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Fundamental differences between drugs and medical devices

The table below comparing pharmaceuticals and medical devices is aimed at emphasizing the key differences between the two types of products, which explain and justify a differentiated regulatory approach

 

Medical Technologies and Devices Pharmaceutical Product
INDUSTRY INDUSTRY
Relatively young, very diverse industry Industry with long historical background
Industry is made up of a few large companies and a large number of small and medium-sized companies. Industry is comprised primarily of multinationals
PRODUCTS PRODUCTS
Generally based on mechanical, electrical and materials engineering Based on pharmacology and chemistry. Now encompassing biotechnology, genetic engineering, etc.
Designed to perform certain functions based on quality, safety and performance Product development by trial and selection on basis of quality, safety and efficacy
Generally act by physical means Biologically active:effective when absorbed into the human body
Continuous innovation and iterative improvements based on new science, technology and available materials Continuous innovation and some improvements based on new science and technology
Short product life cycle and investment recovery period (typically 18 months on the market) Extensive product life cycle and long investment recovery period
The majority of new products typically bring added functions and clinical value based on incremental improvements Long investment recovery period
High distribution and training education costs and requirement to provide service and maintenance (for high tech devices) Low distribution cost, and, in most cases, no service or maintenance
Often integral to clinical procedures, so user training and education are essential for safe and effective use Training required for use much less intensive than for high tech devices
REGULATION IN EUROPE REGULATION IN EUROPE
Regulation founded on the European “New Approach" Prescriptive approach: pre-market approval/licensing of individual product
Applicable processes depend on risk-category of devices  
Notified Bodies are appointed by governments to certify the conformity assessment procedures  
Improvements of medical devices often result from the feedback received from the users  

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