can be demonstrated by a Full Quality
System
Class I
Annex VII
NA
Yes
NA
NA
NA
Class IIa
Annex II
Yes
Yes
NA
Yes
Yes
(see Notes)
Class IIb
or Annex IV
EC verification
Yes
Yes
(see
Notes)
or Annex V
Production Quality
Assurance
Yes
NA
Yes
or Annex VI
Product Quality
Assurance
Yes
Yes
NA
Annex II
or Annex III
Yes
NA
Yes
Yes
NA
Yes
Yes
NA
Yes
(see Notes)
NA
+ Annex IV
or Annex III
+ EC Verification
Type Examination
Yes
NA
Yes
Yes
Yes
(see
Notes)
Yes
+ Annex V
or Annex III
+ Production Quality
Assurance
Type Examination
Yes
NA
Yes
Yes
NA
Yes
Yes
NA
+ Product Quality
Assurance
Yes
Yes
Yes
NA
Annex II
Yes
Yes
NA
Yes
Examination of the
design of the product
with NB certificate
Type Examination
NA
NA
Yes
Yes
Yes
Yes
NA
NA
+ Annex VI
Class III
27
+ Annex IV
or Annex III
+ Annex V
+ EC Verification
Type Examination
Yes
NA
Yes
Yes
Yes
(see
Notes)
Yes
+ Production Quality
Assurance
Yes
Yes
NA
28
Yes
(see Notes)
NA
Yes
provided(a) proper reference are made to the documents submitted in the earlier
application and (b) there are no additional requirements and no changes made to the
procedures .
A summary of marketing history of the device is requested. The company and its
manufacturing site or its local authorized representative must provide a list of countries
where the device is currently being introduced and sold, its date of instruction and details
of the regulatory status (e.g. marketing approval, product recall, product ban, etc.). The
company and its manufacturing site or its local authorized representative must also provide
a summary of reported problems related to a failure of the device or a deterioration in its
effectiveness, or any inadequacy in its labeling or in its directions for use, and has led to
the death or serious deterioration in the state of health of a patient, user or other person,
or could do so were it to recur. These incidents require 'mandatory ' problem reporting that
the company and its manufacturing site had submitted to the relevant regulatory
authorities.
Attachment E: Product Information
E.1: Description and features of the Device:
This requires a description of the device, intended use and instructions of use. Product
information is manifested in the form of device labeling which must accompany each
device. This includes any physician's manual, pack labeling, and promoting material and
product brochure containing information on indications, contraindications, warnings,
potential adverse effects and alternative therapy.
E.2: Device Description
Besides a general description of the device, a more detailed description of the device
attributes is necessary to explain how the device functions, the basic scientific concepts
that form the foundation for the device, the component materials and accessories used in
its operation as well as packaging . A complete description of each functional component,
material or ingredient of the device should be provided, with labeled pictorial
representation of the device in the form of diagrams, photographs or drawing as,
appropriate.
E.3: Intended Use
This means the use for which the medical device is intended for which it is suited to the
data supplied by the company and its manufacturing site in the instruction as well as the
functional capability of the device.
E.4: Indications
This is a general description of the disease or condition that the device will diagnose, treat,
prevent cure, or mitigate includes a description of the target patient population for which
the device is intended.
E.5: Instruction of Use
These are all necessary information from the company and its manufacturing site including
the procedures, methods, frequency, duration, quantity and preparation to be followed for
safe use of the medical device. Instruction needed to use the device in a safe manner shall,
to the extent possible, be included on the device itself and/or on its packaging.
E.6: Contraindications
30
This is a general description of the disease or condition and the patient population for
which the device should not be used for the purpose of diagnose, treating, curing or
mitigating. Contraindications are conditions under which the device should not be used
because the risk of use clearly outweighs any possible benefit.
E.7: Warnings
This is the specific hazard alert information that a user needs know before using the
device.
E.8: Precautions
This alerts the user to exercise special care necessary for the safe and effective use of the
device. They may include actions to be taken to avoid effects on patients/users that may
not be potentially life-threatening or result in serious injury, but about which the user
should be aware. Precautions may also alert the user to adverse effects on the device of
the use or misuse and the care necessary to avoid such effects.
E.9: Potential Adverse Effects
These are potential undesirable and serious outcomes (death, injury, or serious adverse
events) to the patient/ user, or side effects from the use of the medical device, under
normal conditions.
E.10: Alternative Therapy
This is a description of any alternative practices or procedures for diagnosing, treating,
curing or mitigating the disease or condition for which the device is intended.
E.11: Physician's Manual
The physician's manual is also otherwise known as the user manual, operators manual,
prescriber's manual or reference manual. It contains directions under which the physician or
end-user can use a device safely and for its intended purpose. This should include
information on indications, contraindications, warnings, precautions, potential adverse
effects, alternative therapy and the conditions that should be managed during normal use
to maintain the safety and effectiveness of the device.
E.12: Specifications of materials used in device manufacturing and packaging
The material identifications and specifications must be provided including raw materials
and components. The information must include complete chemical, and their physical
properties to the extent necessary to demonstrate conformity with the relevant Essential
Principles. The information shall include complete chemical, biological and physical
characterization of the materials of the device.
Attachment F: Device Labeling
F.1: Device labeling
This is the description and information and literature that accompanies the device any time
while it is held for sale or shipped, such as any physician's manual, pack labeling,
promotional material and product brochures etc.
F.2: Pack Labeling
This is printed, written or graphic product information provided on or attached to one or
more levels of packaging, including the outer packaging or the outside container wrapper.
Any pack labeling which is not provided on the outer packaging must be easily legible
through this outer packaging.
31
characterized. Information describing the tests, the results and the analyses of data
must be presented.
Complete pre-clinical physical test data must be provided, as appropriate. The
report must include the objectives, methodology, results and manufacturer's
conclusion of all physical studies of the device and its components. Physical testing
must be conducted to predict the adequacy of device response to physiological
stresses, undesirable conditions and forces, lone-term use and all known and possible
failure modes.
Pre-clinical animal studies used to support the probability of effectiveness in human
must be reported. These studies must be undertaken using good laboratory practices.
The objectives, methodology, results analysis and manufacture's conclusion must be
presented. The study conclusion should address the device's interactions with
animals fluids and tissues and the functional effectiveness of the device in the
experimental animal model(s). The rationale (and limitations) of selecting the
particular animal model should be discussed.
Clinical evidence of effectiveness may comprise device-related investigations
conducted in UAE or other countries. It may be derived from relevant publications in
peer-reviewed scientific literature .The documented evidence submitted should
include the objectives, methodology and results presented in context, clearly and
meaningfully. The conclusion on the outcome of the clinical studies should be
preceded by a discussion in context with the published literature.
H.4: Biocompatibility
details of all biocompatibility tests conducted on materials used in a device. At a
minimum, tests must be conducted on samples from the finished and sterilized device. All
materials that are significantly different must be characterized. Information describing the
tests, the results and the analysis of data must be presented.
H.5 Special requirements For Devices Containing Biological Material
Results of studies substances the adequacy of the measures taken with regards to the risks
associated with transmissible agents must be provided. This will include viral clearance
results for known hazards. Donor screening concerns must be fully addressed and methods
of harvesting must also be fully described. Process validation results are required to
substantiate that manufacturing procedures are in place to minimize biological risks.
H.6: Literature Studies
Copies are required of all literature that the company and its manufacturing site is using to
support safety and effectiveness. These will be a subset of the bibliography of references.
General bibliographic references should be device-specific as supplied in chronological
order. Care should be taken to ensure that the references are timely and relevant to the
current application.
Attachment I:Manufacturing Process
Provide details of manufacturing process for the device in the form of a list of resources
and activities that transform inputs into the desired output. The manufacturing process
should include the appropriate manufacturing methods and procedures, manufacturing
33
environment or conditions and the facilities and controls used for the manufacturing,
processing, packaging, labeling and storage of the device. A manufacturing process flow
chart should be submitted. Sufficient details must be provided to enable a person
generally familiar with quality systems to judge the appropriateness of the controls in
place. A brief summary of the sterilization method and processing should be included, if
any. If multiple facilities are involved in the manufacture of device, the physical address
and overview of activities for each facility should be provided.
I.1 Process Validation Studies
The results of all process validation studies must be presented. When the results of a
particular process cannot be verified by subsequent observation, that the process must be
validated to obtain objectives evidence. This applies to sterilization processes as well.
The procedures for monitoring and controlling the process parameters of validated process
must be fully described. For example, the type of process, details of the equipment and
process parameters employed in sterilization must be specified. Process validation data
must include sterility tests data and methods, culture media, time and temperature of
incubation, controls, number or samples examined and frequency of testing. Pyrogen test
data and methods are required , including frequency of testing , number of units tested
methods of testing , data from test results or a substantial rational for not conducting this
kind of testing . Toxicity test methods and data must be described. If the sterilizer is toxic
or produces toxic residues, test data and methods for establishing that post-process
sterilizer and/or are within acceptable limits must be presented.
I.2: Software validation studies, if applicable
The correctness of a software product is another critical product characteristic that cannot
be fully verified in a finished product. The company and its manufacturing site and/or
device sponsor must provide evidence that validates the software design development
process. This information should include the results of all verification, validation and
testing performed in-house and in a user's environment to final release, for all of the
different hardware configurations identified in the labeling. As well as representative data
generated from both testing environments.
Attachment J: Special requirements for Medical Devices manufactured from or
incorporating viable or non-viable animal tissue or their derivative(s).
J.1: General information supported by proof documents should be provided as
following:
1.
2.
3.
4.
5.
6.
7.
8.
Tissue type
Animal species
Certification of country of origin/ residence of animal
Name and address of the supplier of any animal material
Certificate of veterinary inspection
Certificate of abattoir Inspection
Certification that the animal was fit for human consumption
Risk assessment including:
that have been identified in pigs, including those that are known to infect human cells in
vivo or in vitro, by inactivation/removal studies or through other valid scientific evidence,
including scientific literature reports to support specific processing.
Expressed from Cells
For medical devices derived from or containing material expressed from animal cells,
information must be provided which verifies that the Cell Line has been fully characterized
and tested for the absence of undesirable viruses which may be infectious and/or
pathogenic for humans.
It is recognized that some cell lines, especially those from rodents, used for the
manufacture of products will contain endogenous retroviruses, retrovirus particles or
retrovirus-like particles. In this case, the capacity of the manufacturing process to remove
and/or inactivate these retroviruses from the product should be demonstrated. The
virucidal capabilities of the processing steps must be validated. This would include
extensive screening for both endogenous and nonendogenous viral contamination which
should be performed on the master cell bank. Each working cell bank as a starting cell
substrate for therapeutic product production must be tested for adventitious virus using
either direct testing or analysis of cells at the limit of in vitro cell age, initiated from the
working cell bank.
A complete characterization of the expressed material(s) and carrier should be provided
including such information as:
1. full physical/chemical/biochemical characterization of the peptides/proteins using
analysis including mapping of the expressed peptide/protein and/or the carrier if
applicable, SDS-PAGE, cation exchange chromatography, 2D-gel electrophoresis and
HPLC;
2. device activity bioassays in vivo and in vitro;
3. studies of the pharmacokinetics, biodistribution and systemic effects of the
expressed agent; and;
4. Complete sterilization and stability information.
Annex 1
36
Classification rules
NON-INVASIVE DEVICES
1. All non-invasive devices are in Class I, unless Rule II, III or IV applies
2. All non-invasive devices intended for channeling or storing blood, body liquids or tissues,
liquids or gases for the purpose of eventual infusion, administration or introduction into the
body are in Class I, unless they may be connected to an active medical device in Class II or a
higher class, in which case they are Class II;
unless they are intended for use of storing or channeling blood or other body liquids
or for storing organs, parts of organs or body tissues, in which case they are Class II
3. All non-invasive devices intended for modifying the biological or chemical
composition of blood, other body liquids or other liquids intended for infusion into
the body are in Class III,
unless the treatment consists of
heat, in which case they are in Class II.
4. All non-invasive devices which come into contact with injured skin:
- are in Class I if they are intended to be used as a mechanical barrier, for compression or for
absorption of exudates;
unless intended to be used principally with wounds which have breached the dermis and can
only heal by secondary intent, in which case they are in Class III.
- are in Class II in all other cases, including devices principally intended to manage the
microenvironment of a wound.
INVASIVE DEVICES
drum or in a nasal cavity and are not liable to be absorbed by the mucous membrane, in
which case they are in Class II.
All invasive devices with respect to body orifices (other than those which are surgically
invasive) that are intended to be connected to an active medical device in Class II or a higher
class, are in Class II.
6. All surgically invasive devices intended for transient use are in Class II,
unless they are reusable surgical instruments, in which case they are in Class I;
unless intended to supply energy in the form of ionizing radiation, in which case they are in
Class III;
unless intended to have a biological effect or be wholly or mainly absorbed, in which case
they are in Class III;
unless intended to administer medicines by means of a delivery system, if this is done in a
manner that is potentially hazardous taking account of the mode of application, in which
they are in Class III.
unless intended specifically to diagnose, monitor or correct a defect of the heart or of the
central circulatory system through direct contact with these parts of the body, in which case
they are in Class IV.
7. All surgically invasive devices intended for short-term use are in Class II,
unless they are intended to administer medicines, in which case they are in Class III;
unless they are intended to undergo chemical change in the body (except if the devices are
placed in the teeth), in which case they are in Class III;
unless they are intended to supply energy in the form or ionizing radiation, in which case
they are in Class III;
unless they are intended to have a biological effect or to be wholly or mainly absorbed, in
which case they are in Class IV;
unless they are intended specifically for use in direct contact with the central nervous
system, in which case they are in Class IV;
unless they are intended specifically to diagnose, monitor or correct a defect of the heart or
of the central circulatory system through direct contact with these parts of the body, in
which case they are in Class IV.
8. All implantable devices, and long-term surgically invasive devices, are in Class III,
unless they are intended to be placed into the teeth, in which case they are in Class II;
unless they are intended to be used in direct contact with the heart, the central circulatory
system or the central nervous system, in which case they are in Class IV;
unless they are intended to be life supporting or life sustaining, in which case they are in
Class IV;
unless they are intended to be active implantable medical devices, in which case they are
38
Class IV;
unless they are intended to have a biological effect or to be wholly or mainly absorbed, in
which case they are in Class IV;
unless they are intended to administer medicines, in which case they are in Class IV;
unless they are intended to undergo chemical change in the body (except if the devices are
placed in the teeth), in which case they are in Class IV.
unless they are breast implants, in which case they are in Class IV.
ACTIVE DEVICES
9. All active therapeutically devices intended to administer or exchange energy are in Class
II,
unless their characteristics are such that they may administer or exchange energy to or from
the human body in a potentially hazardous way, including ionizing radiation, taking account
of the nature, the density and site of application of the energy, in which case they are in
Class III
All active devices intended to control or monitor the performance of active therapeutically
devices in Class III, or intended directly to influence the performance of such devices, are in
Class III.
10. Active devices intended for diagnosis are in Class II:
- if they are intended to supply energy which will be absorbed by the human body (except for
devices used solely to illuminate the patient's body, with light in the visible or near infra-red
spectrum, in which case they are Class I), or
- if they are intended to image in vivo distribution of radiopharmaceuticals, or
- if they are intended to allow direct diagnosis or monitoring of vital physiological processes,
unless they are specifically intended for:
a) monitoring of vital physiological parameters, where the nature of variations is such that it
could result in immediate danger to the patient, for instance variations in cardiac
performance, respiration, activity of central nervous system, or
b) diagnosing in clinical situations where the patient is in immediate danger,
in which case they are in Class III.
Active devices intended to emit ionizing radiation and intended for diagnostic and/or
interventional radiology, including devices which control or monitor such devices, or those
which directly influence their performance, are in Class III.
11. All active devices intended to administer and/or remove medicines, body liquids or other
substances to or from the body are in Class II,
unless this is done in a manner that is potentially hazardous, taking account of the nature of
the substances involved, of the part of the body concerned and of the mode of application, in
which case they are in Class III.
39
tissues or their
I.
tissues or their
I.
15. All devices intended specifically to be used for disinfecting or sterilizing medical devices
are in Class II,
unless they are intended specifically to be used for disinfecting, cleaning, rinsing or, when
appropriate, hydrating contact lenses, in which case they are in Class III.
16. All devices used for contraception or the prevention of the transmission of sexually
transmitted diseases are in Class III,
unless they are implantable or long-term invasive devices, in which case they are in Class IV.
40
Annex 2
Classification Rules for In Vitro Diagnostic
Rule 1 - IVD medical devices intended for the following purposes are
classified as Class D:
Devices intended to be used to detect the presence of, or exposure to, a transmissible
agent in blood, blood components, blood derivatives, cells, tissues or organs in order to
assess their suitability for transfusion or transplantation, or
Devices intended to be used to detect the presence of, or exposure to, a transmissible
agent that causes a life-threatening, often incurable, disease with a high risk of
propagation
Rationale:
The application of this rule as defined above should be in accordance with the rationale
that follows: Devices in this Class are intended to be used to ensure the safety of blood
and blood components for transfusion and/or cells, tissues and organs for transplantation.
In most cases, the result of the test is the major determinant as to whether the
donation/product will be used. Serious diseases are those that result in death or longterm disability, that are often incurable or require major therapeutic interventions and
where an accurate diagnosis is vital to mitigate the public health impact of the condition.
Examples:
Tests to detect infection by HIV, HCV, HBV, HTLV. This Rule applies to first-line essays,
confirmatory essays and supplemental essays.
41
Examples:
1.) HLA, Duffy system (other Duffy systems except those listed in the rule as Class D are in
Class C).
Rule 3 - IVD medical devices are classified as Class C if they are intended
for use:
In detecting the presence of, or exposure to, a sexually transmitted agent. Examples:
Sexually transmitted diseases, such as Chlamydia trachomatis, Neisseria gonorrhoeae.
In detecting the presence in cerebrospinal fluid or blood of an infectious agent with a
risk of limited propagation. Examples: Neisseria meningitidis or Cryptococcus
neoformans.
In detecting the presence of an infectious agent where there is a significant risk that an
erroneous result would cause death or severe disability to the individual or fetus being
tested. Examples: diagnostic assay for CMV, Chlamydia pneumoniae, Methycillin
Resistant Staphylococcus aureus.
In pre-natal screening of women in order to determine their immune status towards
transmissible agents. Examples: Immune status tests for Rubella or Toxoplasmosis.
In determining infective disease status or immune status, and where there is a risk that
an erroneous result will lead to a patient management decision resulting in an imminent
life-threatening situation for the patient. Examples: Enteroviruses, CMV and HSV in
transplant patients.
In screening for selection of patients for selective therapy and management, or for or
for disease staging, or in the diagnosis of cancer. Example: personalized medicine.
NOTE: those IVD medical devices where the therapy decision would usually be made
only after further investigation and those used for monitoring would fall into class B
under rule 6.
In human genetic testing. Examples: Huntingtons Disease, Cystic Fibrosis.
To monitor levels of medicines, substances or biological components, when there is a
risk that an erroneous result will lead to a patient management decision resulting in an
immediate life-threatening situation for the patient. Examples: Cardiac markers,
Cyclosporin, Prothrombin time testing.
In the management of patients suffering from a life-threatening infectious disease.
Examples: HCV viral load, HIV Viral Load and HIV and HCV geno- and subtyping.
In screening for congenital disorders in the fetus. Examples: Spina Bifida or Down
Syndrome.
Rationale:
The application of this rule as defined above should be in accordance with the rationale
for this rule which is as follows: Devices in this Class present a moderate public health
risk, or a high individual risk, where an erroneous result would put the patient in an
imminent life-threatening situation, or would have a major negative impact on outcome.
42
The devices provide the critical, or sole, determinant for the correct diagnosis. They may
also present a high individual risk because of the stress and anxiety resulting from the
information and the nature of the possible follow-up measures.
Rule 4 - IVD medical devices intended for self-testing are classified as Class
C, except those devices from which the result is not determining a
medically critical status, or is preliminary and requires follow-up with the
appropriate laboratory test in which case they are Class B.
IVD medical devices intended for blood gases and blood glucose determinations for
near-patient testing would be Class C. Other IVD medical devices that are intended
for near-patient should be classified in their own right using the classification
rules.
Rationale:
The application of this rule as defined above should be in accordance with the rationale
for this rule which is as follows: In general, these devices are used by individuals with no
technical expertise and thus the labeling and instructions for use are critical to the proper
outcome of the test.
Rationale:
The application of this rule as defined above should be in accordance with the rationale
for this rule which is as follows: These devices present a low individual risk and no or
minimal public health risk.
43
Examples:
Selective/differential microbiological media (excluding the dehydrated powders which are
considered not to be a finished IVD medical device), identification kits for cultured
microorganisms, wash solutions, instruments and plain urine cup.
Note 1: In certain jurisdictions there may be differences as to whether a device
classified in this rule is considered an IVD medical device.
Note 2: The performance of software or an instrument that is specifically required to
perform a particular test will be assessed at the same time as the test kit.
Note 3: The interdependence of the instrument and the test methodology prevents the
instrument from being assessed separately, even though the instrument itself is still
classified as Class A.
Rule 6 - IVD medical devices not covered in Rules 1 through 5 are classified as
Class B.
Rationale:
The application of this rule as defined above should be in accordance with the rationale
for this rule which is as follows: These devices present a moderate individual risk as they
are not likely to lead to an erroneous result that would cause death or severe disability,
have a major negative impact on patient outcome or put the individual in immediate
danger. The devices give results that are usually one of several determinants. If the test
result is the sole determinant however other information is available, such as presenting
signs and symptoms or other clinical information which may guide a physician, such that
classification into Class B may be justified. Other appropriate controls may also be in
place to validate the results. This Class also includes those devices that present a low
public health risk because they detect infectious agents that are not easily propagated in
a population.
Examples:
Blood gases, H. pylori and physiological markers such as hormones, vitamins, enzymes,
metabolic markers, specific IgE assays and celiac disease markers.
44
CLASS
RISK LEVEL
EXAMPLES
Annex 3
Medical Devices Subject for listing:
45
Medical Device instruments Operating solvents or liquids that dont contact patients.
Woven and non woven clothing materials and their products(Gowns, masks, support
bandages, clothes,mattresses)
Hospital Furniture (soft and Hard): Beds, drawers, surgery platforms, mattresses,
trolleys, infusion stands, sheets, pillows, examining tables and chairs..etc).
In vitro diagnostic Reagents given that it is not self testing or from high risk A or B
categories.
Optical lenses given that not a contact lenses or contact lenses disinfecting solutions.
External Prosthesis (artificial extension that replaces a missing body part) not
intended for implantation.
The following Disposables and their equivalent: not intended for treating disease and
in not direct contact with wounds: (masks with no claims, medical trash bins,
examination gloves (non sterile), diapers, disposable bed sheets..etc).
Casts, plastic casts, collars, or any external devices to support the movement or
stabilizing of joints or the body parts including wheel chairs and clutches.
Materials and accessories used in manufacturing dental parts, dentures, dental braces
given that they are not intended for implantation within oral cavity and jaws. and
accessories with no risk for professional use.
Non medical massage machines and chairs excluding those for eyes, or magnetic.
Filter papers.
Lab instruments that dont contact patients directly, examples: Microscopes, analysis
instruments, incubators, empty glass wares and plastic containers not for collecting
biological samples.
46
Annex 4
Application for Medical Device Company
1. Detail of Medical Device Company
Company Name:
City:
Country of origin:
Street:
Post Code:
Contact Name:
Email:
Telephone:
Fax:
Validity:
Telephone:
Fax:
Email:
Please Indicate the nature of the Applicant? (click the appropriate boxes)
Manufacturer
47
Dental Devices
Lab Reagent
Accessories
2. Manufacturing Facility
Please complete the following information about each facility / location included in this assessment.
Main Manufacturing sites
City:
Country:
Address:
Post Code:
Tel:
Fax:
Email:
No. of employees (for Medical devices) at the manufacturing site
Brief description of the facility and principal activities occurring at this site:
(Further details may be attached on a separate sheet, In case of Pharmaceutical Dosage Form please specify the production line
according to the dosage form (solution, injection, cream ..etc).
48
Name of Site
City/
Country
Address
Emirate:
City:
Postal Code:
Contact person:
Tel:
Fax:
49
Type of Quality
Email:
Medical Store License No.:
Expiry Date :
Is the Local distributor different than local authorized representative? YES
No
If YES, please fill the below mentioned detail of local authorized representative
No
YES
Address
Emirate:
City:
Postal Code:
Contact person qualified (please attach his qualifications according to the guideline):
Tel:
Fax:
Email:
Power of Attorney authorizing the Local authorization Holder is enclosed ?
YES
No
ISO 13485:1996
ISO 13485:2003
3. Does the manufacturer outsource any process (e.g., design & Development,
manufacturing, warehousing, sterilization, etc.)
Yes
No
Country:
Postal Code:
Enter the details of Conformity Assessment Body approval of quality system for sterilization or
measuring function relevant to the device(s)
Type Certification
Certified by:
1.
2.
3.
4.
5.
1.
2.
3.
4.
5.
D.
Documentation Procedures
Describe briefly the content of each selected procedure. A copy of the documented (Glob SOP)
procedures shall be enclosed
Distribution
Record
52
Complaint
Handling
Adverse Event
Report
Recall
Alert and
Modification
E.
Products
Please give some 2-3 examples of Family devices manufactured and/marketed by your company
Please attach products list with their main description (use, and general lay name)
F.
Declaration
I hereby declare that all the information I have provided is correct and all the attached documents
are genuine; I will inform the Ministry about any changes to this information.
53
Name of company:
Name of Authorized person
Position
Signature:
Stamp of legal
manufacturer
Stamp of Local
Authorized
Representative
Date:
Annex 5
Please complete the excel file available below with the information relating to the each
device / IVD intended for listing.
Note:
A. The Company file should be submitted first, then endorsed in order the
endorsement for listing to follow.
B. Please be noted that required documents for each device/ IVD (or in group wise if
all share same features and same approval document) listed in the excel sheet
should be submitted along with its application form.
C. Each time can submit only 5 devices/ groups intended for listing
D. If the company is not sure if listing or registration applies for certain products,
they can apply for classification to the medical device committee.
E. Soft and hard copy should be attached with the required documents for each
product/ group.
54
55
Name Of Applicant
Local Authorized Representative:
Local Distributor:
List of devices / In vitro Diagnostic Kit
S.N.
Device
Proprietary/
Brand Name (for
product or
category of
products)
Class of Device
Medical
Specialty Area of
use*
Sterile
(please
tick)
1
2
3
4
5
56
Measuring
function
(please tick)
Annex 6
Application For Medical Device / IVD
Authorized Distributor
Contact person
Address /Street
City:
Email::
Tel:
57
No. Of License
Name
Address /Street
City
Emirate:
Postal Code
Email:
Tel:
58
Name
Address /Street
City
Country
Postal Code
Email:
Tel:
Address /Street
City/Country
59
60
No
If yes, copy of certificates is required If No, the local authorized representative should submit
all related documents along with this application
5. DETAIL OF THE DEVICE / IN VITRO DIGNOSTIC KIT
Brand Name / Family
Devices
Description
Of the Device
Name of
Substance
Quantity
Unit
61
Reference
1
2
3
4
5
6
7
8
Class 1
Class 2
Class A
Class B
62
class 3
Class C
Class 4
Class D
Type of Device
Active Device
Non Active Device
Invasive Device In Vitro Diagnostic Kit
63
Invasive Device
Non
Contraindication
against use of the
device /IVD
User precaution
Disposal/
Environmental
Precaution
64
Cleaning /or
Sterilization
procedures
(if Applicable)
65
Type of Test
Performance
Storage Conditions
66
Condition to avoid
If applicable
67
Summary of Clinical
Evaluation
(If applicable)
YES
68
NO
GHTF
Class A
Class B
EU
Class 1
Class 2a
Class 2b
Class 3
Australia
Class 1
Class 2a
Class 2b
Class AIMD
Japan
Class 1
Canada
Class 1
Class 2
Class 3
USA
Class 1
Class 2
Class 3
Singapore
Class 1
Class 2a
Class 2b
Class 2
Class C
Class 3
69
Class D
Class 4
Class 4
Class 3
Not
Applicabl
e
China
Class 1
Class 2
Class 3
Taiwan
Class 1
Class 2
Class 3
Malaysia
Class 1
Class 2
Class 3
Class 4
EU
List A
List B
USA
Class 1
Class 2
Class 3
Canada
Class 1
Class 2
Class 3
Class 4
Japan
Class 1
Class 2
Class 3
Class 4
Not
Applicabl
e
70
Marketing Approval Status in other countries (please tick the appropriate boxes if applicable)
Please attach evidence in registration file
US FDA
Pre market Approval
Supplementary
Investigational Device Exemption
510(k) Clearance
Certification for Foreign Government
Australia
TGA Clearance/Approval
Canada
TTP Clearance/Approval
Japan
71
.
.
Yes
No
Yes
No
The device has been recalled in the country of origin or any country product
marketed or in progress?
The device has been revoked/ banned in the country of origin or any country
device marketed ?
Has there been any reportable adverse incidents bearing implications to the
advice?
Pro-active post market surveillance studies?
Repair & Servicing
The device is intended for single use and non repairable
The device requires regular servicing/testing/checking/calibration
Repairs and servicing provided by local authorized representative or by contracted
other party in UAE (if by other party please
Technical support provided by the manufacturer
Declaration Of Conformity (check list)
72
Stamp of
Company
Annex 7
73
Essential Principles Conformity Checklist (to be attached with any application for medical devices class >>>>)
Clause
Essential Principle
Applicable
Medical devices should be designed and manufactured in such a way that, when used under
the conditions and for the purposes intended and, where applicable, by virtue of the
technical knowledge, experience, education or training of intended users, they will not
compromise the clinical condition or the safety of patients, or the safety and health of
users or, where applicable, other persons, provided that any risks which may be associated
with their use constitute acceptable risks when weighed against the benefits to the patient
and are compatible with a high level of protection of health and safety
The solutions adopted by the company and its manufacturing site for the design and
manufacture of the devices should conform to safety principles, taking account of the
generally acknowledged state of the art. When risk reduction is required, the company and
its manufacturing site should control the risks so that the residual risks associated with
each hazard is judged acceptable. The company and its manufacturing site should apply the
following principles in the priority order listed:
3
4
identify known or foreseeable hazards and estimate the associated risks arising
from the intended use and foreseeable misuse,
eliminate risks as far as reasonably practicable through inherently safe design
and manufacture,
reduce as far as is reasonably practicable the remaining risks by taking
adequate protection measures, including alarms,
Inform users of any residual risks.
Devices should achieve the performance intended by the company and its manufacturing
site and be designed, manufactured and packaged in such a way that they are suitable for
one or more of the functions within the scope of the definition of a medical device.
The characteristics and performances referred to in Clauses 1 2,3 and 4 should not be
74
Method of Conformity
Identify of
Specific
Documents
adversely affected to such a degree that the health or safety of the patient or the user
and, where applicable, of other persons are compromised during the lifetime of the
device, as indicated by the manufacturer, when the device is subjected to the stresses
which can occur during normal conditions of use and has been properly maintained in
accordance with the manufacturers instructions.
6
7
7.1
The devices should be designed, manufactured and packed in such a way that their
characteristics and performances during their intended use will not be adversely affected
under transport and storage conditions (for example, fluctuations of temperature and
humidity) taking account of the instructions and information provided by the manufacturer
The benefits must be determined to outweigh any undesirable side effects for the
performances intended.
7.2
7.3
7.4
7.5
7.6
7.7
The devices should be designed and manufactured in such a way that they can be used
safely with the materials, substances and gases with which they enter into contact during
their normal use or during routine procedures; if the devices are intended to administer
medicinal products they should be designed and manufactured in such a way as to be
compatible with the medicinal products concerned according to the provisions and
restrictions governing these products and that their performance is maintained in
accordance with the intended use.
Where a device incorporates, as an integral part, a substance which, if used separately, is
considered to be a pharmaceutical and which is liable to act upon the body with action
ancillary to that of the device, the safety, quality and usefulness of the substance should
be verified, taking account of the intended purpose of the device.
The devices should be designed and manufactured in such a way as to reduce as far as
reasonably practicable and appropriate the risks posed by substances that may leach or
leak from the device.
Devices should be designed and manufactured in such a way as to reduce as far as
reasonably practicable and appropriate risks posed by the unintentional ingress or egress
of substances into or from the device taking into account the device and the nature of the
environment in which it is intended to be used.
8.1
8.2
8.3
8.4
8.5
8.6
8.7
Where a device incorporates substances of biological origin, the risk of infection must be
reduced as far as reasonably practicable and appropriate by selecting appropriate sources,
donors and substances and by using, as appropriate, validated inactivation, conservation,
and test and control procedures.
Where a device incorporates tissues, cells and substances of non-human origin, such
tissues, cells and substances should originate from animals that have been subjected to
veterinary controls and surveillance adapted to the intended use of the tissues.
Information on the geographical origin of the animals should be retained. Processing,
preservation, testing and handling of tissues, cells and substances of animal origin should
be carried out so as to provide optimal safety. In particular, safety with regard to viruses
and other transmissible agents should be addressed by implementation of validated
methods of elimination or inactivation in the course of the manufacturing process.
Where a device incorporates human tissues, cells and substances, the selection of sources,
donors and/or substances of human origin, the processing, preservation, testing and
handling of tissues, cells and substances of such origin should be carried out so as to
provide optimal safety. In particular, safety with regard to viruses and other transmissible
agents should be addressed by implementation of validated methods of elimination or
inactivation in the course of the manufacturing process.
Devices labeled as having a special microbiological state should be designed, manufactured
and packed to ensure they remain so when placed on the market and remain so under the
transport and storage conditions specified by the Manufacturer.
Devices delivered in a sterile state should be designed, manufactured and packed in a nonreusable pack, and/or according to appropriate procedures, to ensure that they are sterile
when placed on the market and remain sterile, under the transport and storage conditions
indicated by the manufacturer, until the protective packaging is damaged or opened.
Devices labeled either as sterile or as having a special microbiological state should have
been processed, manufactured and, if applicable, sterilized by appropriate, validated
methods.
77
8.8
8.9
8.10
9
9.1
9.2
9.3
Devices should be designed and manufactured in such a way as to minimize the risks of fire
or explosion during normal use and in single fault condition. Particular attention should be
paid to devices whose intended use includes exposure to or use in association with
flammable substances or substances which could cause combustion.
9.4
Devices must be designed and manufactured in such a way as to facilitate the safe disposal
of any waste substances.
10
10.1
10.2
10.3
10.4
Devices with a measuring function, where inaccuracy could have a significant adverse
effect on the patient, should be designed and manufactured in such a way as to provide
sufficient accuracy, precision and stability for their intended purpose of the device. The
limits of accuracy should be indicated by the manufacturer.
Diagnostic devices should be designed and manufactured in such a way as to provide
sufficient accuracy, precision and stability for their intended use, based on appropriate
scientific and technical methods. In particular the design should address sensitivity,
specificity, trueness, repeatability, and reproducibility, control of known relevant
interference and limits of detection, as appropriate.
Where the performance of devices depends on the use of calibrators and/or control
materials, the traceability of values assigned to such calibrators and/or control materials
should be assured through a quality management system.
Any measurement, monitoring or display scale should be designed in line with ergonomic
79
11.2.1
11.2.2
11.3
11.3.1
11.4
11.4.1
11.5
11.5.1
11.5.2
11.5.3
12
12.1
Ionizing radiation
Devices intended to emit ionizing radiation should be designed and manufactured in such a
way as to ensure that, where practicable, the quantity, geometry and energy distribution
(or quality) of radiation emitted can be varied and controlled taking into account the
intended use.
Devices emitting ionizing radiation intended for diagnostic radiology should be designed
and manufactured in such a way as to achieve appropriate image and/or output quality for
the intended medical purpose whilst minimizing radiation exposure of the patient and
user.
Devices emitting ionizing radiation, intended for therapeutic radiology should be designed
and manufactured in such a way as to enable reliable monitoring and control of the
delivered dose, the beam type and energy and where appropriate the energy distribution
of the radiation beam.
12.2
Devices where the safety of the patients depends on an internal power supply should be
equipped with a means of determining the state of the power supply
12.3
Devices where the safety of the patients depends on an external power supply should
include an alarm system to signal any power failure.
12.4
12.5
12.6
12.7
13
13.1
13.2
13.3
13.4
13.5
14.2
14.3
15
15.1
15.2
15.3
Protection against the risks posed to the patient by supplied energy or substances
Devices for supplying the patient with energy or substances should be designed and
constructed in such a way that the delivered amount can be set and maintained accurately
enough to guarantee the safety of the patient and of the user.
Devices should be fitted with the means of preventing and/or indicating any inadequacies
in the delivered amount which could pose a danger. Devices should incorporate suitable
means to prevent, as far as possible, the accidental release of dangerous levels of energy
from an energy and/or substance source
The function of the controls and indicators should be clearly specified on the devices.
Where a device bears instructions required for its operation or indicates operating or
adjustment parameters by means of a visual system, such information should be
understandable to the user and, as appropriate, the patient
Protection against the risks posed to the patient for devices for self-testing or self-administration
Such devices should be designed and manufactured in such a way that they perform
appropriately for their intended purpose taking into account the skills and the means
available to users and the influence resulting from variation that can reasonably be
anticipated in users technique and environment. The information and instructions
provided by the company and its manufacturing site should be easy for the user to
understand and apply
Such devices should be designed and manufactured in such a way as to reduce as far as
practicable the risk of use error in the handling of the device and, if applicable, the
specimen, and also in the interpretation of results.
Such devices should, where reasonably possible, include a procedure by which the user can
verify that, at the time of use that the product will perform as intended by the
manufacturer
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16
16.1
17
17.1
17.2
Clinical investigations on human subjects should be carried out in accordance with the
spirit of the Helsinki Declaration. This includes every step in the clinical investigation from
first consideration of the need and justification of the study to publication of the results.
Signature:
Name
Position
Date
I declare that the Information provided in this form is accurate and correct and the device conforms to all the applicable requirements stipulated above.
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Annex 8
Table 1: the arrangement of the product (Medical Device)
registration application file:
Required Documents
Attachment
Application Form
Regulatory Approval
Device Information
1.
2.
3.
4.
5.
Intended Use
Indications
Instructions of Use
Contraindications
Warnings
85
6.
7.
8.
9.
10.
Precautions
Potential Adverse Events
Device Labeling
Alternative Therapy
Device labeling which include physicians manual, pack labeling and
promotional material
11. A general description of the device and detailed description of the
device attributes;
Labeling
Three copies (artwork) of the each product Packaging, labeling and
promotional material
- For single use medical devices must be labeled on outer pack label
with SINGLE USE.
**G
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H.4: Biocompatibility
H.5 special requirements For Devices Containing Biological Material
H.6: Literature studies
Manufacturing Process
87
Class II/
Class B IVD
Class III/
class C IVD/
Self-testing IVD
Class IV/
Class D IVD
Not Applicable
Not Applicable
Not Applicable
Not Applicable
E1
E1
E1-8
E1-11
E1-11
G
F. Self Declaration
G
Self Declaration
Not Applicable
Not Applicable
Not Applicable
Not Applicable
Not Applicable
Not Applicable
88