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Health Canada Medical Device License Renewal Question

  • 1.  Health Canada Medical Device License Renewal Question

    Posted 12-Sep-2016 15:07

    My company is in the process of renewing the annual medical device license for a Class III medical device in Canada. Per the license renewal guidance document "You may also include a table of any documentable changes (changes that do not require an amendment under Section 34) that have been made to your devices in the email with your renewal forms." It seems that submitting a table of documentable changes is not a requirement, can anyone confirm my understanding of this? Also, has anyone experienced any audit findings or observations when they did not submit the table of changes with the license renewal forms for non substantial labeling changes? Thanks in advance!

    ------------------------------
    Andrea Curria
    Regulatory Affairs Specialist
    Waters Corporation
    Milford MA
    United States
    ------------------------------


  • 2.  RE: Health Canada Medical Device License Renewal Question

    Posted 12-Sep-2016 15:22

    Submission of the "documentable" changes is required by section 43(1)(b) of the Canadian Medical Devices Regulations (SOR/98-282, as last amended July 17, 2016).

    ------------------------------
    Kevin Randall, ASQ CQA, RAC (U.S., Canada, Europe)
    Principal Consultant
    ComplianceAcuity, Inc.
    Golden CO
    United States
    www.complianceacuity.com



  • 3.  RE: Health Canada Medical Device License Renewal Question

    Posted 12-Sep-2016 15:48
      |   view attached
    Hi Kevin,

    The said Canadian regulations ask for "...description of changes", which is common.  But I don't interpret that "a table of documentable changes" is required.   In other words, what is required is a manufacturer's description of changes whether it is in a table or not. 

    For others' convenience, the said Canadian regulation is attached.  The relevant part is shown below. 

    Obligation to Inform

    43 (1) Every manufacturer of a licensed medical device shall, annually before November 1 and in a form authorized by the Minister, furnish the Minister with a statement signed by the manufacturer or by a person authorized to sign on the manufacturer's behalf

    (a) confirming that all the information and documents supplied by the manufacturer with respect to the device are still correct; or

    (b) describing any change to the information and documents supplied by the manufacturer with respect to the device, other than those to be submitted under section 34 or 43.1.

    Thank you.

    s/ David
    ______________________________________________
    Dr. David Lim, Ph.D., RAC, ASQ-CQA 
    Phone (Toll-Free): 1-(800) 321-8567



    "Knowledge is power only when it is practiced and put into action." - Regulatory Doctor

    NOTICE: This communication (including any attachments) may contain privileged or confidential information intended for a specific individual and purpose, and is protected by law. If you are not the intended recipient, you should delete this communication and/or shred the materials and any attachments and are hereby notified that any disclosure, copying or distribution of this communication, or the taking of any action based on it, is strictly prohibited.



    Attachment(s)

    pdf
    SOR-98-282.pdf   698 KB 1 version


  • 4.  RE: Health Canada Medical Device License Renewal Question

    Posted 12-Sep-2016 16:39

    I inferred that Andrea's question was about the fundamental obligation to submit documentable changes at all, rather than about the required format.  Perhaps Andrea can clarify the intent of the question.

    In any event, David has correctly recited the regulations to which I referred, which do not specify any particular format for the documentable changes.  In fact I (undoubtedly like many other folks) have had the Medical Devices Bureau accept documentable changes in various formants (i.e., some tabulated; some not tabulated).

    ------------------------------
    Kevin Randall, ASQ CQA, RAC (U.S., Canada, Europe)
    Principal Consultant
    ComplianceAcuity, Inc.
    Golden CO
    United States
    www.complianceacuity.com



  • 5.  RE: Health Canada Medical Device License Renewal Question

    Posted 12-Sep-2016 15:37
    Andrea,

    Not required but it helps the reviewer get the whole picture quickly ("what changes have been made in a summary table").

    It should be part of our best practices when we provide any changes made to the products in a summary table.

    Thank you.

    s/ David
    ______________________________________________
    Dr. David Lim, Ph.D., RAC, ASQ-CQA 
    Phone (Toll-Free): 1-(800) 321-8567



    "Knowledge is power only when it is practiced and put into action." - Regulatory Doctor

    NOTICE: This communication (including any attachments) may contain privileged or confidential information intended for a specific individual and purpose, and is protected by law. If you are not the intended recipient, you should delete this communication and/or shred the materials and any attachments and are hereby notified that any disclosure, copying or distribution of this communication, or the taking of any action based on it, is strictly prohibited.





  • 6.  RE: Health Canada Medical Device License Renewal Question

    Posted 13-Sep-2016 06:59
    I wouldn't get in the habit of filing unrequired information to any regulator.  Nothing good can come out of filing more, but it could be misused.  Be a good corproate citizen and file what you are required.  It will be in the files and auditable for them later.  



    Sent from my Verizon, Samsung Galaxy smartphone





  • 7.  RE: Health Canada Medical Device License Renewal Question

    Posted 13-Sep-2016 13:59

    I would say more broadly not to get into the habit of filing anything as a matter of habit, but always with due consideration of how the information you are providing to a regulatory agency will affect the bigger picture the agency has of the device and of your company.

    Personally, I'm more inclined to the "Don't Make Me Have to Come Down There" philosophy when it comes to reporting information to FDA, i.e., if the agency learns you have done (or not) something they don't like, it will go much better for you if they learn about it from you now than if they have to dig it out for themselves later.

    ------------------------------
    Julie Omohundro, ex-RAC (US, GS), still an MBA
    Principal Consultant
    Class Three, LLC
    Durham, North Carolina, USA
    919-544-3366 (T)
    434-964-1614 (C)
    julie@class3devices.com



  • 8.  RE: Health Canada Medical Device License Renewal Question

    Posted 13-Sep-2016 10:29

    I think the reason that the form says "may include" is because it is completely possible that either

    1) the product has not undergone any changes, or

    2) all changes were required to be submitted as amendments and such has been done

    Thus, there are no "reportable" or "document to file" changes to include with the renewal.

    As others have said, if you have such changes, it is required that they be reported.

    g-

    ------------------------------
    Ginger Glaser RAC
    Vice-President, Quality and Regulatory Affairs
    Maplewood MN
    United States



  • 9.  RE: Health Canada Medical Device License Renewal Question

    Posted 13-Sep-2016 11:23
      |   view attached

    According to page 7 of the attached guidance on Significant Change, "

    All changes must be documented in the Quality Management System by the manufacturer. If changes have been found not to be significant by applying the principles of this guidance document and these changes are related to the information and/or documents originally submitted by the manufacturer with respect to the device license application, then the changes must be reported to Health Canada at the time of annual license renewal. These changes should be briefly itemized, in a tabular form with appropriate dates and with any necessary attachments."

    I hope this is useful.

    ------------------------------
    Melissa Traylor
    Manager, Regulatory Affairs & Quality Control
    FzioMed, Inc.
    San Luis Obispo CA
    United States

    Attachment(s)



  • 10.  RE: Health Canada Medical Device License Renewal Question

    Posted 13-Sep-2016 13:41

    Thank you all for your feedback. It was very informative and answered all my questions. I had misinterpreted the "may" as the reporting of changes was not a requirement, but I see now that it is. I also learned that this forum is a great place to get answers to questions I may have in the future. Thanks again for all your assistance!

    ------------------------------
    Andrea Curria
    Regulatory Affairs Specialist
    Waters Corporation
    Milford MA
    United States



  • 11.  RE: Health Canada Medical Device License Renewal Question

    Posted 14-Sep-2016 11:02
    Andrea,

    It's a good idea to have this incorporated into the change control process as part of the regulatory assessment. I have seen a number of cases when an auditor would ask about reporting of changes to Health Canada during a CMDCAS audit. I would assume this will carry forward into MDSAP as well. Even if all of your changes were assessed through the flowcharts Health Canada provides, and only required documentation in the quality system, showing that the assessment occurred can be important.

    Sean







  • 12.  RE: Health Canada Medical Device License Renewal Question

    Posted 14-Sep-2016 11:25

    "May," "as applicable," etc, usually means it is required whenever it applies, and you have to figure out if it applies.  Examples are given in an effort to help you figure it out, but they are not intended to be exhaustive, because the regulator is a regulator, not a pharma or device company, so it's not in a position to know all the various scenarios to which the requirement might apply.

    It's always useful to keep in mind that, when legislatures pass laws and agencies then promulgate regulations and issue guidances, they are often addressing things they haven't ever dealt with before, either.  It's a little like writing a manual on how to build a Frikadoofus machine, when no one has ever seen one before, much less built one.

    ------------------------------
    Julie Omohundro, ex-RAC (US, GS), still an MBA
    Principal Consultant
    Class Three, LLC
    Durham, North Carolina, USA
    919-544-3366 (T)
    434-964-1614 (C)
    julie@class3devices.com



  • 13.  RE: Health Canada Medical Device License Renewal Question

    Posted 20-Sep-2016 11:07

    Hi Everyone,

    Many thanks for the discussion thread. I found it very useful and always good to have a clearer understanding of the renewal requirements.

    From the thread it is clear that we are obliged to provide any non-significant changes progressed under a company’s QMS that are “related to the information and/or documents originally submitted by the manufacturer with respect to the device license application then the changes must be reported to Health Canada at the time of annual license renewal”.

    I have an additional question on the same conversation that I hope someone can clarify for me.

    According to HC’s license renewal guidance the renewal period covers the previous calendar year e.g. for 2016 this will cover sales from Jan-Dec 2015.

    Where non-significant changes have been documented with the QMS but are related to the information held on file by HC should these changes also cover the same period e.g. Jan-Dec2015?

    My understanding is that it should since the renewal period is defined as the previous calendar month. Work colleagues think otherwise and that it should include changes up the renewal submission. What are others thoughts on this?

    Thanks,

    ------------------------------
    Fiona Leeper
    Regulatory Specialist Services Ltd
    Inverness
    United Kingdom



  • 14.  RE: Health Canada Medical Device License Renewal Question

    Posted 20-Sep-2016 16:43

    In order to clearly understand the Health Canada (HC) Medical Device License renewal process (and the related fees), it’s critical to keep the following four things straight, which provide the answers to your question. I’ll use this year’s upcoming renewal dates to demonstrate:

    1. The annual renewal due by Nov. 1, 2016 is a prospective renewal of the device license (i.e., a renewal of the “right to sell”) for the upcoming period Nov.1, 2016 to Oct. 31, 2017.
    2. The aforesaid annual renewal due Nov. 1, 2016 must be accompanied by a retrospective description of the documentable non-significant changes that took place during the preceding 12-month renewal period (i.e., Nov. 1, 2015 to Oct. 31, 2016).
    3. The corresponding annual renewal fee (i.e., the fee for “the right to sell”) is a prospective fee for the upcoming period Nov.1, 2016 to Oct. 31, 2017. However, annual renewal fees for prior Nov.1 to Oct. 31 periods may also come due for manufacturer’s whose inaugural renewal fees were previously deferred.
    4. Yet HC’s invoicing schedule and calculation of the amount of any particular annual renewal fee (whether or not deferred) are determined using data from the period spanning from Jan. 1 to Dec. 31.

    It is the coincidence and overlap of item 4 with items 1-3 that tends to cause so much confusion. I’m happy to provide the regulatory basis and additional explanation for this if anyone desires. Just let me know. For now, I’ll refrain until a corresponding request is lodged.

    Hope this helps,

    ------------------------------
    Kevin Randall, ASQ CQA, RAC (Canada, U.S., Europe)
    Principal Consultant
    ComplianceAcuity, Inc.
    Golden CO
    United States
    www.complianceacuity.com