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  • 1.  Process of Notifying changes to the Notified Body After internal Audit

    This message was posted by a user wishing to remain anonymous
    Posted 11-Jan-2024 10:54
    This message was posted by a user wishing to remain anonymous

    Hi All,

    We recently had our Medical Devices Audit. One of the recommendations included notifying the notified body of any changes significant or minimal to the Technical File, so that they can evaluate and decide. 

    I was only aware of notifications to the Notified body when the change was significant and had an impact on the design and purpose of use of the device, not for documentation updates such as labelling etc. Since we would like to follow up and submit all these changes. Does anyone know what the steps / process/ specific forms are or how to contact the notified body in order to be compliant with the auditors' observations? 

    Thanks, in advance!



  • 2.  RE: Process of Notifying changes to the Notified Body After internal Audit

    Posted 11-Jan-2024 11:37

    Your auditor is wrong, and you should not comply. The auditor offered an opinion whose only effect would be to create non-valued extra work for your company and the NB.

    The requirement is in EU-MDR Annex IX 4.10. Changes to the approved device shall require approval from the notified body which issued the EU technical documentation assessment certificate where such changes could affect the safety and performance of the device or the conditions prescribed for use of the device. Where the manufacturer plans to introduce any of the above-mentioned changes it shall inform the notified body which issued the EU technical documentation assessment certificate thereof.

    Changes that meet this requirement are covered in the surveillance audits on a sampling basis.

    Typically, your contract with the NB will be more specific about when to make this notification. Find the wording and implement it. If it is not covered in the contract, just use the Annex IX wording as the requirement.



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    Dan O'Leary CQA, CQE
    Swanzey NH
    United States
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  • 3.  RE: Process of Notifying changes to the Notified Body After internal Audit

    Posted 11-Jan-2024 11:59

    Europe's Union MDR (Regulation 2017/745) includes legislative authority (e.g., in Annex VII sec. 4.9) for Notified Bodies (NBs) to require a manufacturer to notify the NB about certain kinds of changes [e.g., QMS, product range, device design (including labeling), intended use or claims, type, and chemical substances) without clear regard to significance so as to enable the NB to assess the impact. Because that includes a concomitant requirement for the NB to have in place corresponding documented procedures and contractual arrangements, you should start by reviewing your NB contract and inquiring of the NB so as to leverage any existing infrastructure already set up by your NB.

    Internally, you need to be sure your QMS has corresponding interfaces.  First, in your change management process, where you need to screen changes against the NB's notification requirements.  For those changes that meet the regulator's (e.g., the NB's or other agency's such as Health Canada's) notification thresholds, I have in the past set up a database and form to record such changes in a strategic way for presentation to the regulator for this context.  Then these strategic record(s) of change(s) are submitted to the regulator (e.g., the NB) in accordance with its applicable procedures and timelines that will be in your contract.

    We would also need to know more about your "Medical Devices Audit" and to see the exact wording of the recommendation.  Was that an internal audit? An audit by the NB? Other? Those details will also impact your proper response.



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    Kevin Randall, ASQ CQA, RAC (Europe, U.S., Canada)
    Principal Consultant
    Ridgway, CO
    United States
    © Copyright by ComplianceAcuity, Inc. All rights reserved.
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  • 4.  RE: Process of Notifying changes to the Notified Body After internal Audit

    Posted 12-Jan-2024 05:15

    Anon,

    Check the contract with your Notified Body because this may be a requirement.  Notified Bodies have been increasingly adding requirements via contract which are an expansion of the regulation which needs to be clear.  In addition, most Notified Bodies have a process, method, and even forms for notifying them of significant changes or any changes - again you should check with your Notified Body because most have this defined.



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    Richard Vincins ASQ-CQA, MTOPRA, RAC
    Vice President Global Regulatory Affairs
    Oriel STAT A MATRIX - ENTERPRISE
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  • 5.  RE: Process of Notifying changes to the Notified Body After internal Audit

    Posted 14-Jan-2024 09:35

    Hi Anon,

    as the other contributors stated, the need to inform you NB about changes comes either from the respective conformity assessment procedure in the MDR or from your contract with the NB (or both). Additional communication to the NB just would create more work (and since it was a recommendation and not a finding I assume that the procedures meet the mandatory requirements and the additional communication would be on top of that).

    As an additional remark to the type of changes that need to be reported:

    Requirements coming directly from the MDR depend on the Annex you chose for your conformity assessment procedure. For Annex IX (quality management system) these are "substantial changes to the quality management system, or the device-range covered" (section 2.4) in the first place and in cases where section 4 applies (class III and certain class IIb devices) in addition changes to the design that "could affect the safety and performance of the device or the conditions prescribed for use of the device" (section 4.10). For Annex X (type examination) it are changes to the type as detailed in section 5 of that Annex and Annex XI largely references Annex IX. So it does not need to be a change of design or purpose (and changes in labelling might be significant) and in some cases even significant changes to the design might not lead to a need for approval. All these cases require a mandatory assessment and approval by the NB (including a new or supplemented certificate). There currently is no MDCG guidance on this topic, the available guidance 2020-3 only covers changes to legacy devices with respect to article 120 - which is a different matter.

    The NB will have additional notification requirements that you can find in the contract or their terms of service, usually including forms that should be used for communication. These might go beyond the MDR requirements, in part because of Annex VII that Kevin mentioned, in part because the notified body needs the information to plan their activities. These additional requirements often do not include a formal approval by the NB and usually do not lead to a supplement to the certificate.

    Best regards, Christoph



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    Christoph Kiesselbach
    Schrack & Partner
    Reutlingen
    Germany
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