Dear Bob,
This is correct. The Notified Body assesses the technical documentation of the manufacturer / MAH and, if all applicable requirements of Annex I (General Safety and Performance Requirements) are met, issues a Notified Body Opinion (NBOp). Unless there are significant changes, this is a one time event means, there is not surveillance. This NBOp is then included in the MAA as evidence that the device constituent part meets the requirements. The assessment is solely on the technical documentation and the quality management system will not be assessed and no audit / inspection is part of this.
BTW: the term "significant change" is currently controversely discussed between industry, Notified Bodies and Authorities but the positions are not yet aligned.
You are correct that general post market surveillance requirements fall under the medicinal Pharmacovigilance system requirements. However, feedback will likely also influence the technical documentation of the device part (e.g. risk management file, human factors aspects, device changes etc.) and respective links should be built into the quality system to ensure this.
Best regards
Beat
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Beat U. Steffen, FRAPS
confinis ag
Founder & CEO
Düdingen
Switzerland
www.confinis.com------------------------------
Original Message:
Sent: 15-Sep-2022 16:58
From: Robert Wilkinson
Subject: Notified Body Opinion Report for a Combination Product
For a medicinal/device combination product in the EU, if the action of a medicinal substance is primary and not ancillary to that of the device, the integral medicinal/device combination product shall be regulated by the Directive for Medicinal Products For Human Use (2001/83/EC). If the device component of a medicinal/ device combination product has not previously been issued a CE mark under the MDR, what is the procedure for a manufacturer to seek a NB Opinion (NBo) on the conformity of the device to the general safety and performance requirements set out in Annex I of the MDR in order that the NB can subsequently issue a NBo Report for inclusion in the Marketing Authorization Application(MAA) for the medicinal component of the medicinal/device combination product (Ref: MDR Article 117, Amendment to Directive 2001/83/EC, second paragraph)?
Subsequently, does the post market surveillance requirements fall under the medicinal Pharmacovigilance system requirements (e.g., PSUR, medical literature monitoring, reporting of adverse events, etc.) or should the Technical Documentation of the device component contain the Post Marketing Surveillance (PMS) documents required by the MDR.
Thanks in advance for your comments,
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Bob Wilkinson
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