There's one important piece of information that has been overlooked so far, and that is the fact that there is a European Standard that should, at some time in the future, be harmonised under the MDR to provide a presumption of conformity to the reprocessing GSPRs in the MDR, this being EN ISO 17664:2017, '
Processing of health care products -- Information to be provided by the medical device manufacturer for the processing of medical devices'.
This is the most recent version of the standard, but this version is not yet listed as being harmonised under the MDD. The previous version is listed under the MDD, however, this being EN ISO 17664:2004,
'Sterilization of medical devices -- Information to be provided by the manufacturer for the processing of resterilizable medical devices'.
Note the difference in title and scope between the two versions. While the earlier version applied only to devices that needed to be sterilised between uses, the new version also covers devices that require only disinfection between uses.
The standard provides a 'road map' to the validations that manufacturers should undertake to meet MDR requirements.
It should also be noted that currently the European Commission has not formally identified any standards that would provide a presumption of conformity to the MDR - the
standards list available on the Commission website still lists only standards harmonised for the MDD.
Hope this is helpful.
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Roger Gray
VP Quality and Regulatory
Donawa Lifescience Consulting
Clinical Studies - Regulatory - Quality Systems
Rome, Italy
+39 06 578 2665
rgray@donawa.comwww.donawa.com------------------------------
Original Message:
Sent: 31-Mar-2019 05:26
From: Michael Maier
Subject: MDR for Class IR (Reusable Surgical Instruments)
Hi,
From theory to practice - getting the CE cert in due time is a challenge. Did you validate reprocessing alredy for your surgical instruments?
Some inputs for the protocol may help. 2 main aspects need to be covered - Cleanliness & durability.
- A0 = 600 & A0 = 3000 in WD
- alkaline and neutral in WD
- with pre-disinfection / without pre-disinfection
- tracking of 3 markers for cleanliness
- 121°C / 20 min - 134°C / 18 min
- how many cycles of reprocessing are possible ?
Depending on your instrument portfolio you end up with a couple of worst cases whether you look at it from the cleanliness / microbio angle or from the durability angle.
For a SME surgical instrument manufacturer with 5 product families we ended up with 49 cycles....
This work takes several months to perform, especially the evidence for durability is very time consuming.
If you want to get a CE certificate for the reprocessing aspects, then you should start the validation works now.
Kindest regards
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Michael Maier
Senior Partner
Switzerland
michael.maier@medidee.com
www.medidee.com
Original Message:
Sent: 30-Mar-2019 10:10
From: Dan O'Leary
Subject: MDR for Class IR (Reusable Surgical Instruments)
First, it is important to note that IM, IS, and IR are not, despite the common usage, classes under the MDR. I have had clients confused by the application of the classification rules in Annex VIII, since they expected a classification of Class IR, say.
The R, S, or M is a requirement of conformity assessment, not of the device class. For example, there are additional conformity assessment requirements for a Class IIb active device intended to administer and/or remove a medicinal product. We could call them Class IIbM devices.
The point is that the conformity assessment requirements for Class I reusable surgical instruments is in Article 52(7), which requires that the manufacturer apply the procedures set out in Chapters I and III of Annex IX, or in Part A of Annex XI.
Article 52(7.c) says, "However, the involvement of the notified body in those procedures shall be limited, in the case of reusable surgical instruments, to the aspects relating to the reuse of the device, in particular cleaning, disinfection, sterilization, maintenance and functional testing and the related instructions for use."
You will need to follow the relevant conformity assessment annex which requires a notified body with limited involvement. The second part, NB, is the source of the problem. Without NB involvement, you will not be able to put the CE Mark on the devices, so, after May 26, 2020 you would not be able place new devices on the EU market.
The Article 120 soft transition would not apply because it requires NB certificates, but you don't have them.
The only hope is that your NB becomes notified under the EU-MDR and has the correct scope for this work.
Products under the MDD are not affected up to May 26, 2020. I recommend you inform your customers of the potential problem so they can build inventory in the event of a shortage.
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Dan O'Leary CQA, CQE
Swanzey NH
United States
Original Message:
Sent: 29-Mar-2019 14:57
From: Maham Ansari
Subject: MDR for Class IR (Reusable Surgical Instruments)
I understand that all Class I devices need to be in compliance with the MDR by May 2020 but these are self-certified; however, can anyone provide insight on Class IR Reusable Surgical Instruments. Now that they require Notified Body intervention for the reprocessing aspects, but do not currently have CE certificates, does this mean they also have to be in compliance by May 2020? This will require scheduling an audit with Notified Bodies, who are not ready to review under MDR yet. If a Notified Body is unable to issue a CE certificate under the MDR by May 2020, does this mean these devices cannot be shipped into the EU post that deadline? I know a lot of other manufacturers are struggling with the same thing so it would be good to hear others perspective on this.
Thank you.
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Maham Ansari MS, RAC
Director, Regulatory Affairs
Synaptive Medical
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