Good morning Ed,
Your situation described is a tricky one, because theoretically auditing a region would be scope only for that region, e.g. European CE Marking would only review Europe sales and Europe post market. However, this is not always the case because most regulatory authorities around the world want to know issues or concerns with devices in other countries where the same product is sold. Whether this includes routine complaints: probably not; trending: most likely; adverse events: yes - and this may be whether the product is sold there or not. I would argue if you are not selling a product in a region then there would be nothing to audit against. Though this presents a problem because I have seen Notified Bodies question why a company has a CE Mark, maintaining, when there are no sales - which goes back to the maybe obvious remark is what could an auditor audit if there is no post market activities, i.e. complaints, adverse events. It would be difficult for any auditor to extrapolate information from one region to "assume" this would be the same for another region if there were no sales there. In fact to answer your question, in this situation you would probably have to show global information since there is no post market data for Europe.
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Richard Vincins RAC
Vice President Global Regulatory Affairs
Oriel STAT A MATRIX - ENTERPRISE
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Original Message:
Sent: 08-Jun-2021 11:47
From: Dan O'Leary
Subject: MDR Post Market Surveillance
I'll give you a definite maybe.
I have a client who sells devices to large diagnostic imaging manufacturers. All my client's sales are in the US, but the customer could send the device to many regulatory regions. In this case, the PSUR is global sales using US sales as a surrogate.
I have another client who can identify the EU sales, so their PSUR is EU only.
There is another wrinkle in the fabric of the MDR's space/time continuum.
If you have a serious incident, you will complete an MIR which requires global sales trend analysis based on IMDRF codes. While this vigilance element is not part of PMS, it has some similarities in terms of data collection and analysis.
Your PMS system database and your Vigilance System database needs to support PMS reports, MIRs, and Art. 88 reports.
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Dan O'Leary CQA, CQE
Swanzey NH
United States
Original Message:
Sent: 08-Jun-2021 11:11
From: Ed Panek
Subject: MDR Post Market Surveillance
Do we need to break out EU trends vs global trends or can global trending provide evidence?
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Edward Panek
VP, QA/RA
Med Device
USN Veteran
Research into Neural Nets - https://www.twitch.tv/edosani
Original Message:
Sent: 08-Jun-2021 11:00
From: Dan O'Leary
Subject: MDR Post Market Surveillance
Under MDR Article 120 you must implement the EU-MDR PMS system which includes plans, reports, clinical evaluation updates, risk management updates, etc. The details are specific to the EU-MDR; no other regulatory region requires this system.
I believe it is the most comprehensive and complicated system. As a result, it will become the de facto system. While you don't need to implement it for all regulatory regions, there is a cost to having multiple systems.
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Dan O'Leary CQA, CQE
Swanzey NH
United States
Original Message:
Sent: 08-Jun-2021 10:41
From: Ed Panek
Subject: MDR Post Market Surveillance
We have an MDD approved device until 9/2023. Last month we made changes to our feedback system to permit compliance with MDR Article 120 although we currently have ZERO sales/samples/shipments into the EU in our history or in the near future.
Question: Is this change required for our global customer base feedback data or for the EU Exclusively?
Hypothetical - A Canadian distributor is determined not to be storing our devices properly leading to an end-user failure rate of 90% in a single fault mode. We implement a correction to drive the fault mode to zero. We trend this as part of our global reporting. Is this included in our EU Trending data report or RBA?
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Edward Panek
VP, QA/RA
Med Device
USN Veteran
Research into Neural Nets - https://www.twitch.tv/edosani
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