Manufacturers’
Responsibilities
As might be expected, a
manufacturer in charge of medical device production has a significant list of
responsibilities when he or she is seeking to conform to European Medical Device
Vigilance System guidelines. These responsibilities include the following:
-
Notify NCAs (National Competent
Authorities) when medical device incidents occur or in regards to field safety
corrective actions;
-
Ensure that field safety
corrective actions and incidents comply with reporting criteria
-
Investigate medical device
incidents;
-
Participate in the application of
corrective actions;
-
Communicate effectively with all
authorized representatives (who may be located in the EEA and/or in Switzerland)
in regards to incidents, MEDEV-5 guidelines and FSCAs (Field Safety Corrective
Actions);
-
Communicate with marketing and
additional agents in regards to transpired incidents;
-
Submit multiple reports for
incidents that encompass multiple devices (one for each device);
-
Communicate with “the notified
body advised of issues occurring in the post production phase affecting the
certification. This would include relevant changes derived from the vigilance
system;”
-
Provide reports according to the
methods assigned by the European Vigilance System even when medical devices have
ceased to be listed via the market;
-
Submit initial AND final reports
regarding medical device incidents;
-
Determine the relevance of
incidents that occur outside of the EEA and/or Switzerland on processes (etc.)
that occur within the EEA and/or Switzerland. When an incident is determined to
be relevant manufacturers should file a field safety corrective action;
-
Identify a point of contact
within Switzerland and the EEA where action can be taken if a manufacturer is
normally located outside of these areas.
Manufacturers’
Responsibilities: Identifying Incidents According to MEDDEV-5 Criteria
Since one of the primary
responsibilities of medical device manufacturers in regards to the European
Medical Device Vigilance System is to report incidents that meet specific
criteria, the MEDDEV-5 text divides the criteria into three parts:
-
“An Event has Occurred”
According to MEDDEV-5
criteria, an event has occurred when:
-
Device malfunctions affect the
ability of a device to perform;
-
Tests performed via a device
result in false conclusions;
-
Device promotes a patient
reaction that was unexpected;
-
Device promotes a side effect
that was unexpected;
-
A device has been destroyed;
-
A device has been abused or
degraded;
-
Therapy that relies on the device
has been offered inappropriately;
-
Medical device labels are not
accurate.
-
“The Device Contributed to the
Incident”
According to the MEDDEV-5
criteria a device contributed to an incident when healthcare professionals opine
that the device was related to the incident in question; a manufacturer opines
(after appropriate investigation) that the device was related to the incident in
question; incidents similar to the incident in question have occurred.
-
“The Event Could Have Resulted
in a Problem”
According to the MEDDEV-5
criteria, an event could have resulted in a problem when: the incident in
question could possibly have resulted in a death(s); the incident in question
could possibly have resulted in the deterioration of a patient’s health.
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