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  • 1.  Health Canada's List of Recognized Standards

    Posted 20-Aug-2020 08:40
    Hi everyone, 

    I have a question regarding  Health Canada's List of Recognized Standards ( https://www.canada.ca/en/health-canada/services/drugs-health-products/medical-devices/standards/list-recognized-standards-medical-devices-guidance.html ) .  A few questions: 

    1. What determines whether a standard is recognized by Health Canada?  For example, what is the reason for not including some standards such as the international labelling standards (e.g. ISO 15223-1)?
    2. How often does this list get updated? 
    3. What are the implications of using standards not recognized by Health Canada? (e.g ISO 15223-1). 

    Thanks.

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    Karen Zhou
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  • 2.  RE: Health Canada's List of Recognized Standards

    Posted 21-Aug-2020 22:33
    Hi Karen,


    I'm not aware of a formal process for Health Canada recognizing standards (e.g. whether a request can be made by an individual or group).  The list does tend to focus on technical standards (e.g. electrical standards, biocompatibiliity standards etc.) as opposed to standards re: information, such as labelling standards - perhaps this is because the Canadian MDR already specifies Canadian requirements with regards to labelling.

    I'm also not aware of any schedule for updating this list.  There are currently many standard versions included on the list that have been superseded.

    Use of standards is not an absolute requirement, as long as the applicant is able to demonstrate the appropriate safety and performance.  I don't think there is any negative impact of using an internally recognized standard that isn't currently on Health Canada's list.  For the specific example of ISO 15223-1, Health Canada would likely be reviewing labelling against the CMDR so compliance with the standard would not impact this review.

    Regards,

    Camille

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    Camille Thorpe, RAC
    Toronto, ON
    Canada
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  • 3.  RE: Health Canada's List of Recognized Standards

    Posted 22-Aug-2020 09:33
    Edited by Kevin Randall 22-Aug-2020 09:36

    Theoretically speaking, it is generally optional to employ recognized standards to show conformity with the safety and effectiveness requirements (sec. 10-20) and/or labeling requirements (sec. 21) of the Canadian Medical Devices Regulations (SOR/98-282).  But for practical intents and purposes, the device licence approval process will likely be an easier road when conforming with recognized paradigms instead of home-grown solutions.

     

    On this topic, Health Canada has stated,

    "…Conformance with recognized standards is voluntary for manufacturers. A manufacturer may choose to demonstrate conformance with a recognized standard or may elect to address the relevant issues in another manner.

    If a standard is recognized, a manufacturer applying for a licence for a device to which that standard applies must either:

        1. meet the standard; or
        2. meet an equivalent or better standard; or
        3. provide alternate evidence of safety or efficacy

    In case the manufacturer chooses option (b) or (c), detailed information must be submitted with the device licence application. If the manufacturer does none of the above, a licence will not be issued…"


    Health Canada has stated that it believes that conformance with recognized medical device standards, in whole or in part, can provide assurance of safety and effectiveness for those aspects of medical devices addressed by the standard. Health Canada states that the use of recognized standards can improve consistency in the interpretation of the Regulations and may eliminate the need to review the actual test data for the aspects of the device addressed by the standard.  Yet Health Canada also recognizes that recognized standards may not fully address all elements of a device's safety and effectiveness, especially for new types of devices and emerging technologies.  And again, application of such standards is generally voluntary.  Thus, in the absence of declaring conformity to a recognized standard, a consequence is that Health Canada will, where required commensurate with device risk class, require submission and review of the actual test data needed to show conformity with the safety and effectiveness and/or labeling requirements.


    For standards recognition, Health Canada undergoes a public consultation process as part of adding or removing standards from its recognized list.  See https://www.canada.ca/en/health-canada/services/drugs-health-products/public-involvement-consultations/medical-devices.html  Not sure of the parameters governing the frequency of this process; perhaps others in the forum can elaborate.

     

    Finally, remember also the Food and Drugs Act caveat in Part I (Section 21) stating that, where a standard has been prescribed for a device, then no person shall label, package, sell or advertise any such device unless it complies with the prescribed standard.  But compliance with such officially-prescribed standards is not to be confused with (yet may overlap) the application of the aforementioned voluntary standards from the recognized standards list.

     

    Hope this helps.



    ------------------------------
    Kevin Randall, ASQ CQA, RAC (Canada, Europe, U.S.)
    Principal Consultant
    ComplianceAcuity, Inc.
    Golden, CO
    United States
    www.complianceacuity.com
    Note that I'm now far older and even uglier than in the photo above. Brace yourselves for my updated photo coming soon.
    © Copyright 2020 by ComplianceAcuity, Inc. All rights reserved.
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  • 4.  RE: Health Canada's List of Recognized Standards

    Posted 23-Aug-2020 12:47

    Hi Karen,

    For labeling, I would always ensure all the law of the land is met and along with the additional standards elements that you are citing.

    But for standards that are not a part of HC's "List of recognized standards" ,  when we prepare a submission ( amendment/new license), there is a provision to explain this difference under section (List of standards and DOC)

    • "List of Standards" section you can explain the above points (1-3 points) listed by Kevin.
    • To declare conformity to 1, you can prepare the Declaration of Conformity to recognized standards using Health Canada's Declaration of Conformity form.
    Hope this helps

    Best!

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    Shilpa Pillai
    Naperville IL
    United States
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