Dear Colleagues,
Personally, I believe, that in case a product complies with the applicable regulations and standards, additionally its key clinical performance indicators are identical with the ones of a device selected for equivalency analysis, they may be regarded equivalent. E.g. in case of monofocal intraocular lenses, if the principle of operations of two products are identical (monofocal optical lenses), the optical performance is according to the relevant standard (ISO 11979-2), the geometry is very similar, the materials are acrylic, the UV filters are equally effective and the haptic forces are within the range safe for the lens capsule, these products are clinically equivalent.
I think that in most of the cases with the use of well-reasoned and fairly selected clinical performance indicators, equivalency of performance and risk/benefit can be fairly justified. Good bench testing is necessary, limited comparative clinical studies might be needed.
This is the way, how generic medicines are approved as well.
I believe, that this is in lien with the interest of the health care funds. Taking the equivalency very hard the price of the “generic” products would be unacceptably high for consumers.
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Peter Miko
Gyermely
Hungary
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Original Message:
Sent: 20-Mar-2017 16:21
From: Anonymous Member
Subject: CER- Demonstration of Equivalence- Access to TF
This message was posted by a user wishing to remain anonymous
Thank you everyone for the valuable inputs. This will be help us in our future CERs.
Original Message:
Sent: 13-Mar-2017 15:44
From: Anonymous Member
Subject: CER- Demonstration of Equivalence- Access to TF
This message was posted by a user wishing to remain anonymous
Greetings!
In terms of demonstration of equivalence, is it required to have the access to other manufacturer's technical file of the equivalent devices?
As per the MEDDEV guidance document- 2.7/1, rev.4,
"Demonstration of equivalence might be difficult or impossible in case of limited access to the technical documentation of the devices."
Many medical device companies state they cannot establish equivalency without access to other manufacturer’s technical files, which is difficult especially if the manufacturer does not hold the TF. Therefore, I would like to get an opinion on this particular concept from a Notified Body perspective. Looking for some feedback, any input would be appreciated!