There a number of things here, so let me take them one at a time.
The issue is not Class I reusable devices, but Class I reusable surgical instruments. For example, an oral digital thermometer is a Class I device by Annex VIII, Rule 5 paragraph 1, indent 1. However, the thermometer is reusable. It is not a reusable surgical instrument as defined in Annex VIII(2.3).
You also mention that Article 120(4) says May 27, 2025. I believe it is a typo and should have said May 26, 2024. However, this does not change the approach.
Consider Article 5(1), which says that devices must meet the MDR. This is the source of the common statement "No grandfathering". The intent is that nothing under the MDD or AIMD counts toward the MDR.
Article 120(4) is an OR statement.
If the device is legally placed on the market under the MDD before May 26, 2020, then it can continue to be made available or put into service. This means that the manufacturer doesn't have to "pull back" an MDD device even though it doesn't meet the MDR. (For example, it has an MDD CE Mark, not an MDR CE Mark.)
If the device is legally placed on the market under an Article 120(2) certificate from May 26, 2020, then it can continue to be made available or put into service. As in the case above, the device has an MDD certificate and so an MDD CE Mark. The manufacturer doesn't have to "pull it back".
Article 120(2) MDD certificates fall into three categories.
Issued prior to May 25, 2017 and not under Annex IV remain valid until the certificate's expiration date.
Issued prior to May 25, 2017 under Annex IV remain valid until the earlier of the certificate's expiration date or May 27, 2022.
Issued from May 25, 2017 remain valid until the earlier of the certificate's expiration date or May 27, 2024.
Article 120(3) adds additional conditions for a device with an MDD Article 120(2) certificate after the MDR date of application.
Now, apply the chain of reasoning to a Class I reusable surgical instrument. It cannot have an Article 120(2) MDD certificate because the MDD has no such provision. An MDD NB cannot issue such a certificate.
Consequently, the Class I reusable surgical instrument manufacturer cannot use the Article 120 soft transition.
I recommend that these manufacturers notify their customer of a potential shortage and allow the customers to build inventory until the manufacturer can apply an MDR CE Mark.
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Dan O'Leary CQA, CQE
Swanzey NH
United States
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Original Message:
Sent: 15-May-2019 13:32
From: Lauren Kamer
Subject: Class Ir (previously Self Certify)
Hello Dan
I'm very glad that you brought this up again because I still feel like I am getting conflicting interpretations regarding the MDR transition (or lack thereof) for reusable class I devices.
I understand that there are no NB certificates for reusable class I devices under MDD, but if these devices have already been "lawfully placed on the market pursuant to Directives 90/385/EEC ... prior to 26 May 2020" (i.e., in accordance with MDD Annex VII), then it would seem that MDR transitional provision number 4 applies and would allow them to be continued to be made available on the market until May 27, 2025.
Then, I've heard interpretations that MDR transitional provision number 4 would only apply to reusable class I devices that are already physically in the EU and no longer in company control (e.g., the company has already shipped them to an EU customer) prior to May 26, 2020. But based on the definition of "placing on the market" meaning "the first making available of a device ... on the Union market", it would seem that as long as the first supply (aka shipment) to an EU customer is prior to May 26, 2020, then the device could continue to be made available on the market regardless of whether the shipments are made after May 26, 2020.
It makes sense that a brand new (or significantly changed) reusable class I device would require MDR certification after May 26, 2020, but I'm still confused as to why reusable class I devices already CE marked in accordance with MDD Annex VII wouldn't be able to continue to be supplied until May 2025 based on MDR transitional provision number 4 and the EU definition of "placing on the market".
Where am I (and others) misunderstanding? Thanks tons for your help unraveling the issue!
Best Regards, Lauren
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Lauren Kamer RAC
Director of Regulatory
United States
Original Message:
Sent: 13-May-2019 12:05
From: Dan O'Leary
Subject: Class Ir (previously Self Certify)
Be careful about saying Class Ir. There are only four classes, I, IIa, IIb, and III. When you follow the classification rules in Annex VIII, the conclusion will be only one of the classes.
In additional to classes, devices can have attributes such as a reusable surgical instrument. Often the attributes create additional requirements.
Article 52(7), says, "If [Class I] devices are placed on the market in sterile condition, have a measuring function, or are reusable surgical instruments, the manufacturer shall apply the procedures set out in Chapters I and III of Annex IX, or in Part A of Annex XI." These annexes require an application to a Notified Body, NB. See, for example, Annex IX(2.1).
Article 52(7)(c) limits the NBs involvement for reusable surgical instruments to, "to the aspects relating to the reuse of the device, in particular cleaning, disinfection, sterilization, maintenance, and functional testing and the related instructions for use".
Because you don't have an NB certificate under the MDD, you cannot apply the Article 120 soft transition.
The conclusion is that you need an EU-MDR NB certificate to place these devices on the market after May 26, 2020. This is the date of application from Article 123(2).
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Dan O'Leary CQA, CQE
Swanzey NH
United States
Original Message:
Sent: 13-May-2019 02:26
From: Anonymous Member
Subject: Class Ir (previously Self Certify)
This message was posted by a user wishing to remain anonymous
Hello everyone,
Can anyone tell me when Class I surgical instruments will no longer be self certify and will require NB review and CE Mark under EU MDR?
2025 or May 2020?
thanks a million