Prepared by: Revocatus JL Mang’ara, Bsc. EHS with IT (RUCU), Msc. TDC (MUHAS) OUTLINE • Definition of medical device • Definition of standards • Identification of standards • National regulatory and standards systems • International standards systems • Methods for assessing conformity to standard INTRODUCTION DEFINITION OF MEDICAL DEVICE Type of product • Any instrument, apparatus, implement, machine, appliance, implant, in vitro reagent or calibrator, software, material or other similar or related article, or accessory ,… Intended use • …intended for use in diagnosis, cure, mitigation, treatment or prevention of disease or other conditions, in man or other animals; • …or investigation, replacement, modification, or support of anatomy or physiology of man or other animals INTRODUCTION CONT…2/11 Mode of action • …and which does not achieve any of its main intended purposes by pharmacological, immunological or metabolic action in human or animal body INTRODUCTION CONT…3/11 • Example: syringes, tongue depressors, mask, glucometer, patient monitors, anesthesia machines, etc INTRODUCTION CONT…4/11 DEFINITION OF STANDARDS • Documented agreements containing technical specifications or other precise criteria • Used consistently as rules, guidelines or definitions of characteristics, to ensure that materials, products, process and services are fit for their purpose • Standards are used to ensure the safety and efficacy of medical devices INTRODUCTION CONT…5/11 Example: • ISO 13485: specifies requirements for a QMS for organization involved in design, production of medical devices, raw materials or provide related services • IEC 60601: specifies requirements for basic safety and essential performance of medical electrical equipment INTRODUCTION CONT…6/11 IDENTIFICATION OF STANDARDS • Name of the standard is indicated by a combination of an alphabetical prefix and a number Example: ISO 13485: 2016 • Letters at the beginning of a standard are an abbreviation for the organization that issued or approved them • Digits before the colon is the number assigned by its developers for identification of the specific standard • Digits after the colon are the year in which standard developed or issued INTRODUCTION CONT…7/11 STANDARDS SYSTEMS • Several regulatory agencies and standards organizations collaborate in the development of accepted standards for medical equipment • Example:
• TMDA: Regulate safety, quality and effectiveness of
medicines, medical devices and diagnostics • TBS: Formulate standards, quality control, testing , calibration, and training INTRODUCTION CONT…8/11 • International Organization for Standardization (ISO): NGO that develops international standards on a wide range of subject, including medical devices • International Electrotechnical Commission (IEC): NGO that prepares and publishes International Standards for all electrical, electronic and related technologies INTRODUCTION CONT…9/11 ASSESSMENT OF CONFORMITY • Most standards are voluntary, once a standard mandated by government, it become regulation • There are four (4) methods for assessing conformity to standards: Certification of product • Direct testing of a product to assess conformity to standards then authorize the display of certification mark Certification of process • Audit of a process to assess conformity to standards then authorize the display of certification mark INTRODUCTION CONT…10/11 Registration of management system • Audit of a management system to assess conformity to management standard then issued registration certificates to organization • Performed by certified auditors and technical experts of the domain under audit
• NOTE: Many countries use the
word “certification” for both a product and an organization INTRODUCTION CONT…11/11 Accreditation of organization or a person • Audit done by an authoritative body to give formal recognition that an organization or a person is competent to carry out a specific task • The organization issued certificate of accreditation • Example: Accreditation of registrar or organization by government agency