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Global Harmonization Task Force Global Harmonization Task Force STUDY GROUP 1 STUDY GROUP 1 Globally Harmonized Premarket Premarket Oversight Oversight Globally Harmonized presented at presented at GHTF Joint Study Group Meeting GHTF


  1. Global Harmonization Task Force Global Harmonization Task Force STUDY GROUP 1 STUDY GROUP 1 Globally Harmonized Premarket Premarket Oversight Oversight Globally Harmonized presented at presented at GHTF Joint Study Group Meeting GHTF Joint Study Group Meeting Hilton Washington DC September 16, 2005 Hilton Washington DC September 16, 2005 Ginette Y. Michaud, MD Ginette Y. Michaud, MD

  2. Global Harmonization Task Force Global Harmonization Task Force Study Group 1 Study Group 1 � Introduction to GHTF Study Group 1 Introduction to GHTF Study Group 1 � – purpose – purpose – scope scope – – structure structure – – membership – membership � Guidelines Guidelines � – final documents final documents – – work in progress work in progress – � Lessons learned Lessons learned �

  3. I ntroduction to SG1 - - I ntroduction to SG1 purpose purpose � Development of harmonized guidelines on Development of harmonized guidelines on � the operational aspects of premarket premarket the operational aspects of regulatory oversight regulatory oversight – Comparison of regulatory systems Comparison of regulatory systems – – Harmonization of common practices Harmonization of common practices – – Identification of obstacles to uniform regulations Identification of obstacles to uniform regulations – � Focused on safety & performance of medical Focused on safety & performance of medical � devices devices

  4. I ntroduction to SG1 - - I ntroduction to SG1 scope scope � Scope Scope – – all devices that fall within all devices that fall within � definition: definition: GHTF/SG1/N029:2005 Information Information GHTF/SG1/N029:2005 Document Concerning the Definition of Document Concerning the Definition of the Term “Medical Device” the Term “Medical Device” * this includes In Vitro Diagnostic Devices this includes In Vitro Diagnostic Devices *

  5. I ntroduction to SG1 - - I ntroduction to SG1 structure structure � Structure Structure � – “Parent” Study Group “Parent” Study Group – – IVDD Subgroup IVDD Subgroup – – Chairperson Chairperson – – Ginette Michaud (FDA) Ginette Michaud (FDA) – – Secretary Secretary – – Alan Kent (UK) Alan Kent (UK) – – Subgroup Chair Subgroup Chair – – Nancy Nancy Shadeed Shadeed (Health (Health – Canada) Canada)

  6. I ntroduction to SG1 - - I ntroduction to SG1 membership membership � largest membership of all Study largest membership of all Study � Groups Groups � SG1 n = 27 SG1 n = 27 � � SG2 n = 15 SG2 n = 15 � � SG3 n = 11 SG3 n = 11 � � SG4 n = 17 SG4 n = 17 � � SG5 n = 17 SG5 n = 17 �

  7. I ntroduction to SG1 - - I ntroduction to SG1 membership membership � All founding member nations All founding member nations � � Regulatory authorities and Industry Regulatory authorities and Industry � associations associations � Strong interest by other parties Strong interest by other parties �

  8. Study Group 1 Study Group 1 guidelines guidelines � Focus on Focus on premarket premarket aspect of medical aspect of medical � device regulatory systems device regulatory systems � Goal: produce harmonized guidelines Goal: produce harmonized guidelines � � Tension between national regulations Tension between national regulations � & harmonized guidelines & harmonized guidelines � May or may not include May or may not include IVDDs IVDDs �

  9. Study Group 1 Study Group 1 final guidelines final guidelines � GHTF/SG1/N029:2005 GHTF/SG1/N029:2005 Information Information � Document Concerning the Definition of the Document Concerning the Definition of the Term “Medical Device” Term “Medical Device” � key document key document � � includes includes IVDDs IVDDs � � cross cross- -cutting cutting � � goal: reduce global diversity of regulatory goal: reduce global diversity of regulatory � schemes and facilitate harmonization schemes and facilitate harmonization

  10. Study Group 1 Study Group 1 final guidelines final guidelines Definition of a medical device: Definition of a medical device: “...any instrument, apparatus, implement, machine, “...any instrument, apparatus, implement, machine, appliance, implant, in vitro in vitro reagent or calibrator, reagent or calibrator, appliance, implant, software...” software...” “...intended...for human beings for...diagnosis, “...intended...for human beings for...diagnosis, prevention, monitoring, treatment of disease...” prevention, monitoring, treatment of disease...” “...intended...for... providing information for medical “...intended...for... providing information for medical or diagnostic purposes by means of in vitro in vitro or diagnostic purposes by means of examination of specimens derived from the human examination of specimens derived from the human body...” body...” “...does not achieve its primary intended action in or “...does not achieve its primary intended action in or on the human body by pharmacological, on the human body by pharmacological, immunological or metabolic means...” immunological or metabolic means...”

  11. Study Group 1 Study Group 1 final guidelines final guidelines � GHTF/SG1/N43:2005 GHTF/SG1/N43:2005 Labelling Labelling for for � Medical Devices (including (including IVDDs IVDDs) ) Medical Devices – device identity and intended purpose device identity and intended purpose – – how to use, maintain & store device how to use, maintain & store device – – residual risks, warnings, contra residual risks, warnings, contra- - – indications indications – goal: reduce/eliminate differences goal: reduce/eliminate differences – between jurisdictions between jurisdictions

  12. Study Group 1 Study Group 1 final guidelines final guidelines � GHTF/SG1/N041:2005 Essential Principles of GHTF/SG1/N041:2005 Essential Principles of � Safety and Performance of Medical Devices Safety and Performance of Medical Devices (including IVDDs IVDDs) ) (including � describes requirements: describes requirements: � – general requirements general requirements – – specific design & manufacturing requirements of specific design & manufacturing requirements of – safety & performance safety & performance � goal: allows demonstration of suitability of goal: allows demonstration of suitability of � device for intended purpose device for intended purpose

  13. Study Group 1 Study Group 1 final guidelines final guidelines � GHTF/SG1/N12:2000 Role of Standards in the GHTF/SG1/N12:2000 Role of Standards in the � Assessment of Medical Devices (undergoing Assessment of Medical Devices (undergoing revision) revision) – supports development of consensus standards supports development of consensus standards – – supports “recognition” by RA of standards for supports “recognition” by RA of standards for – demonstrating conformity to Essential Principles demonstrating conformity to Essential Principles – encourages compliance with standards by encourages compliance with standards by – medical device industry medical device industry – use of standards is voluntary use of standards is voluntary – � goal: ensure safety, quality, performance of goal: ensure safety, quality, performance of � medical devices medical devices

  14. Study Group 1 Study Group 1 draft guidelines draft guidelines � SG1/N015 SG1/N015 Principles of Medical Devices Principles of Medical Devices � Classification Classification – system of rules that assigns devices to one of system of rules that assigns devices to one of – four risk classes (A, B, C, D) four risk classes (A, B, C, D) – classification subsequently allows the application classification subsequently allows the application – of regulatory controls that increase with of regulatory controls that increase with increasing degree of risk increasing degree of risk � Goal: to assist allocation by manufacturer of Goal: to assist allocation by manufacturer of � medical device to appropriate risk class medical device to appropriate risk class

  15. Study Group 1 Study Group 1 draft guidelines draft guidelines � SG1/N040 SG1/N040 Principles of Conformity Principles of Conformity � Assessment for Medical Devices Assessment for Medical Devices – identifies conformity assessment identifies conformity assessment – elements: elements: � quality management systems quality management systems � � summary technical documentation summary technical documentation � � declaration of conformity declaration of conformity � � system for system for postmarket postmarket surveillance surveillance � � registration of manufacturers and medical registration of manufacturers and medical � devices devices

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