Changes in procedures according to MDD due to date of application of MDR
The new MDR will replace the currently valid medical device directives (MDD and AIMDD) on May 26, 2021. A corresponding amendment to the German MPG is also available as the Medical Devices Amendment Act. The exact aspects of the MDR, which have to be checked in the context of surveillance procedures according to MDD, are for example presented in the transition rules in Art. 120 MDR. If these requirements are not met by a manufacturer after 25.05.2021, this constitutes a deviation from the applicable legal requirement. In particular, the requirements of Art. 120 (3) MDR are to be implemented in the QM system of a guideline manufacturer:
1. post-market surveillance (PMS).
2. vigilance (incident reporting)
3. registration of economic operators and products
1. Post-market surveillance (PMS)
To post-market surveillance MDR primary reference to the requirements on a PMS system laid out in Articles 83 to 86 MDR and Annex III MDR. The manufacturer shall plan the PMS system. For class I medical devices, a PMS report must be prepared if necessary; this report must be submitted to the market surveillance authority upon request (Art. 85 MDR). For higher class medical devices (IIa, IIb and III) a Periodic Safety Update Report (PSUR) shall be prepared (Art. 86 MDR); this shall be submitted to the Notified Body. Deadlines for regular updating and submission are specified depending on the risk class: annually for class III and IIb devices, every two years for class IIa devices. In addition to assessing the impact on the risk-benefit balance, these reports shall also include information on where the devices are placed on the market. Details on the content of the reports are specified in Articles 85 and 86 MDR.
2 Vigilance
Requirements on incident reporting have been tightened in Article 87 MDR. On the one hand, the Europe-wide standardized reporting deadlines replace the previous reporting deadlines:
- 2 days for serious risk to public health.
- Serious incident: Immediately, but no later than 15 days.
- Death or unforeseen serious deterioration of health: immediately, but no later than 10 days.
On the other hand, requirements for summary reporting (Periodic Summary Reporting – Art. 87 (9) MDR) as well as trend reporting (Art. 88 MDR) for expected adverse events or non-serious events are specified. As soon as the EUDAMED database is operational it shall be used for the reporting process.
3. Registration of economic operators and products.
Requirements for registration of products under the MDD are detailed in MDCG 2019-5. Registration of legacy devices shall be completed within 24 months (6 + 18 months) after availability of EUDAMED. However, in the case of incidents or field safety corrective actions (FSCA) reportable via the EUDAMED portal the registration has to be considered before the end of the transition period in order to facilitate the incident report. The obligation to register devices subsequently results in the obligation to register the respective manufacturer or authorized representatives according to national requirements. The general opinion is that the Responsible Person (Art. 15 MDR) must be implemented from the date of application of the MDR, i.e. from 25.05.2021.
Validity of directive certificates from the date of application of the regulation
For certificates according to Dir. 90/385/EEC (AIMDD) Dir.93/42/EEC (MDD) or Dir.98/79/EC (IVDD) the respective validity dates and conditions apply (e.g. connection between certificates according to Annex II.4 and the certificates according to Annex II without 4). However, after expiry of the transition periods to the MDR (2021-05-26) as well as to the IVDR (2022-05-26) certificates according to the directives (AIMDD, MDD and IVDD) can no longer be newly issued or amended. However, Art. 120 (3) MDR or Art. 110 (3) IVDR define that for maintaining the certificates of such products, no significant changes in design or intended purpose may be implemented. A substantial change after the end of the transition period to a product that is placed on the market on the basis of a certificate according to one of the two directives (MDD or IVDD) will result in void of the original certificate. i.e. the change and subsequently the entire product must be subjected to a certification procedure according to MDR. However, this does not affect the obligation to notify changes to the Notified Body. MDCG has published a guidance document (MDCG 2020-3) which sets out which changes are interpreted as “significant change” under the MDR. This document must be used as the basis for evaluating any change for impact on existing certification after the end of the transition period.
Timelines for Transition of Certification from MDD to MDR
As of March 20, 2023, Regulation (EU) 2023/607 was published to smoothen the transition from MDD (and AIMDD) to MDR certification of devices on the market and to assure availability of medical devices on the European market. Manufacturers of devices certified according to Medical Device Directive (MDD), also known as “legacy devices” according to MDR Article 120, can now benefit from longer periods for the transition of MDD certification to MDR. In order to be able to benefit from this extension let’s delve into the key highlights:
Extension of MDR validity of certificates:
All certificates not expired on March 20, 2023 have been extended by definition until December 31, 2027 (for class III and class IIb implantable legacy devices) and until December 31, 2028 (for other class IIb and class IIa, as well as class Im and Is legacy devices).
It has to be noted that an additional prerequisite for placing devices on the market has been introduced: additional to the valid MDD certificate the manufacturer must have applied for the individual device (or a successor device) for MDR certification by May 26, 2024.
The notified body can then issue a confirmation letter (as defined in the Q&A document by the European Commission) confirming formally the validity of the MDD certificate.
However, it’s important to note that the extension is subject to certain conditions to benefiting from the new transition period. Manufacturers must:
- by May 26, 2024 establish a quality management system (QMS) compliant with MDR;
- by May 26, 2024 submit a formal application for conformity assessment under MDR;
- by September 26, 2024 have a mutually signed written agreement with the Notified Body for conformity assessment under MDR.
Additionally, the extension of the transitional regime only applies to MDR legacy devices that:
- continue to comply with Directive 93/42/EEC;
- do not undergo significant changes in design or intended use;
- do not pose unacceptable risks to the health and safety of patients and users.
The new regulation also introduces additional requirements for legacy devices with expired certificates. Also such devices may benefit from the extended transition period either if the manufacturer had concluded a contract with a Notified Body for conformity assessment under the MDR before the expiration of the MDD certificate or has obtained exemptions under Article 97 or 59 MDR.
This extension of the transition period addresses the demands of the medical device industry, which has long sought a more flexible certification deadline for MDD legacy devices. It is good news for medical device manufacturers. However, it is crucial to act promptly and meet the first deadline of May 26, 2024, to ensure compliance with the new rules.
In this context we may also remind on the revision of MDCG 2020-3 (Rev. 1) on the definition of significant changes. The document gives clarification on the conditions when a change can be considers as “non-significant” and thus be implemented under an existing MDD certificate. This is especially crucial to adopt devices in the next four to five years to maintain safety and availability in the transition period.
Additional transition periods for Custom made devices:
Implantable class III custom made devices need to have a quality management certification according to Annex IX, by May 26, 2026 in order to continue to place these devices on the market.
Removal of the “sell-off” period:
The new regulation eliminates the previously defined “sell-off” period stated in MDR, Article 120(4).
Additional transition periods for Annex XVI devices:
Also the timelines for implementation of MDR for products without an intended medical purpose (Annex XVI, MDR) have recently been extended. By Commission Implementing Regulation (EU) 2022/2346 the legal framework, i.e. the Common Specifications, for certification of Annex XVI devices was generally established. The original version was also amended to align the transition periods with definitions of Regulation (EU) 2023/607 – this was published on June 20 2023 as Commission Implementing Regulation (EU) 2023/1194. It was clarified that if the device was MDD certified timelines of Art. 120 MDR (see above) shall apply. In all other cases (device not MDD certified) also the timeline for transition of the devices to MDR certification are extended.
Prerequisites:
- Device was lawfully marketed in the Union before 22 June 2023
- in continuous accordance with applicable requirements and
- not substantially changed.
Applicable Timelines for Annex-XVI-devices the manufacturer intends to perform or is performing a clinical investigation (CI):
- 22 June 2024: confirmation by the National Competent Authority acc. to Art. 70 (1) or (3) MDR that the application for the CI is complete;
- 23 December 2024: the sponsor must have started the CI;
- 1 January 2028: written agreement for the conformity assessment has been signed with the Notified Body must be in place;
- 31 December 2029: end of transition period.
Applicable Timelines for Annex-XVI-devices the manufacturer does not perform a clinical investigation:
- 1 January 2027: written agreement for the conformity assessment has been signed with the Notified Body must be in place
- 31 December 2028: end of transition period
Extension transitionperiodes for MDR
On 20 Mar. 2023, the European Commission published Regulation (EU) 2023/607 extending the transitional periods for devices requiring a Notified Body for conformity assessment under Regulation (EU) 2017/745 (MDR).
UPDATE: On July 2023 the European Commission has additionally published a updated Q&A document on the extension of the timelines. The information can be found on the EC website:
The new regulation newly regulates the validity of AIMDD and MDD certificates and defines requirements for the first placing on the market of “legacy devices” (as per MDCG 2021-25), even if the validity of the underlying certificates according to the directive (MDD or AIMDD) has formally expired.
Overview of the changes:
- Extension of the transitional periods for the first placing on the market of devices based on certificates according to MDD or AIMDD, for all devices for which an application for certification (see below) according to MDR was submitted before the expiry of the MDD certificate until 31 Dec. 2027 (Class III and implantable devices Class IIb [with exceptions]) or until 31 Dec. 2028 (all other devices).
- Extension of the transition period for class I devices (MDD) that are classified higher under MDR until Dec. 31, 2028.
- Extension of transition period for Class III custom-made devices until Dec. 31, 2027.
For these devices (except custom-made devices), the manufacturer must have established a QM system according to MDR by 26 May 2024 at the latest. The second, essential prerequisite for being able to benefit from the extended timelines is a written contract between the manufacturer and the notified body for certification according to MDR (certification contract). This contract must be applied for at the latest before the expiry of the MDD certificate and must cover all products for which the extension of the transitional periods is to be claimed. The basis of the contract is the availability of the technical documentation in accordance with the requirements of the MDR.
In order to be able to submit an application for certification – either initial MDR certification or extension of the MDR certification for new device groups – we require a questionnaire (initial certification) or an amended list of medical devices (a notification of change alone is not sufficient). On this basis, we will provide you with an offer for certification. This offer is the basis for your application for certification and subsequently for the final certification contract. We will implement the requirements for the contract in such a way that, together with the application for certification, at least one complete technical documentation must be submitted for review in addition to the documentation of the QM system. The technical documentation according to MDR requirements for the other products covered by the certification contract must also be available at the time of application, but can be submitted for review at a later date according to an agreed plan.
In order to be able to issue the confirmation letter proposed by the EU Commission, a contract for the monitoring of the (formally expired) MDD certificates must also be concluded. On the basis of this communication this confirmation letter can be issued confirming that products may continue to be placed on the market with the CE mark and mdc’s identification number 0483. We are preparing the corresponding application procedure and will make them available as soon as possible.
Alternatively, the manufacturer (or his European authorized representative) can apply for an exemption according to Art. 97 MDR at the responsible market surveillance authority, this is independent of the status of the MDD certificates.
Another significant change is also the elimination of the sell-by period for medical devices and In- vitro Diagnostic Devices placed on the market under AIMDD, MDD and IVDD.
You can also find the text of the regulation at
https://eur-lex.europa.eu/legal-content/EN/TXT/HTML/?uri=CELEX:32023R0607
2017/745 (MDR)
Surveillance of legacy devices under Article 120 of the MDR (MDCG 2022-4) and Article 110 (3) of the IVDR (MDCG 2022-15)
With the position papers MDCG 2022-4 and MDCG 2022-15, Notified Bodies are requested to identify relevant certificates (under Directive 93/42/EEC and 98/79/EC) which are subject to surveillance according to Article 120 (3) of the MDR or Article 110 (3) of the IVDR. The requirement for adequate surveillance of existing legacy devices1/2 by Notified Bodies is sharpened and should be reflected in the audit. This means that the following aspects will become a focus of the audit:
- Transition strategy to MDR / IVDR
- Assessment of (non-) significant changes according to MDCG 2020-3 or MDCG 2022-6
- Adjustments of the requirements according to Article 120 (3) of the MDR or Article 110 (3) of the IVDR in the QMS (including post-market surveillance (Annex III of the MDR / IVDR), market surveillance, vigilance and registration of economic operators and devices)
- Assess whether all appropriate processes related to post-market surveillance, including risk management and performance data, are included in the post-market surveillance plan
For manufacturers, in addition to maintaining the QM system, all requirements must be implemented or mapped.
1Products placed on the market under Article 120(3) of the MDR after the date of application of the MDR (26 May 2021) and until the end of the transitional period on 26 May 2024, provided that certain conditions are met.
2Products placed on the market under Article 110(3) of the IVDR after the date of application of the IVDR (26 May 2022) and until the end of the respective transitional period referred to in the second or third subparagraph of Article 110(3), provided that certain conditions are met.
MDR-News: Validity of certificates / Market approach in Switzerland and Turkey
As of today (2021-05-26), Regulation (EU) 2017/745 on medical devices (MDR) represents the applicable legal framework for medical devices. This is supplemented by national laws (e.g. in Germany the MPDG or in Austria the MPG 2021). However, Directive 93/42/EEC (
MDD) is no longer applicable and has been superseded by the MDR (see news article dated May 18, 2021).
mdc has already been designated as a Notified Body according to MDR since 2020-04-25; thus we can continue to offer our customers the necessary certification for market access for medical devices!
Certificates according to Directive 93/42/EEC remain valid – for the period of validity indicated on the certificate! In this context, we would like to remind you that for placing medical devices of class III on the market, both a valid certificate on the quality assurance system (e.g. according to Annex II, without Section 4 MDD) and a valid certificate on the product design (e.g. according to Annex II, Section 4 MDD) are required. A certificate according to MDR (e.g. about the quality management system according to Annex IX, chapter II MDR) is not a sufficient substitute.
For the maintenance of MDD certificates under the MDR we refer to the news article of 08.03.2021.
Market Approach:
According to the latest information the customs agreements with Turkey could be adjusted in due time. This means that Turkish manufacturers can also continue to participate in the European market.
Due to the start of validity, some trade agreements between the EU and other states lose their validity. For example, the Mutual Recognition Agreement with Switzerland has not been extended, and Switzerland is considered a third country. This means that Swiss manufacturers need a European authorized representative, and must also indicate this on the labeling. Likewise, EU manufacturers must indicate a Swiss authorized representative based in Switzerland for export to Switzerland.
However, no transition periods have been defined, so these requirements apply to all products that are placed on the market for the first time after DOA (i.e. 26.05.2021, 0:00).
Already at the beginning of 2021, the United Kingdom has left the European Union, with far-reaching consequences for the market access of British manufacturers in the EU (necessity of a European Authorized Representative) as well as with consequences for EU manufacturers for the British market access (UKCA marking, at the latest from 30.06.2023), see also our news article from 28.01.2021.
Legacy Devices
Dear Madam or Sir!
As of 2021-05-26, Directive 93/42/EEC on medical devices (hereinafter MDD) was withdrawn and thus became invalid. Consequently, according to Article 120 (1) of Regulation (EU) 2017/745 on medical devices (hereinafter MDR), the designation of all Notified Bodies according to MDD and also our designation was withdrawn.
This means on the one hand that we as your Notified Body according to MDD can no longer issue new certificates or extensions of certificates. The validity of previously issued certificates will continue to exist if they are subject to appropriate monitoring by the Notified Body in accordance with Article 120 (3) MDR, last sentence.
This situation also means that an essential part of the certification contract has ceased to exist, as mdc is no longer a Notified Body according to MDD. (The designations as Notified Body according to MDR as well as IVDD are unaffected and remain in place!) Therefore, we will approach you in the next few days with a supplementary agreement to the existing certification contract in order to enable the monitoring required by Article 120 (3) MDR on a contractually sound basis. This is an essential prerequisite for the continued validity of the issued certificates according to MDD.
Furthermore, we would like to inform you about new MDCG guidance documents. The MDCG Guidance Documents provide assistance for the harmonized interpretation of the legal text of the MDR by the European Commission and National Competent Authorities. MDCG guidance documents should be taken into account when implementing a QM system and when creating and maintaining technical documentation.
With 2021-10-21 MDCG 2021-25[1] on the handling of legacy devices was published. Legacy devices are defined as products that are certified according to the MDD and may still be placed on the market during the transitional period specified in Article 120 (3) MDR under the conditions specified therein until the end of the term of the respective certificate or the transitional period under MDD requirements. Such legacy devices may continue to be placed on the market, provided that their safety and performance under the MDD requirements is proven. We have already published several news articles on our homepage, to which we may refer, e.g.
- 2021-05-26: Start of application of the new Medical Device Regulation
- Changes in procedures according to MDD due to date of application of MDR
However, the requirements of Article 120 (3) MDR left room for interpretation in some aspects, which was clarified by the MDCG 2021-25.
1. Responsible Person according to Art. 15
The first and most important clarification is that no “person responsible for regulatory compliance” (PRRC according to Art. 15 MDR or IVDR) needs to be appointed for these legacy devices.
Nevertheless this provision of Article 15 MDR and IVDR replaces the requirement to appoint a safety officer in Germany and Austria. The previous requirement to appoint a safety officer (e.g. according to § 31 MPG or § 78 Austrian MPG 1996) exists since 2021-05-26 only for manufacturers of in vitro diagnostic medical devices; the MPDG[2], as well as the Austrian MPG 2021[3] do not contain this requirement anymore. Nevertheless, we still recommend that manufacturers who solely place legacy devices on the market to also adapt their processes. In particular, the responsibilities for fulfilling the reporting obligations should be clearly assigned to a “responsible person”. However, since this person is not yet legally obligatory, we also do not yet see it as obligatory that the qualification requirements specified in the MDR are fully complied with.
If the company is a manufacturer of class I products, which are fully subject to the MDR since 2021-05-26 (i.e. no higher classification by the MDR), the requirements of Article 15 MDR are fully applicable in any case.
2. Periodic Safety Update Report – PSUR according to Art. 86.
Another clarification concerns the requirements for post-market surveillance (PMS). The requirements of Articles 82 to 86 MDR as well as Annex III have to be fulfilled by every medical device manufacturer since 2021-05-26. This means that a PMS plan must also be created for legacy devices and documented as part of the technical documentation. The detailed contents are specified in Annex III of the MDR.
The second requirement is that, as specified in this plan, a Periodic Safety Update Report (PSUR) must be prepared and updated for all Class IIa, IIb, and III medical devices, in accordance with Article 86 of the MDR. The MDCG guidance document made it clear that this report is also expected from manufacturers of legacy devices.
This PSUR must be made available to market surveillance authorities upon request. The PSUR of legacy devices must be made available to the Notified Body as part of surveillance audits.
At mdc, we will check the timely implementation of these requirements in detail during the audit. This means that a PMS plan must be available for legacy devices since 2021-05-26, the contents of the plan must meet the content requirements of Annex III of the MDR. Likewise, the plan must specify the date of initial creation and/or the interval for updating the PSUR. The periods for initial preparation and further updating may not exceed one year for class IIb and III medical devices and two years for class IIa medical devices.
From the date specified in the plan, the PSUR must also be available and its content will be checked (on a sample basis) as part of the audit. In addition to the summary of reportable/serious incidents, further information must be provided. This includes for example
- an overview of non-serious incidents,
- a trending of non-serious incidents or expected adverse events,
- the conclusions of the benefit-risk assessment,
- the main findings of the PMCF assessment report, if available; and
- the total sales volume of the product and an estimate of the number of applications/frequency of use.
3. Changes to legacy products
We would also like to remind you of the conditions under which the MDD certificate can continue to be maintained for legacy devices. In addition to the continuous monitoring by the Notified Body in the context of audits as well as sampling of the Technical Documentation, the products must not undergo any significant change as defined in Article 120 (3) and further detailed in MDCG 2020-3[4]. In particular, MDCG 2020-3 provides a detailed description including examples and a decision tree for evaluating changes. Implementing a significant change will invalidate the issued MDD certificate. Such a change may only be implemented under a certification according to MDR.
Irrespective of this, the basic obligation remains to notify the Notified Body of changes to the product, the QM system, the product range, etc., which are described in Guidance Document NBOG 2014-3[5]. These changes referred to as “substantial changes” need further evaluation by the Notified Body before the implementation. Changes that are reportable as a “substancial change” but do not meet the definition of a “significant change” may be implemented after evaluation by the Notified Body. Please contact the project team if you have any questions.
During the on-site audit, it will be checked in particular whether the company has implemented procedures to classify planned changes and, if necessary, to report them to the Notified Body. Furthermore, the planned and implemented changes shall be evaluated with regard to their classification (significant and/or substantial). The auditor(s) shall confirm the validity of the manufacturer’s classification.
4. Transition to the MDR
We would like to remind you once again that the transitional periods for certificates according to the MDD will expire by 2024-05-26 at the latest. By this date, all devices of classes Im, Ir, Is, IIa, IIb and III must have at least one certificate according to MDR if they shall continue to be placed on the market in Europe. For class III medical devices, both certificates (review of the Technical Documentation and QM system) must be valid according to the same regulatory framework (MDD or MDR).
The certification procedures according to MDR are real initial certifications. The procedures involve significantly more effort, both formally and in terms of content, and therefore require significantly more time than under MDD. Experience from the first 1.5 years has also shown that the requirements for the restructuring of the technical documentation were repeatedly underestimated and therefore TD test reports with a very high number of non-conformities are not uncommon. In order to be able to complete the certification procedures according to MDR in time until the end of the validity of the MDD certificates, we would therefore like to ask you to coordinate the planned process with your mdc project team at an early stage – only by submitting the QM documentation and all technical documentations in 2022 can the possibility of certification under MDR until May 2024 be safeguarded. We must also emphasize the need for early submission with the fact that we are currently already unable to offer certification under the MDR to individual existing customers for resource reasons.
If you have any questions, please do not hesitate to contact us
Daniel Kraushaar Meinrad Guggenbichler
Head of Business Unit Medical Devices Head of Notified Body Medical Devices
[1] MDCG 2021-25: Application of MDR requirements to ‘legacy devices’ and to devices placed on the market prior to 26 May 2021: https://ec.europa.eu/health/sites/default/files/md_sector/docs/md_mdcg_2021_25_en.pdf
[2] MPDG: Gesetz zur Durchführung unionsrechtlicher Vorschriften betreffend Medizinprodukte: www.gesetze-im-internet.de/mpdg/
[3] MPG 2021: Medizinproduktegesetz 2021: https://www.ris.bka.gv.at/GeltendeFassung.wxe?Abfrage=Bundesnormen&Gesetzesnummer=20011580
[4] MDCG 2020-3: Guidance on significant changes regarding the transitional provision under Article 120 of the MDR: ec.europa.eu/health/sites/default/files/md_sector/docs/md_mdcg_guidance_significant_changes_annexes_en.pdf
[5] NBOG 2014-3: Guidance for manufacturers and Notified Bodies on reporting of Design Changes and Changes of the Quality System: www.doks.nbog.eu/Doks/NBOG_BPG_2014_3.pdf
Clinical Evaluation according to MDR I
When conducting the clinical evaluation for a medical device the authorship often poses questions about the interpretation of the new MDR.
- What are the key requirements which need to be addressed in a clinical evaluation?
- What are the NB’s expectations with regard to a clinical evaluation report?
- What are critical aspects and which pitfalls may encounter in a clinical evaluation report?
The collection of clinical data in the conformity assessment process is crucial to assess a medical device in terms of safety, performance and risk-benefit ratio. They are based on the actual use of the device and are composed of pre-clinical or clinical investigations, scientific literature and/or clinical experience with equivalent medical devices. These requirements are detailed in the EU regulation 2017/745 (MDR) for medical devices.
Our Speaker, Dr. Andreas Marx, head of the clinical department at mdc, will convey critical aspects of the clinical evaluation process. This encompass the interpretation of key requirements of the MDR, applicable MDCG guidance documents and parts of the MEDDEV 2.7/1 rev.4 which are still of relevance.
Clinical Evaluation according to MDR I
When conducting the clinical evaluation for a medical device the authorship often poses questions about the interpretation of the new MDR.
- What are the key requirements which need to be addressed in a clinical evaluation?
- What are the NB’s expectations with regard to a clinical evaluation report?
- What are critical aspects and which pitfalls may encounter in a clinical evaluation report?
The collection of clinical data in the conformity assessment process is crucial to assess a medical device in terms of safety, performance and risk-benefit ratio. They are based on the actual use of the device and are composed of pre-clinical or clinical investigations, scientific literature and/or clinical experience with equivalent medical devices. These requirements are detailed in the EU regulation 2017/745 (MDR) for medical devices.
Our Speaker, Dr. Andreas Marx, head of the clinical department at mdc, will convey critical aspects of the clinical evaluation process. This encompass the interpretation of key requirements of the MDR, applicable MDCG guidance documents and parts of the MEDDEV 2.7/1 rev.4 which are still of relevance.
PSUR for MDR-/ IVDR-certified devices
Reminder for the necessity of the submission of Periodic Safety Update Reports.
With a certain frequency manufacturers of medical devices of risk classes IIa, IIb and III have to create a PSUR (Periodic Safety Update Report) according to MDR Art. 86 and manufacturers of In-vitro-Diagnostics of risk classes C and D have to create a PSUR according to IVDR Art. 81. For MDR-/ IVDR-certified devices these PSURs have to be submitted to the Notified Body and will be assessed by it according to the requirements.
MDCG 2022-21 contains comprehensive explanations regarding the content of the PSUR for medical devices.
For MDR-/ IVDR-certified devices for which mdc did not receive a PSUR yet (in consideration of the period of creation), mdc will contact the manufacturers to remind the necessity and deadlines.
Downloads
List of Medical Devices (MDR)
Notification of Change (MDR)
Designation_MDR
Price List – Certification according to Regulation (EU) 2017/745 (MDR) & Recognition in Third Countries
Technical Documentation (Medical Devices) – File Structure (ZIP)
Client-News
PSUR for MDR-/ IVDR-certified devices
Reminder for the necessity of the submission of Periodic Safety Update Reports.
With a certain frequency manufacturers of medical devices of risk classes IIa, IIb and III have to create a PSUR (Periodic Safety Update Report) according to MDR Art. 86 and manufacturers of In-vitro-Diagnostics of risk classes C and D have to create a PSUR according to IVDR Art. 81. For MDR-/ IVDR-certified devices these PSURs have to be submitted to the Notified Body and will be assessed by it according to the requirements.
MDCG 2022-21 contains comprehensive explanations regarding the content of the PSUR for medical devices.
For MDR-/ IVDR-certified devices for which mdc did not receive a PSUR yet (in consideration of the period of creation), mdc will contact the manufacturers to remind the necessity and deadlines.
Timelines for Transition of Certification from MDD to MDR
As of March 20, 2023, Regulation (EU) 2023/607 was published to smoothen the transition from MDD (and AIMDD) to MDR certification of devices on the market and to assure availability of medical devices on the European market. Manufacturers of devices certified according to Medical Device Directive (MDD), also known as “legacy devices” according to MDR Article 120, can now benefit from longer periods for the transition of MDD certification to MDR. In order to be able to benefit from this extension let’s delve into the key highlights:
Extension of MDR validity of certificates:
All certificates not expired on March 20, 2023 have been extended by definition until December 31, 2027 (for class III and class IIb implantable legacy devices) and until December 31, 2028 (for other class IIb and class IIa, as well as class Im and Is legacy devices).
It has to be noted that an additional prerequisite for placing devices on the market has been introduced: additional to the valid MDD certificate the manufacturer must have applied for the individual device (or a successor device) for MDR certification by May 26, 2024.
The notified body can then issue a confirmation letter (as defined in the Q&A document by the European Commission) confirming formally the validity of the MDD certificate.
However, it’s important to note that the extension is subject to certain conditions to benefiting from the new transition period. Manufacturers must:
- by May 26, 2024 establish a quality management system (QMS) compliant with MDR;
- by May 26, 2024 submit a formal application for conformity assessment under MDR;
- by September 26, 2024 have a mutually signed written agreement with the Notified Body for conformity assessment under MDR.
Additionally, the extension of the transitional regime only applies to MDR legacy devices that:
- continue to comply with Directive 93/42/EEC;
- do not undergo significant changes in design or intended use;
- do not pose unacceptable risks to the health and safety of patients and users.
The new regulation also introduces additional requirements for legacy devices with expired certificates. Also such devices may benefit from the extended transition period either if the manufacturer had concluded a contract with a Notified Body for conformity assessment under the MDR before the expiration of the MDD certificate or has obtained exemptions under Article 97 or 59 MDR.
This extension of the transition period addresses the demands of the medical device industry, which has long sought a more flexible certification deadline for MDD legacy devices. It is good news for medical device manufacturers. However, it is crucial to act promptly and meet the first deadline of May 26, 2024, to ensure compliance with the new rules.
In this context we may also remind on the revision of MDCG 2020-3 (Rev. 1) on the definition of significant changes. The document gives clarification on the conditions when a change can be considers as “non-significant” and thus be implemented under an existing MDD certificate. This is especially crucial to adopt devices in the next four to five years to maintain safety and availability in the transition period.
Additional transition periods for Custom made devices:
Implantable class III custom made devices need to have a quality management certification according to Annex IX, by May 26, 2026 in order to continue to place these devices on the market.
Removal of the “sell-off” period:
The new regulation eliminates the previously defined “sell-off” period stated in MDR, Article 120(4).
Additional transition periods for Annex XVI devices:
Also the timelines for implementation of MDR for products without an intended medical purpose (Annex XVI, MDR) have recently been extended. By Commission Implementing Regulation (EU) 2022/2346 the legal framework, i.e. the Common Specifications, for certification of Annex XVI devices was generally established. The original version was also amended to align the transition periods with definitions of Regulation (EU) 2023/607 – this was published on June 20 2023 as Commission Implementing Regulation (EU) 2023/1194. It was clarified that if the device was MDD certified timelines of Art. 120 MDR (see above) shall apply. In all other cases (device not MDD certified) also the timeline for transition of the devices to MDR certification are extended.
Prerequisites:
- Device was lawfully marketed in the Union before 22 June 2023
- in continuous accordance with applicable requirements and
- not substantially changed.
Applicable Timelines for Annex-XVI-devices the manufacturer intends to perform or is performing a clinical investigation (CI):
- 22 June 2024: confirmation by the National Competent Authority acc. to Art. 70 (1) or (3) MDR that the application for the CI is complete;
- 23 December 2024: the sponsor must have started the CI;
- 1 January 2028: written agreement for the conformity assessment has been signed with the Notified Body must be in place;
- 31 December 2029: end of transition period.
Applicable Timelines for Annex-XVI-devices the manufacturer does not perform a clinical investigation:
- 1 January 2027: written agreement for the conformity assessment has been signed with the Notified Body must be in place
- 31 December 2028: end of transition period
Extension transitionperiodes for MDR
On 20 Mar. 2023, the European Commission published Regulation (EU) 2023/607 extending the transitional periods for devices requiring a Notified Body for conformity assessment under Regulation (EU) 2017/745 (MDR).
UPDATE: On July 2023 the European Commission has additionally published a updated Q&A document on the extension of the timelines. The information can be found on the EC website:
The new regulation newly regulates the validity of AIMDD and MDD certificates and defines requirements for the first placing on the market of “legacy devices” (as per MDCG 2021-25), even if the validity of the underlying certificates according to the directive (MDD or AIMDD) has formally expired.
Overview of the changes:
- Extension of the transitional periods for the first placing on the market of devices based on certificates according to MDD or AIMDD, for all devices for which an application for certification (see below) according to MDR was submitted before the expiry of the MDD certificate until 31 Dec. 2027 (Class III and implantable devices Class IIb [with exceptions]) or until 31 Dec. 2028 (all other devices).
- Extension of the transition period for class I devices (MDD) that are classified higher under MDR until Dec. 31, 2028.
- Extension of transition period for Class III custom-made devices until Dec. 31, 2027.
For these devices (except custom-made devices), the manufacturer must have established a QM system according to MDR by 26 May 2024 at the latest. The second, essential prerequisite for being able to benefit from the extended timelines is a written contract between the manufacturer and the notified body for certification according to MDR (certification contract). This contract must be applied for at the latest before the expiry of the MDD certificate and must cover all products for which the extension of the transitional periods is to be claimed. The basis of the contract is the availability of the technical documentation in accordance with the requirements of the MDR.
In order to be able to submit an application for certification – either initial MDR certification or extension of the MDR certification for new device groups – we require a questionnaire (initial certification) or an amended list of medical devices (a notification of change alone is not sufficient). On this basis, we will provide you with an offer for certification. This offer is the basis for your application for certification and subsequently for the final certification contract. We will implement the requirements for the contract in such a way that, together with the application for certification, at least one complete technical documentation must be submitted for review in addition to the documentation of the QM system. The technical documentation according to MDR requirements for the other products covered by the certification contract must also be available at the time of application, but can be submitted for review at a later date according to an agreed plan.
In order to be able to issue the confirmation letter proposed by the EU Commission, a contract for the monitoring of the (formally expired) MDD certificates must also be concluded. On the basis of this communication this confirmation letter can be issued confirming that products may continue to be placed on the market with the CE mark and mdc’s identification number 0483. We are preparing the corresponding application procedure and will make them available as soon as possible.
Alternatively, the manufacturer (or his European authorized representative) can apply for an exemption according to Art. 97 MDR at the responsible market surveillance authority, this is independent of the status of the MDD certificates.
Another significant change is also the elimination of the sell-by period for medical devices and In- vitro Diagnostic Devices placed on the market under AIMDD, MDD and IVDD.
You can also find the text of the regulation at
https://eur-lex.europa.eu/legal-content/EN/TXT/HTML/?uri=CELEX:32023R0607
Surveillance of legacy devices under Article 120 of the MDR (MDCG 2022-4) and Article 110 (3) of the IVDR (MDCG 2022-15)
With the position papers MDCG 2022-4 and MDCG 2022-15, Notified Bodies are requested to identify relevant certificates (under Directive 93/42/EEC and 98/79/EC) which are subject to surveillance according to Article 120 (3) of the MDR or Article 110 (3) of the IVDR. The requirement for adequate surveillance of existing legacy devices1/2 by Notified Bodies is sharpened and should be reflected in the audit. This means that the following aspects will become a focus of the audit:
- Transition strategy to MDR / IVDR
- Assessment of (non-) significant changes according to MDCG 2020-3 or MDCG 2022-6
- Adjustments of the requirements according to Article 120 (3) of the MDR or Article 110 (3) of the IVDR in the QMS (including post-market surveillance (Annex III of the MDR / IVDR), market surveillance, vigilance and registration of economic operators and devices)
- Assess whether all appropriate processes related to post-market surveillance, including risk management and performance data, are included in the post-market surveillance plan
For manufacturers, in addition to maintaining the QM system, all requirements must be implemented or mapped.
1Products placed on the market under Article 120(3) of the MDR after the date of application of the MDR (26 May 2021) and until the end of the transitional period on 26 May 2024, provided that certain conditions are met.
2Products placed on the market under Article 110(3) of the IVDR after the date of application of the IVDR (26 May 2022) and until the end of the respective transitional period referred to in the second or third subparagraph of Article 110(3), provided that certain conditions are met.
MDR – EU Commission asks manufacturers for applications
In the new position paper MDCG 2022-11, which has been published by the European Commission, manufacturers are requested to submit their applications for certification under MDR early and completely.
Herewith MDCG considers the fact that according to an information by TEAM-NB, the European association of Notified Bodies for medical devices, a majority of the members reported that more than half of the applications have to be considered as incomplete, which means that the quality management documentation or the technical documentation is not in status, which allows an assessment.
It is mentioned that Notified Bodies may not be in a position to perform an assessment of all technical documentations until May 2024. Further the document clarifies that potential exceptional approvals by national Competent Authorities can only be performed if the products concerned are needed in the interest of public health, patient safety of patient health.
mdc fully supports this call for timely applications, which are complete and compliant based on the experience with the MDR made so far. Complete submissions should be made to mdc already in 2022 in order to maintain a chance for a certification until May 2024.
MDR-News: Validity of certificates / Market approach in Switzerland and Turkey
As of today (2021-05-26), Regulation (EU) 2017/745 on medical devices (MDR) represents the applicable legal framework for medical devices. This is supplemented by national laws (e.g. in Germany the MPDG or in Austria the MPG 2021). However, Directive 93/42/EEC (
MDD) is no longer applicable and has been superseded by the MDR (see news article dated May 18, 2021).
mdc has already been designated as a Notified Body according to MDR since 2020-04-25; thus we can continue to offer our customers the necessary certification for market access for medical devices!
Certificates according to Directive 93/42/EEC remain valid – for the period of validity indicated on the certificate! In this context, we would like to remind you that for placing medical devices of class III on the market, both a valid certificate on the quality assurance system (e.g. according to Annex II, without Section 4 MDD) and a valid certificate on the product design (e.g. according to Annex II, Section 4 MDD) are required. A certificate according to MDR (e.g. about the quality management system according to Annex IX, chapter II MDR) is not a sufficient substitute.
For the maintenance of MDD certificates under the MDR we refer to the news article of 08.03.2021.
Market Approach:
According to the latest information the customs agreements with Turkey could be adjusted in due time. This means that Turkish manufacturers can also continue to participate in the European market.
Due to the start of validity, some trade agreements between the EU and other states lose their validity. For example, the Mutual Recognition Agreement with Switzerland has not been extended, and Switzerland is considered a third country. This means that Swiss manufacturers need a European authorized representative, and must also indicate this on the labeling. Likewise, EU manufacturers must indicate a Swiss authorized representative based in Switzerland for export to Switzerland.
However, no transition periods have been defined, so these requirements apply to all products that are placed on the market for the first time after DOA (i.e. 26.05.2021, 0:00).
Already at the beginning of 2021, the United Kingdom has left the European Union, with far-reaching consequences for the market access of British manufacturers in the EU (necessity of a European Authorized Representative) as well as with consequences for EU manufacturers for the British market access (UKCA marking, at the latest from 30.06.2023), see also our news article from 28.01.2021.
Changes in procedures according to MDD due to date of application of MDR
The new MDR will replace the currently valid medical device directives (MDD and AIMDD) on May 26, 2021. A corresponding amendment to the German MPG is also available as the Medical Devices Amendment Act. The exact aspects of the MDR, which have to be checked in the context of surveillance procedures according to MDD, are for example presented in the transition rules in Art. 120 MDR. If these requirements are not met by a manufacturer after 25.05.2021, this constitutes a deviation from the applicable legal requirement. In particular, the requirements of Art. 120 (3) MDR are to be implemented in the QM system of a guideline manufacturer:
1. post-market surveillance (PMS).
2. vigilance (incident reporting)
3. registration of economic operators and products
1. Post-market surveillance (PMS)
To post-market surveillance MDR primary reference to the requirements on a PMS system laid out in Articles 83 to 86 MDR and Annex III MDR. The manufacturer shall plan the PMS system. For class I medical devices, a PMS report must be prepared if necessary; this report must be submitted to the market surveillance authority upon request (Art. 85 MDR). For higher class medical devices (IIa, IIb and III) a Periodic Safety Update Report (PSUR) shall be prepared (Art. 86 MDR); this shall be submitted to the Notified Body. Deadlines for regular updating and submission are specified depending on the risk class: annually for class III and IIb devices, every two years for class IIa devices. In addition to assessing the impact on the risk-benefit balance, these reports shall also include information on where the devices are placed on the market. Details on the content of the reports are specified in Articles 85 and 86 MDR.
2 Vigilance
Requirements on incident reporting have been tightened in Article 87 MDR. On the one hand, the Europe-wide standardized reporting deadlines replace the previous reporting deadlines:
- 2 days for serious risk to public health.
- Serious incident: Immediately, but no later than 15 days.
- Death or unforeseen serious deterioration of health: immediately, but no later than 10 days.
On the other hand, requirements for summary reporting (Periodic Summary Reporting – Art. 87 (9) MDR) as well as trend reporting (Art. 88 MDR) for expected adverse events or non-serious events are specified. As soon as the EUDAMED database is operational it shall be used for the reporting process.
3. Registration of economic operators and products.
Requirements for registration of products under the MDD are detailed in MDCG 2019-5. Registration of legacy devices shall be completed within 24 months (6 + 18 months) after availability of EUDAMED. However, in the case of incidents or field safety corrective actions (FSCA) reportable via the EUDAMED portal the registration has to be considered before the end of the transition period in order to facilitate the incident report. The obligation to register devices subsequently results in the obligation to register the respective manufacturer or authorized representatives according to national requirements. The general opinion is that the Responsible Person (Art. 15 MDR) must be implemented from the date of application of the MDR, i.e. from 25.05.2021.
Validity of directive certificates from the date of application of the regulation
For certificates according to Dir. 90/385/EEC (AIMDD) Dir.93/42/EEC (MDD) or Dir.98/79/EC (IVDD) the respective validity dates and conditions apply (e.g. connection between certificates according to Annex II.4 and the certificates according to Annex II without 4). However, after expiry of the transition periods to the MDR (2021-05-26) as well as to the IVDR (2022-05-26) certificates according to the directives (AIMDD, MDD and IVDD) can no longer be newly issued or amended. However, Art. 120 (3) MDR or Art. 110 (3) IVDR define that for maintaining the certificates of such products, no significant changes in design or intended purpose may be implemented. A substantial change after the end of the transition period to a product that is placed on the market on the basis of a certificate according to one of the two directives (MDD or IVDD) will result in void of the original certificate. i.e. the change and subsequently the entire product must be subjected to a certification procedure according to MDR. However, this does not affect the obligation to notify changes to the Notified Body. MDCG has published a guidance document (MDCG 2020-3) which sets out which changes are interpreted as “significant change” under the MDR. This document must be used as the basis for evaluating any change for impact on existing certification after the end of the transition period.
Extension of the Transitional Period for the IVDR in Accordance with Regulation (EU) 2024/1860
The adaptation of the transitional periods for the IVDR, published by the EU Commission in the form of Regulation (EU) 2024/1860, came into force on 9. July 2024 and is intended to give manufacturers and notified bodies more time to implement the requirements of the IVDR. The extended transitional periods apply exclusively to legacy devices with an existing conformity certificate or declaration of conformity and are again staggered according to the risk class of the legacy device:
• Risk class D and devices with a valid certificate under Directive 98/79/EC until 31 December 2027
• Risk class C: until 31 December 2028
• Risk class B and sterile devices of risk class A: until 31 Dezember 2029
The extension is subject to the following conditions:
1. These devices continue to comply with Directive 98/79/EC;
2. No significant changes have been made to the devices (according to MDCG 2022-06);
3. The devices do not pose an unacceptable risk to the health or safety of patients, users, or other persons, or to other aspects of health protection;
4. The manufacturer has established a quality management system according to Article 10(8) of the IVDR by 26 May 2025;
5. The manufacturer has submitted a formal application for conformity assessment to a notified body and has completed it by the following deadlines:
I. 26 May 2025 for risk class D devices
II. 26 May 2026 for risk class C devices
III. 26 May 2027 for risk class B devices
IV. fore the expiry of the certificate under Directive 98/79/EC for the relevant devices
Devices covered by a certificate according to Directive 98/79/EC will continue to be monitored by the notified body during this period. Regardless of these extensions, the requirements of the IVDR for post-market surveillance, market surveillance, vigilance, and the registration of devices and economic operators still apply to legacy devices.
The EU Commission has published a Q&A on practical aspects in parallel.
Basic UDI-DI and its assignment
The Basic UDI-DI is an important key in product documentation (e.g. certificates, technical documentation, vigilance notifications and PSUR, SS(C)P, etc.) and also serves as an access key to the product-related information in the European database for medical devices (EUDAMED). The Basic UDI-DI is a useful way of grouping several similar variants of a medical device.
Essential requirements for defining the Basic UDI-DI are listed in MDCG 2018-1 (currently Rev. 4). Only MDR requirements are addressed, but the guidance document is considered applicable for Regulation (EU) 2017/746 as well.These requirements must be taken into account:
The following data elements must be the same for all devices that are grouped together.
Requirements for grouping under the same Basic UDI-DI:
- Same manufacturer (name, address, SRN)
- Same risk class (in particular with regarding implantability, active medical device, special components such as drug component, materials of animal origin or substances, but also measuring function or whether it is a reusable surgical element)
- Same Medical Device Nomenclature Code (EMDN Code) – at least up to the fourth digit
- Same intended purpose
- Listed on the same product certificate, PSUR, SSCP (MP) or SSP (IVD)
- Same technical documentation (if applicable)
- Same essential design and manufacturing characteristics (if applicable)
For IVD, one Basic UDI-DI is assigned in particular for language and distribution variants (e.g. tests for self-testing in different countries for distributors with country-specific labelling) as well as packaging variants of the same product (e.g. 96-well or 128-well plates, multiple packaging).
In particular with regard to the same essential design and manufacturing characteristics, we would like to point out some aspects that typically lead to different Basic UDI-DIs for medical devices:
Binding provision of the German market surveillance authorities (AGMP) about the handling of declarations of conformity for legacy devices (according to 93/42/EEC and 98/79/EC)
At present, there is no need to request a current declaration of conformity, if there are no changes, in addition to the original declaration of conformity issued before the date of application of the MDR (26 May 2021) or IVDR (26 May 2022), with reference to Art. 120 MDR or Article 110 IVDR.
However, in the event of non-significant changes that require an amendment to the declaration of conformity (e.g. change of name, change of address), the existing declaration of conformity is supplemented by an addendum or annex in accordance with the directive.
This has now been clarified by the German market surveillance authorities (AGMP) and it is particularly pointed out that there may NOT be a new declaration of conformity according to MDD/ IVDD, but only a “supplement” (see above) to the declaration of conformity issued before 2021-05-26 (MDD)/ 2022-05-26 (IVDD), which clearly states the non-significant changes (e.g. also new product variants).