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6th meeting of the Medical Device Board (MDB) was held in the Committee Room of
Drug Regulatory Authority of Pakistan, TF Complex, G-9/4, Islamabad on 20th July, 2017. The
meeting was chaired by Dr. Sheikh Akhter Hussain, Director Medical Devices & Medicated
Cosmetics, Drug Regulatory Authority of Pakistan. The meeting was attended by the following:-
Decision: The Board confirmed the minutes of the 5th meeting of MDB.
The Board was briefed regarding the Provisional Establishment Certificate (PEC) and
Product Registration Acknowledgements issued as follow:
On the directions of the Honorable Supreme Court of Pakistan on March 2, 2017 during
Human Rights Case No. 623-P/2017, Prime Minister’s office convened two extensive meetings
chaired by Secretary to the Prime Minister held on 6 th March and 10th March, 2017 involving all
the relevant stakeholders and as an outcome of these meetings, SRO. 167(I)/2017 was issued by
the Federal Government dated 15-03-2017 for regulation of medical devices including cardiac
stents. The salient features of the said SRO are as under:-
The said SRO has a Schedule “A” of 134 life saving medical devices including
cardiac stents, legalizing the import, sale and usage of these medical devices, if these
were already approved for use and sale by regulatory authorities of USA, Japan,
Australia, Canada, Austria, Belgium, Denmark, France, Germany, Ireland, Italy,
Netherland, Norway, Spain, Sweden, Switzerland, UK or CE Mark by notified
bodies of European Union.
The said Notification empowered CEO, DRAP to amend the Schedule “A” from time
to time.
Schedule “A” devices cannot be imported, sold or used in Pakistan except from
above sources.
In addition, a firm has to submit provisional registration application along with
original Free Sale Certificate.
The previous SROs declaring medical devices as drugs are repealed.
Medical Devices Board shall issue Provisional Establishment Certificate for a period
of 06 months, within 07 working days, on submission of original valid authorized
agency agreement.
The rest of the medical devices, not included in the Schedule “A”, have been
exempted from the operation of Medical Devices Rules, 2015 for six months.
Minutes of 6th Meeting of MDB Page 3 of 29
All medical devices registered as drug and qualifying above said criteria shall be
deemed to be registered as medical device under the Medical Devices Rules, 2015.
Medical Device Board in its 4 th meeting convened on 24th March, 2017 approved
application forms for grant of Provisional Establishment Certificate, application form for
Provisional Registration of medical devices for import and Provisional Establishment Certificate.
So far, 68 Provisional Establishment Certificates under this SRO have been issued to the
applicant firms and 206 acknowledgements for Provisional Registration of medical devices have
also been issued.
Decision: The Board appreciated the efforts made so far by the Division of Medical Devices &
Medicated Cosmetics.
Decision: The Board after thorough discussion endorsed the amendments proposed in Medical
Devices Rules, 2017.
Three months time will be required for Cath Laboratories to be registered with the
PSIC.
Capacity building of Cath Labs is required and type of training and experience
required by the interventional cardiologist/operators running Cath Labs shall be
defined.
Regarding fixation of prices it was suggested that matter should be handled with care
so that the multinational companies should not quit from the market and shortages of
stents should not arise.
The heads of an institutes shall provide the list of their Cath Labs along with names of
operators, their skills, training, number of procedures carried out and no. of years of
relevant experience in Cath labs to the PSIC, which then be enlisted along with their
operators on the recommendations of the heads of an institutes making both the head
and the operator(s) responsible. The said list shall be provided to the DRAP at the
earliest.
The erstwhile Ministry of Health, keeping in view the risks posed to the patient and in
exercise of the powers conferred by sub clause (vi) of the clause (g) of section 3 of the Drugs
Act, 1976, declared some medical devices to be drugs for the purpose of said Act. These devices
includes disposable syringes, disposable sets for collection or transfusion of blood or giving any
infusion, canula, catheter, stent, auto-disable syringes and butterfly needles. Since then many
devices have been registered.
The Federal Government issued SRO. 167(I)/2017 on 15-03-2017 for regulation of
medical devices. The said SRO has a Schedule “A” of 134 life saving medical devices legalizing
Minutes of 6th Meeting of MDB Page 6 of 29
the import, sale and usage of these medical devices, if these were already approved for use and
sale by regulatory authorities of USA, Japan, Australia, Canada, Austria, Belgium, Denmark,
France, Germany, Ireland, Italy, Netherland, Norway, Spain, Sweden, Switzerland, UK or CE
Mark by notified bodies of European Union. Schedule “A” devices cannot be imported, sold or
used in Pakistan except from above sources. In addition, a firm has to submit provisional
registration application along with original Free Sale Certificate. The previous SROs declaring
medical devices as drugs are repealed. Medical Devices Board shall issue Provisional
Establishment Certificate for a period of 06 months, within 07 working days, on submission of
original valid authorized agency agreement. The rest of the medical devices, not included in the
Schedule “A”, have been exempted from the operation of Medical Devices Rules, 2015 for six
months. All medical devices registered as drug and qualifying above said criteria shall be
deemed to be registered as medical device under the Medical Devices Rules, 2015.
Matter was discussed in length and the board members were of the view that the list
should be categorized in two categories as per SRO 167(I)/2017 and those medical devices
which do not fall under Schedule A but were previously registered as drugs should be listed out
and should be reviewed as per the Medical Devices Rules, 2017 upon their promulgation.
Decision: The Board thoroughly reviewed and discussed Medical Devices mentioned in Annex-
I. As these Medical Devices are fulfilling the criteria prescribed in the SRO,
therefore, the Board approved these devices as registered medical devices under
Medical Devices Rules, 2015 and accordingly a list of these medical devices shall be
issued by the MDMC Division. New registration numbers shall be allotted to these
registered devices.
Decision: The Board discussed the matter in length and decided that fee of Rs.5000/- shall be
charged for each further application regarding inclusion of additional manufacturers in Form-3
(Provisional Establishment Certificate).
There is no specific format for the letter of Authorization for Agency Agreement. In
some cases the product is manufactured in one country, it is owned by some person in another
country and authorization is passed on to some other distributor and then the authorized agent in
Pakistan.
Minutes of 6th Meeting of MDB Page 8 of 29
The case is placed before the MDB for consideration to standardize the Letter of
Authorization for Agency Agreement.
Item No. IX. MEDICAL DEVICES WHICH ARE NEITHER DEFINED NOR
DECLARED AS DRUG.
It is submitted that medical devices like Blood bags, Hyaluronic acid injection, Incise
Drapes, Surgical dressing, Surgical tapes etc are neither defined nor declared as drug under the
Drugs Act, 1976. Moreover, internationally these are regulated as medical devices. However,
these devices are being registered as drug under the Drug Act, 1976. DRAP Act, 2012 was
promulgated on 13th November, 2012 where drugs and medical devices were separately defined.
For this purpose, Medical Devices Rules, 2015 were notified on 9 th March, 2015 wherein all
medical devices has to be regulated under these rules except those defined as drug. Fate of these
subject devices neither defined nor declared as drug has to be decided.
Decision: The Board discussed the matter at length. As the medical devices like Blood bags,
Hyaluronic acid injection, Incise Drapes, Surgical dressing, Surgical tapes and like devices are
being regulated as medical devices internationally and the DRAP Act, 2012 has also separately
defined drugs and medical devices, therefore, the Board decided that these devices shall be
regulated under the Medical Devices Rules. Division of PE&R shall be asked to transfer their
files to Division of MDMC for further processing in compliance to new medical devices rules.
Item No.X. POST-FACTO APPROVAL FOR ISSUANCE NOC FOR MITRAL VALVE
CLIP PROCEDURE ITEMS FOR PERSONAL USE.
Keeping in view the need of the said items, an NOC was issued with the approval of
Director MDMC / Chairman MDB as provision for import of medical devices for personal use is
given in Rule 100 (c) of Medical Devices Rules, 2015.
Decision: The Board approved the case and also authorized Chairman MDB for future
approval for issuance of NOC for import of medical devices for personal use under the
prescribed rules.
As per SRO.167(I)/2017, dated 15th March, 2017, the previous SROs declaring medical
devices as drugs are repealed and all products registered under the provisions of previous SROs,
if qualify the prescribed criteria in the said SRO, shall be deemed to be registered as medical
devices under the Medical Devices Rules, 2015. For those Schedule "A" medical devices already
registered as drug, having valid registration, originating from reference countries mentioned in
the SRO.167(I)/2017 and having Provisional Establishment Certificate shall be deemed to be
registered as medical devices under the Medical Devices Rules, 2015. However, some of the
firms have not applied for PEC having Schedule "A" medical devices. Medical Device Board in
its 5th meeting held on 25th May, 2017 decided as under:-
"For those Schedule "A" medical devices already registered as drug, having valid
registration, originating from reference countries mentioned in the SRO.167(I)/2017 but
the firms have still not applied for Provisional Establishment Certificate, these firms
shall be asked to apply for Provisional Establishment Certificate within 7 days otherwise
further necessary action shall be taken by the MDB."
The following firms have not applied for Provisional Establishment Certificate and they
were issued letters on 10-07-2017 with directions to apply for Provisional Establishment
The above firms have still not applied for PEC and have been issued letters on 18-07-
2017 for personal hearing before the MDB on 20th July, 2017 to explain their position in the
subject matter along with details of all of their imported medical devices. The following firms
appeared before the Board and the Board decided as mentioned against each:
Decision:
1. Miss Ayesha Zaman, Manager Regulatory affairs M/s Johnson & Johnson
Pakistan (Pvt) Limited, Karachi appeared before the Board and informed the reason for
not applying for Provisional Establishment Certificate (PEC) in writing. She submitted
that due to relocation of their office, issuance of drug sale license is awaited and the firm
will apply PEC as soon as they secure Drug Sale License. Furthermore she also informed
that they are now only dealing with registered products from Codman Portfolio namely
Prowler Micro Catheters (Reg No. 074692). Their registered products from Cordis
portfolio have been globally transferred from Johnson & Johnson to Cardinal Health.
These products will be imported by Cardinal Health's appointed authorized agent M/s
Global Marketing Services, 111, Hali Road,Westridge I, Rawalpindi, Pakistan who have
already secured Provisional Establishment Certificate for the said products. Therefore
Johnson & Johnson will not be importing the following Cordis products namely:
(i) Cordis catheters (Diagnostic Catheter and Guiding Catheter) (Reg No. 071628)
Infiniti
Super Torque
Super Torque Plus
Tempo
High Flow
Nylex
Vista Brite
(ii) Empira RX PTCA Dilatation Catheter (Reg No. 074705)
(iii) Empira NC RX PTCA Dilatation Catheter (Reg No. 074706)
(iv)Palmaz Genesis Stent (Reg No. 071629)
(v) SES Precise RX stent (Reg No. 071630)
Minutes of 6th Meeting of MDB Page 11 of 29
(vi)S.M.A.R.T. Control Nitinol Stent System (Reg No. 074662)
(i) The Board cancelled the registrations of above mentioned Cordis products already
registered in the name of M/s Johnson & Johnson Pakistan (Pvt) Limited, Karachi due to
reasons as submitted above by M/s Johnson & Johnson Pakistan (Pvt) Limited.
(ii) For Codman Portfolio product namely Prowler Micro Catheters (Reg No.
074692), the Board again directed the firm to apply for Provisional Establishment
Certificate within 15 days otherwise further necessary action shall be taken by the MDB
which may lead to cancellation of registration of their product.
2. Mr. Mubashir Iqbal representing M/s SES Associates, Lahore appeared before the
Board and submitted written reply that Mr. Shahid Ikram,(Chief Executive) of the firm is
out of country and he will come back next week and shall appear in person in DRAP in
next week on Tuesday.
The Board directed Mr. Mubashir Iqbal to inform Mr. Shahid Ikram to personally
appear in DRAP on upcoming Tuesday to clarify his position regarding the subject matter
for not applying for Provisional Establishment Certificate despite the written directions of
the MDB. The Board further directed the firm to apply for Provisional Establishment
Certificate within 15 days otherwise further necessary action shall be taken by the MDB
which may lead to cancellation of registration of their product(s).
4. Mr. Asghar Khattak, Regional Sales Coordinator (North) of M/s Trans Angio
Systems, Karachi appeared before the Board and submitted written reply of the firm
wherein the firm requested the Board to allow them to submit their application of
Provisional Establishment Certificate by 30th August, 2017 due to the reason that
5. M/s Radiant Devices Biomedical Pvt. Limited, Lahore did not appear before the
Board, however, Mr. Rashid Ahmed, Director, Radiant Devices Biomedical Pvt. Limited
sent a letter wherein he has informed that they have discontinued their services and do not
wish to apply for Provisional Establishment Certificate.
The Board cancelled the registrations of the products namely PTA Self
Expandable Stent System “Resistant” (Reg No. 074671) and PTCA Coronary Drug
Eluting Stent System “euca TAX” (Reg No. 074672) already registered in the name of
M/s Radiant Devices Biomedical Private Limited, Lahore due to the reason that the firm
has informed in writing that they have discontinued their services and do not wish to apply
for Provisional Establishment Certificate.
6. M/s Universal Trades, Quetta did not appear before the Board, however, Mr.
Javed, Managing Director, Universal Trades, Quetta informed telephonically that he is
unable to come due to his personal issues.
The Board again directed the firm to apply for Provisional Establishment
Certificate within 15 days otherwise further necessary action shall be taken by the MDB
which may lead to cancellation of registration of its product(s).
CATHETERS
S.No Name of Firm/ Name of Manufacturer Reg.No. Name of Medical Device Date of
Importer. Registration
1. M/s Iqbal & M/s. Arrow International, 074635 Arrow Central Venous 21-2-2013
Company, Inc (subsidiary of Teleflex, Catheterization Set.
Islamabad. Incorporated) 2400 Bernville
Road, Reading PA 19605,
USA)
15. M/s Cor-Med, M/s. IHT, Iberhospitex S.A, 074689 Fairway Rapid Exchange 25-4-2014
Rawalpindi. Barcelona, Spain) Dilatation Catheter for
PTCA
16. M/s. B.Braun Legal Manufacturer: M/s. 080168 Angiodyn” Angiographic 10-02-2016
Pakistan (Pvt) Ltd., PendraCare International Catheter.
Karachi. B.V., Van der Waalspark-
22, VC Leek, Netherland.
Marketing Authorization
Holder & Central
Distributors: M/s. B.Braun
Melsungen AG, Vascular
System, Sieversufer 8, D-
12359, Berlin, Germany).
17. -do- Legal Manufacturer: M/s. 080169 SeQuent Neo Rapid 10-02-2016
B.Braun Melsungen AG, Exchange Coronary
Carl-Braun-Strasse 1, 34212 (PTCA) Balloon Catheter.
Melsungen, Germany.
Manufacturing Site: B.
Braun Melsungen AG,
Vascular Systems,
Sieversufer 8, 12359 Berlin,
Germany.
21. M/s Healthtec, Manufacturer: Blue 082017 Protégé DEB Dilatation 30-9-2016
Rawalpindi. Medical Device B.V, Catheter
Steenovemweg 19, 5708 NH
Helmond, The (Paclitaxel Eluting
Netherlands Balloon Dilatation
Production plant: Catheter)
Panovenweg 7, 5708 HR
Helmond, The Netherlands).
30. M/s Intek, Manufactured By: 083134 Hoper PTCA Balloon 06-03-2017
Rawalpindi. M/s Lepu Medical Dilatation Catheter
Technology (Beijing) Co.,
Ltd., no 37 Chaoqian Rd,
Changping district, Beijing,
China.
31. M/s Ferozsons Legal Manufacturer: M/s. 083135 Emerge Over-The-Wire 08-03-2017
Laboratories Limited, Boston Scientific PTCA Dilatation Catheter
Nowshera. Corporation, 300 Boston
Scientific Way, Marlborough
MA 01752, USA.
Manufacturing Site: M/s.
Boston Scientific
Corporation, Two Scimed
Place, Maple Grove, MN
55311, USA.
53. M/s Genus, Karachi. Manufactured by: M/s 083421 Hawk TM-SC- PTCA 15-03-2017
Umbra Medical Products, Balloon Catheter Semi-
Inc, 8930 East Roan Lane, Compliant
Inverness, Florida, 34450
USA.
54. -do- -do- 083422 Falcon Guiding Catheter 15-03-2017
STENTS
S.No Name of Firm/ Name of Manufacturer Reg.No. Name of Medical Device Date of
Importer. Registration
18. M/s Ferozsons Owner Operator: M/s. 080719 Promus Premier TM 10-5-2016
Laboratories Limited, Boston Scientific Monorail TM Everolimus-
Nowshera. Corporation, 300 Boston Eluting Platinum
Scientific Way, Chromium Coronary
Marlborough, MA Stent System
01752, USA.
19. M/s. Promed Legal Manufacturer : 081522 BioMatrix Flex TM Drug 19-8-2016
International, M/s Biosensor Europe Eluting Coronary Stent
Rawalpindi. SA,. Rue de Lausanne System
29, 1110 Morges,
Switzerland. (Biolimus A9)
Manufacturing Site:
Biosensor Interventional
Technologies Pte Ltd,
36 Jalan Tukang,
Singapore 619266.
(Biolimus A9)
32. M/s B.Braun Pakistan Manufacturer: 083394 Coroflex ISAR NEO 10-03-2017
(Pvt) Limited, B.Braun Melsungen AG Sirolimus-eluting
Karachi. Carl-Braun –Stabe 1 Coronary Stent System
34212 Melsungen,
Germany.
Manufacturing Site:
B.Braun Melsungen AG
Vascular Systems
Sieversufer 8, 12359
Berlin, Germany.
33. M/s Promed Legal Manufacturer: 083402 BioMatrix Alpha TM Drug 10-03-2017
International, M/s Biosnsor Europe Eluting Coronary Stent
Rawalpindi. SA, Rue De Lausanne System
29, 1110 Morges,
Switzerland. (Biolimus A9)
Manufacturing Site:
M/s Biosensors
Interventional
Technologies Pte Ltd,
36 Jalan Tukang,
Singapore 619266,
Singapore.
36. M/s Digital Imaging Manufactured By: 083406 Multi link 8 Coronary 10-03-2017
Systems, M/s Abbott Vascular, Stent System
Lahore. Cashel Road, Clonmel,
County Tipperary, (Cobalt Chromium)
Ireland.
Legal Manufacturer :
M/s Abbott Vascular,
3200 Lakeside Drive,
Santa Clara, California
95054, USA.
37. M/s ACP System. Legal Manufacturer: 083411 Driver Sprint Rapid 10-03-2017
13 &23,Naval Fleet M/s Medtronic, Inc.710 Exchange Coronary Stent
Club, Iqbal (S.J) Medtronic Parkway NE System
Shaheed Road, Minneapolis, MN
Karachi. 55432, USA.
Manufacturing Site:
M/s Medtronic Ireland,
Parkmore Business Park
West Galway, Ireland.
38. M/s Ferozsons Legal Manufacturer: 083412 RebelTM MonorailTM PtCr 10-03-2017
Laboratories Limited, M/s. Boston Scientific Coronary Stent System
P.O.Ferozsons, Corporation, 300 Boston
Amangarh, Scientific Way,
Nowshera Marlborough MA
01752, USA.
Manufacturing Site:
M/s. Boston Scientific
Corporation, Two
Scimed Place, Maple
Grove, MN 55311,
USA.
39. F.W Distributors, M/s Coloplast A/S, 083425 Biosoft Duo Mujolti 15-03-2017
Rawalpindi. Holtedam 1, 3050 Length Hydro-Coated
Humlebaek, Denmark. Urethral Stent Kit (long
term)
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