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EU MDR on e-Labeling

  • 1.  EU MDR on e-Labeling

    Posted 10-Aug-2020 17:01

    Within the new EU Medical Device Regulations (EU) 2017/745, General Safety and Performance Requirement (GSPR) 23.1 states the following:

     

    "Each device shall be accompanied by the information needed to identify the device and its manufacturer, and by any safety and performance information relevant to the user, or any other person, as appropriate. Such information may appear on the device itself, on the packaging or in the instructions for use, and shall, if the manufacturer has a website, be made available and kept up to date on the website.." [emphasis added]

     

    Should this requirement be interpreted to mean that the IFU must be available on the manufacturer's website (if they have one), or is this still optional? If so, it would also now become obligatory to comply with Regulation (EU) No 207/2012 on electronic labeling (Article 9 in particular)?

     

    Does the MDR essentially mandate supply of electronic IFUs, even when paper copies are provided, just because a manufacturer has a website, which majority of the manufacturers do?

    Thank you.



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    Maham Ansari MS RAC
    Director, Regulatory Affairs
    Canada
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  • 2.  RE: EU MDR on e-Labeling

    Posted 11-Aug-2020 02:07
    Hi Maham, 

    That is correct. I have just completed the MDR audit and one of the comments from the notified body was the eIFU has to be uploaded to the website (even when paper copies are provided) and it has to be Regulation (EU) 207/2012 compliant. 

    As a result, the risk assessment document and SOP to prepare IFU demonstrating EU 207/2012 compliant are required, these documents should be referenced in the GSPR checklist. 

    Hope it helps.

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    Yan Chia
    QARA Manager
    Australia
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  • 3.  RE: EU MDR on e-Labeling

    Posted 11-Aug-2020 04:35
    Hi Maham,

    it is totally allowed to make the 'information needed to identify the device and its manufacturer, and any safety and performance information relevant to the user' available on the website in other ways than with the IFU. And in that situation the requirement to comply with Regulation (EU) No 207/2012 on electronic labeling is not applicable. But this is rather theoretical and many manufacturers will decide to use the IFU as device identification safety and performance information to be uploaded.

    I am however a bit worried about the statement from Yan that the Notified Body required the eIFU has to be uploaded to the website, taking into account above mentioned reasoning. But not knowing the situation and arrangements made in your QMS it is difficult to comment on this any further.

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    Peter Reijntjes
    Principal Consultant Regulatory & Quality Affairs | Head of Training
    Arnhem
    Netherlands
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  • 4.  RE: EU MDR on e-Labeling

    Posted 11-Aug-2020 05:16
    Hi Peter, 

    Thanks for pointing out that the 'information needed to identify the device and its manufacturer, and any safety and performance information relevant to the user' available on the website can be presented in many ways other than with the IFU.

    In my situation, we declared that the information is only available in the form of IFU. That was the reason why the IFU has to be uploaded to the website and the requirement to comply with Regulation (EU) No 207/2012 is applicable.





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    Yan Chia
    QARA Manager
    Australia
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  • 5.  RE: EU MDR on e-Labeling

    Posted 11-Aug-2020 07:37
    Edited by Richard Vincins 12-Aug-2020 06:35
    Hello,

    What you wrote Yan just makes me have a sad face.  I still believe the EU MDR regulation is missing a word there and/or the intent it to make uploading this information to a website optional.  I can not nor believe this would be something required.  I have commented on this in other discussions Maham about this specific text and the context of application for requiring IFU or even safety and performance information about the product located on a company website.  What makes me sad is the Notified Bodies taking the literal words from the regulation and imposing these requirements.

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    Richard Vincins RAC
    Vice President Global Regulatory Affairs
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  • 6.  RE: EU MDR on e-Labeling

    Posted 11-Aug-2020 16:19

    Based on the information you provided, the audit nonconformance is correct.

    The Annex I requirement is to provide certain information on the manufacturer's web site.

    In your QMS you declare that the information is available in the IFU only.

    Therefore, you must post the IFU on your website.

    However, since this is an electronic IFU it must satisfy the 207/2012 requirements.

    The solution (to quote a colleague of mine) is obvious to the most casual observer. Change your QMS requirement to allow the information on your web site but not in the IFU.



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    Dan O'Leary CQA, CQE
    Swanzey NH
    United States
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  • 7.  RE: EU MDR on e-Labeling

    Posted 12-Aug-2020 18:39

    Thank you all for such a great discussion on this. It has been immensely helpful. For my benefit, and also everybody else's on this Forum, I do have a follow-up question. If a manufacturer opts to include this safety and performance on the website rather than the IFU in order to comply with this GSPR, what would that information constitute?  Are they expected to include all the residual risks, for instance? Any examples of what this could include would be great. 

    Thank you

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    Maham Ansari MS, RAC
    Canada
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  • 8.  RE: EU MDR on e-Labeling

    Posted 12-Aug-2020 19:32
    Remember that inclusion of the safety and performance information on the website (if the manufacturer has a website) isn't optional; it is generally mandatory in all cases as appropriate (see my aforementioned decision tree).  Also note that if the manufacturer doesn't also include the safety and performance information in the IFU, then the IFU will likely not conform with GSPR 23.4, as safety and performance information are mandatory elements of the IFU [for example, see 23.4(d) (where applicable), (e), (g), and others].  Accordingly, I would shy away from the notion of including safety and performance information on the website that isn't echoed in the IFU.

    When deciding which particular safety and performance information is relevant to the user, or any other person, be aware of 23.1's language "as appropriate".  This means that each manufacturer needs to, based on corresponding line item(s) in the risk analysis, decide which safety and performance information (if any) is relevant to the user, or any other person.

    Hope this helps,

    ------------------------------
    Kevin Randall, ASQ CQA, RAC (Europe, U.S., Canada)
    Principal Consultant
    ComplianceAcuity, Inc.
    Golden, CO
    United States
    www.complianceacuity.com
    Note that I'm now far older and even uglier than in the photo above. Brace yourselves for my updated photo coming soon.
    © Copyright 2020 by ComplianceAcuity, Inc. All rights reserved.
    ------------------------------



  • 9.  RE: EU MDR on e-Labeling

    Posted 13-Aug-2020 09:26

    The requirement is, "Each device shall be accompanied by the information needed to identify the device and its manufacturer, and by any safety and performance information relevant to the user, or any other person, as appropriate".

    The best approach is to parse the requirement, see if the MDR requires the information in another place, use that as a source. It is important that any information is the same in all locations.

    Manufacturer's identity
    The manufacturer's name and Single Registration Number
    Source: Annex IV(1) on the Declaration of conformity

    Device identity
    Product and trade name and the Basic UDI-DI
    Source: Annex IV(4) on the Declaration of conformity
    Source: Annex IV(5) on the Declaration of conformity

    Safety and performance information relevant to the user, or any other person, as appropriate
    If you don't populate this section, then your internal documentation should provide a justification for its not being appropriate
    Warnings, precautions, and contra-indications – This a parenthetical remark from Annex I(4)(c) since the MDR doesn't define safety.
    Source: Annex I(23.4)(s)

    Performance information relevant to the user, or any other person, as appropriate
    If you don't populate this section, then your internal documentation should provide a justification for its not being appropriate
    Article 2(52) defines clinical performance as the ability of a device, resulting from any direct or indirect medical effects which stem from its technical or functional characteristics, including diagnostic characteristics, to achieve its intended purpose as claimed by the manufacturer, thereby leading to a clinical benefit for patients, when used as intended by the manufacturer
    Describe how the device achieves clinical performance
    Source: The term clinical performance does not appear outside the definition



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    Dan O'Leary CQA, CQE
    Swanzey NH
    United States
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  • 10.  RE: EU MDR on e-Labeling

    Posted 11-Aug-2020 11:01
    Edited by Kevin Randall 17-Feb-2021 12:48
      |   view attached

    In a nutshell, I generally agree with Peter as illustrated in the attached decision tree.

    Here are some key points to consider regarding this topic:

     

    • The information needed to identify the device and its manufacturer, and any safety and performance information relevant to the user or other person [see GSPR 23.1] are merely part of the larger array of elements required in the IFU by GSPR 23.4.  Accordingly, GSPR 23.1 should not be interpreted to mandate placement of the full IFU on the manufacturer's website. Yet, in alignment with the heightened public health initiatives of the EU MDR, it does mandate that the aforesaid subset of IFU information be placed on the website if the manufacturer has a website.
    • This new mandate can lead to tension and confusion given that the EU MDR, by way of GSPR 23.1(f), also integrates the longstanding eIFU Regulation and reminds us that the IFU may (not shall) be provided to the user in non-paper format (e.g. electronic format such as a website).  And in such an event, then it must be done in accordance with the boundaries and intent of the eIFU regulation (or any subsequent implementing rules adopted pursuant to the EU MDR). Accordingly, regardless of GSPR 23.1's new mandate, the EU MDR at this time is not meant to undo or alter the intrinsic scope and intent of the eIFU Regulation.
    • To review the essence of the eIFU Regulation:
      • Dissemination of eIFU instead of paper IFU is voluntary; is generally restricted to devices that are implantables, active implantables, "fixed installed", fitted with a built-in system visually displaying the IFU, or stand-alone software; and is subject to the applicable conditions of the eIFU Regulation.
      • Alternatively, eIFU may for any device type be provided in addition to paper IFU subject to the applicable conditions of the eIFU Regulation.
    • Corresponding checklist items for these competing provisions of the EU MDR and eIFU Regulation are part of ComplianceAcuity's EU MDR topical gap assessment tool for Information Supplied with the Device, which integrates the principles of the attached decision tree illustrating the synergy between Regulations 207/2012 and 2017/745.
    • The attached decision tree is aimed at clarifying the relationships between the eIFU Regulation and the EU MDR while spelling out corresponding implementation tactics for various scenarios.

     

    Hope this helps.



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    Kevin Randall, ASQ CQA, RAC (Europe, U.S., Canada)
    Principal Consultant
    ComplianceAcuity, Inc.
    Golden, CO
    United States
    www.complianceacuity.com
    Note that I'm now far older and even uglier than in the photo above. Brace yourselves for my updated photo coming soon.
    © Copyright 2020 by ComplianceAcuity, Inc. All rights reserved.
    ------------------------------

    Attachment(s)



  • 11.  RE: EU MDR on e-Labeling

    Posted 17-Feb-2021 12:44
      |   view attached
    Updated decision tree attached.

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    Kevin Randall, ASQ CQA, RAC (Europe, U.S., Canada)
    Principal Consultant
    Ridgway, CO
    United States
    © Copyright 2021 by ComplianceAcuity, Inc. All rights reserved.
    ------------------------------