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by Phil Smart

Higher risk medical products entering the EU must be marked with CE and number from a Notified Body. This includes Classes IIa, IIb and III as well as Class I devices, which are supplied sterile, or which contain a measuring function.

Here are some common findings from a Notified Body:

Incomplete technical files and design dossiers to support technical claims

Lack of clinical data to support section 14 of Annex I (Note: Clinical data is required for ALL CE-marked medical devices!)

Inadequate labeling to meet EU language and symbol requirements. Often design control does not adequately consider the Essential Requirements.
Lack of evidence that EN556 is complied with for sterility assurance.
Lack of evidence that ISO 14971 has been applied to ensure proper Risk

Management throughout the design control and post market surveillance process
Note: With regard to EU directives, compliance with "harmonized standards" provide a presumption of conformity with applicable essential requirements. EN ISO 14971:2000, "Application of risk management to medical devices" has been approved by CEN/CENELEC in the EU as a "harmonized standard". FDA and AAMI also advocate use of this standard.)

Vigilance reports not submitted to the Competent Authorities when necessary (Note: To be submitted to the Notified Body as well. Refer to MEDDEV 2.12/1 Guidelines)
For smaller companies with initial strides in Europe, the issue is often that the quality management system is not adequately documented or implemented to meet MDD/IVDD requirements for full QA or Production QA, i.e. ISO 13485/13488.

Or, perhaps you are simply faced with regulatory challenges such as:

Product is not reaching market due to very long approval process.
The design dossier and consultation process for your drug/device combination (any devices which incorporates a medicinal substance falls under Class III) has stalled, and you feel you have no influence over time, costs, dealing with the Competant Authority, etc.
Your Notified Body is VERY slow and VERY expensive. What do you do?

Solution:

What is the solution? Contact RA/QA International and we can discuss.
Possible strategies might include:
On-site training/certification of your people to ensure thorough understanding of their role in designing and manufacturing CE-marked product;


Documentation analysis, gap analysis and corrective actions to ensure a streamlined yet effective quality management system to comply with ISO 13485: Development and submittal of technical files and design dossiers, including direct communication with the Notified Body and Competent Authority

Development, management and monitoring of clinical investigations to comply with EN 540 and GCP
Internal auditing of your facility to ensure MDD/AIMD/IVDD compliance

Send an e-mail or give us a call. As practicing Notified Body auditors RA/QA
International can help you to get on top of European conformity assessment, to ensure
regulatory compliance, to streamline your systems and resources, and to bring your
products into the EU as quickly as possible!