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EU MDD or MDR

  • 1.  EU MDD or MDR

    This message was posted by a user wishing to remain anonymous
    Posted 11-Jul-2019 14:34
    This message was posted by a user wishing to remain anonymous

    Hello everyone, 

    For a company that has never been certified to MDD or MDR (in other words, entering the EU market for the first time), and the device is currently classfied as roughly Class IIb, does it make sense to go straight for MDR in 2020/2021 or certified to MDD and be ready for MDR in 2024?  I understand there is a soft transition until 2024 for devices that are still CE marked under the MDD. Do notified bodies still conduct audits under the MDD?  I would like to hear some insights. 

    Thanks.


  • 2.  RE: EU MDD or MDR

    Posted 11-Jul-2019 16:14
    It depends on your Notified Body really.  BSI is no longer reviewing products under MDD and TUV announced that their cutoff for reviewing significant changes under MDD is in November.  I do not know about other Notified Bodies or if any are still accepting new applications or not.  I think timing and resources of Notified Bodies might be an issue for you whichever way you go. 

    Besides determining if you can even submit under MDD with your Notified Body, you should look at all the activities you need to complete to become MDD compliant (if it's an option after speaking with your Notified Body) and what you need to do to become MDR compliant and evaluate the timelines for each and see what works best for your company.  Since you haven't been in Europe at all before, you might find that the time and effort to go straight to MDR isn't that much more and it may make more sense to do that.

    Amy

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    Amy McKinney RAC
    Sr Manager, Regulatory Affairs, Interventional Oncology
    Fulshear TX
    United States
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  • 3.  RE: EU MDD or MDR

    Posted 12-Jul-2019 03:02
    Just to clarify: Your technical documentation may wait until 2024, if you get a MDD certification this year, but your QMS must still comply by May 26 2020.
    I agree with Amy: ask your NB what to do. As you probably know, not all NBs go for the MDR-accreditation which means that either NBs are busy preparing for MDR or you would have to change your NB in May next year. If you do not even have a NB in Europe by now, you are in trouble if you are looking for a MDD-certificate.  Or rather: that will not be possible, considering the current turmoil. 
    So: find a NB with MDR accreditation or at least one who has applied for it. Talk to them and make a plan. And be prepared that you might not get your certification until some time next year, maybe even late next year.

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    Dorthe Wallin
    Regulatory Compliance Officer
    Denmark
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  • 4.  RE: EU MDD or MDR

    Posted 12-Jul-2019 13:25
    Kindly refer to discussions in a similar thread here https://connect.raps.org/communities/community-home/digestviewer/viewthread?GroupId=97&MessageKey=d250400d-8317-42e9-8936-d7fd236347b3&CommunityKey=5af348a7-851e-4594-b467-d4d0983b6d89&tab=digestviewer&ReturnUrl=%2fcommunities%2fcommunity-home%2fdigestviewer%3fcommunitykey%3d5af348a7-851e-4594-b467-d4d0983b6d89%26tab%3ddigestviewer#bmd250400d-8317-42e9-8936-d7fd236347b3

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    Jo Huang RAC
    Sr. Regulatory Affairs Specialist
    Athens TX
    United States
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  • 5.  RE: EU MDD or MDR

    Posted 13-Jul-2019 15:27
    Also you should make sure the NBs you are talking to have Designation for the type of devices you design & manufacture.  There are only 2 Designated NBs (BSI & TUV SUD) and if you select an NB that isn't Designated to the MDR find out the timelines and then add a buffer os at least several months.   I know that NB Designation is taking longer than anticipated even for the big  players and the smaller ones it seems like you need to expect 6 - 9 months longer than original expectations as the system seems backlogged currently.


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    Leonard (Leo) Eisner, P.E.
    The "IEC 60601 Guy"
    Principal Consultant, Eisner Safety Consultants
    Phone: (503) 244-6151
    Mobile: (503) 709-8328
    Email: Leo@EisnerSafety.com
    Website: www.EisnerSafety.com
    ------------------------------



  • 6.  RE: EU MDD or MDR

    Posted 13-Jul-2019 19:59

    In my opinion, the only viable option is the MDR. Trying to get a CE Mark under the MDD and then using the Article 120 soft transition is far too much work. You would need to implement the MDD and have an MDD audit (devices and QMS). Then under the Article 120 transition you would need another audit for the hybrid QMS required under Article 120. The good news is that you would have time to develop a full MDR QMS and Full MDR technical documentation. The bad news is that you would need an MDD NB that plans to become an MDR NB and has the capacity to take on a new client. I doubt there are any.

    Worse, you would need to undo the MDD QMS and technical documentation and redo it for the MDR. They are so different, a simple gap analysis with minor adjustments is not sufficient.

    Leonard Eisner said, "you should make sure the NBs you are talking to have Designation for the type of devices you design & manufacture". This is excellent advice. I my courses I find that people don't know what this means or how to answer the question.

    First, under both the MDD and the MDR, an NB is not necessarily notified for the whole directive or regulation, only parts for which they apply and can demonstrate competence. The parts use sets of codes which are not the same for the MDD and the MDR. (Under the MDD these codes form part of the basis for NB sampling plans for certain device classes.)

    The list of NBs is at the NANDO website http://ec.europa.eu/growth/tools-databases/nando/index.cfm?fuseaction=directive.main Use caution, because a Google search for NANDO will take you to a large restaurant chain!

    The page has the legislation that requires an NB. Scroll down to "Regulation (EU) 2017/745 on medical devices" and open the hyperlink. Today, you will find two organizations listed. (Some day, this will be a longer list.) Click on, for example, "TÜV SÜD Product Service GmbH Zertifizierstellen" and you will get a list of the regulations for which this company is an NB. Click on the PDF link associated with "Regulation (EU) 2017/745 on medical devices" and you will get a multi-page document. It has two lists of codes: "Codes Reflecting the Design and Intended Purpose of the Device" and "Horizontal Technical Competence". If your device isn't in a Combination of the Two (which is also a great Janis Joplin song), then the NB must reject any application you submit. Clearly you can ask them in advance.

    In short, start with the MDR. It is a lot of work by itself, but, as I said, is the path that requires the least resources and has the best opportunity for success.



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    Dan O'Leary CQA, CQE
    Swanzey NH
    United States
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  • 7.  RE: EU MDD or MDR

    Posted 18-Jul-2019 14:30
    Hi Dan,
    Can you elaborate on this statement: "Worse, you would need to undo the MDD QMS and technical documentation and redo it for the MDR. They are so different, a simple gap analysis with minor adjustments is not sufficient."

    Do you mean that the QMS that is currently MDD compliant will require a complete overhaul in order to be compliant to the MDR? 

    Thanks
    Jon

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    Jon Cook
    San Jose CA
    United States
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  • 8.  RE: EU MDD or MDR

    Posted 18-Jul-2019 15:40

    Jon,

    That is exactly what I mean. Assume you used MDD Annex II. Then you would have implemented EN ISO 13485:2016/AC2018, Annex ZB, Table ZB.1. The table is about two pages.

    When you get to the MDR, you will implement a QMS that satisfies Article 10(9). There are about 15 requirements for the QMS, many of which are not in EN ISO 13485:2016/AC2018. To understand the differences, you should look at CEN/TR 17223:2018. Table 1 explains the requirements and shows the areas not covered by ISO 13485:2016. It is about 36 pages long.



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    Dan O'Leary CQA, CQE
    Swanzey NH
    United States
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  • 9.  RE: EU MDD or MDR

    Posted 19-Jul-2019 07:53
    More specifically Dan should also state that none of the Harmonized Standards like EN ISO 13485 and EN ISO 14971 are Harmonized to the MDR, only the MDD (same for IVDR). The EU presently has no process for Harmonizing Standards to the MDR or IVDR. So the route Dan suggests is the only viable way to meet the requirements of the regulations. The new PrEN ISO 14971:2019 has a proposed table of differences in its published Final Draft (FDIS) which is not yet accepted by CEN. But the tables in the draft are similar to what Dan suggests. Even if CEN accepts the Pr EN ISO 14971 and makes it a standard, the EU will have to come up with a Harmonization process and start running the hundreds of standards that will need to complete the process. 

    This is is another big obstacle to full implementation of the MDR and IVDR.

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    Edwin Bills MEd, CQA, RAC, BSc, CQE, ASQ
    Principal Consultant
    Overland Park KS
    United States
    elb@edwinbillsconsultant.com
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  • 10.  RE: EU MDD or MDR

    This message was posted by a user wishing to remain anonymous
    Posted 19-Jul-2019 09:40
    This message was posted by a user wishing to remain anonymous

    Dan,

    Does the MDR QMS need to be implemented by May 2020.  I can see the PMS, Market surveillance, etc. requirements obviously apply, but surely the other QMS requirements can be implemented in line with MDR product submissions if there is no NPD or significant changes.


  • 11.  RE: EU MDD or MDR

    Posted 19-Jul-2019 19:37

    I find it useful to look at some attributes to help understand this situation. They not always mutually exclusive.

     

    Pre-market or post-market

    The dividing line is a complete DoC and CE Mark on the device. In Article 120 I take the dividing line as the NB audit to extend the device certificate.

     

    QMS or Device

    Often there is a QMS requirement that is then applied to every device. For example, the QMS requires a Clinical Evaluation System. Each device (or device type) will need a clinical evaluation plan and a clinical evaluation report.

     

    Article 120 or Full MDR

    This depends on your ability to engage an MDR Notified Body, complete all of the preparations, and pass the NB's audit. If not, then you would hope to implement Article 120.

     

    I infer from your question that you are asking about the Article 120 path.

     

    This is a hybrid system, so you will need a QMS that satisfies the MDD except in some specific areas. The three obvious areas are from Chapter VII and the associated annexes for post-market surveillance, market surveillance, and vigilance.

     

    Each of these areas has requirements that flow down to the device. For example, each one of your Article 120 devices will need a PMS Plan.

     

    There is a requirement to register economic operators. You will need to identify the economic operators and implement the MDR requirements. This includes the supplier management system under Article 10(9)(d).

     

    There is a requirement to register the devices. While the UDI system is waived until the specific dates, you will need to assign a Basic UDI-DI as part of the registration process. You will also need to collect other information on each Article 120 device. This is also pre-market.

     

    On the device side you will need to maintain the MDD technical documentation, but you will need to add the specific device requirements that flow from the MDR portion of the QMS. For example, each device will need an Article 88 trend reporting system. While this is typically post-market, your Article 120 devices are already in the post-market phase based on the MDD DoC & CE Mark.

     

    You need to discuss all of this with you MDD NB, since their rules govern. Not all MDD NBs take the same approach on the details.



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    Dan O'Leary CQA, CQE
    Swanzey NH
    United States
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