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TÜV SÜD I Vol. 3 October 2012



E-ssentials
Medical Devices | Technical industry e-news updates essential to your operations

  Editorial
  Dear Readers,
                                                                         South Korea facilitates
                                                                         approval
 “Desire to have things done quickly prevents them from being
  done thoroughly. Looking at small advantages prevents great
  affairs from being accomplished.”
  Around 2,500 years ago, China’s most famous philosopher                Changes for Medical Devices in classes I
  Confucius adeptly summarized what today is still the quintessence
  of human coexistence, as well as the core of business life in          and II, IVDs and third-party testing
  general and of our work with colleagues and authorities in Asia.
  Personally, as a European I had the pleasure of spending more than
  six years in Japan and Singapore, where I came to appreciate the
  Asian virtues. Given this, I am delighted to present you news from
  as many as three Asian countries in this newsletter: the focus is on
  South Korea, one of the most popular import markets in the world.
  Japan recently published a revision of its national standard JIS
  T 0601-1, while in Malaysia the new Medical Device Act (MDA)
  came into effect in October 2012.

  However, we can also report news from other areas. For example,
  we provide you with an overview of the transition periods of the
  IEC 60601-1 in various target markets. Or are you already familiar
  with our Med-Infos, our regular information bulletins for the
  Medical Device industry? In addition to the customary PDF format,
  they are now also available as e-books for your mobile devices.

  I hope you find our newsletter an interesting and informative read.    The Korea Food and Drug Administration (KFDA), a government agency of the
                                                                         Ministry of Health and Welfare (MOHW), has regulated the South Korean health
  Best regards,                                                          market since 1997. The basis for the approval of Medical Devices is the Medical
                                                                         Device Act (MDA) which lays down comprehensive requirements concerning their
  Dr. Peter Havel                                                        safety and effectiveness. The KFDA controls MDA implementation with the help
  Senior Vice President, Medical & Health Services Global                of detailed regulations and directives governing technical requirements, test
                                                                         procedures and processes. 2011 and 2012 saw wide-ranging new regulations come

  Contents                                                               into effect which makes approval easier for a large number of Medical Devices.


   South Korea facilitates approval	                             01      The approval process in South Korea in brief
                                                                         All suppliers who want to become active on the health market in South Korea must be
   Japan: transition period started!	                            04      approved by the KFDA. Foreign companies not located in South Korea cannot enter the
   Malaysia: new Medical Device Act	                             05      South Korean market directly or submit applications for the approval of Medical Devices
                                                                         there. Given this, they need to appoint an importer license holder in South Korea.
   3rd edition IEC/EN 60601-1 	                                  06
   Med-Infos now also available as e-books	                      09      Simple notification in class I
                                                                         In step one of the approval process, Medical Devices are categorized under one of four
   Sterile Medical Devices	                                      10      risk classes which are subject to different approval requirements. Devices in class I only
                                                                         need to be registered via the online notification system of KFDA. The KFDA reviews the
   MEDDEV 2.1/6: software	                                       11
                                                                         documentation of the Medical Devices and supplies an online certificate of Medical Device
   TÜV SÜD at MEDICA	                                            12      notification. Devices in classes II to IV require KFDA approval.

   ARAB HEALTH 2013 in Dubai	                                    12
Vol. 3 October 2012
 TÜV SÜD E-ssentials
                                                                                                                                                            Page 2




Technical documentation for devices in class II and higher                             Entering the South Korean market
The heart of the application for approval is the technical documentation.              From the manufacturers‘ perspective, the access to South
For most of class II Medical Devices, general technical documentation must             Korea‘s medical device market is relatively transparent and
be reviewed.                                                                           reasonable. Nevertheless, foreign companies in particular face
                                                                                       some administrative, cultural and language barriers.
For class II Medical Devices with at least three equivalents already approved
on the South Korean market, technical documentation review is waived.                  In a country where saying ”no“ is considered impolite and where people
In this case, equivalency has to be verified in intended use, operation principle      are partial to flowery language, cooperation with the authorities also
and used materials, performance, test specification and operation methods              differs from our familiar EU bureaucracy. The fact that applications for
etc. by a KFDA-registered laboratory.                                                  approval must be in Korean does not make matters easier. In addition,
                                                                                       not all new regulations are also published in English. Leaving approval
In cases involving new types of devices, a new technology, a new intended              solely in the hands of the Korean sales partner is a doubtful approach,
use for a class II device or devices in classes III and IV, the KFDA requires          since the application is critical for marketing products later on.
submission for a Safety and Efficacy Review (SER) – Technical File plus                Manufacturers who wish to keep control despite the language barrier
clinical studies.                                                                      are advised to take on board an impartial third party.

The technical documentation of class II Medical Devices is reviewed by                 Support by TÜV SÜD Korea
a KFDA-approved third-party organization. All other cases are reviewed                 TÜV SÜD has operated in Korea since 1992, maintaining offices in
directly by the KFDA.                                                                  Seoul and Busan and a testing laboratory in Guro, Seoul. The company
                                                                                       currently employs roughly 6 specialists in Medical and Health Services.
Test reports for Medical Devices in class II and higher                                Based on their abundant experience and in-depth knowledge of the
For Medical Devices in class II and higher, test reports on the function, safety       requirements applicable on the South Korean Market, the experts
and efficacy issued by KFDA-approved laboratories must be enclosed with all            support manufacturers in securing the necessary approvals. In addition
applications for approval. Own function tests carried out by manufacturers             to this, TÜV SÜD Korea is recognized by the KFDA as a third-party
that underwent a KGMP (Korean Good Manufacturing Practice) compliance                  organization for the review of technical documentation of all product
audit are accepted.                                                                    categories in class II.

(Korean) Good Manufacturing Practice Audit                                             You can find the website of TÜV SÜD Korea here. n
Medical Devices in classes II, III and IV and class I Medical Devices with
sterile or measuring function additionally require a (K)GMP compliance
audit. GMP certificates are valid for three years, while company and product
approvals are valid for an unlimited period of time as long as the product is
not modified.



Changes in the approval procedure 2011/12                                           4) GMP audits made easier
1) Regulations merged                                                               With effect from April 8, 2012, the GMP (Good Manufacturing Practice) audit
In April 2012, the separate regulations that governed review of the technical       is only required for 25 categories (formerly 39). The audit has been waived
documentation and approval were merged into a single regulation also                in cases involving minor changes to the product or class I Medical Devices,
including IVDs (in-vitro diagnostics) (KFDA Notification No. 2012-8). Within        with the exception of Medical Devices with sterile or measuring function.
the KFDA, an In-Vitro Diagnostic Medical Devices Task Force was set up.             For foreign manufacturers, an on-site GMP audit will be introduced in a
                                                                                    step-by-step approach. Starting with class IV devices in 2012, the audit will
2) Review by third parties now possible for the first time                          then also become mandatory in 2013 for devices in class III, and in 2014 for
In the past, the KFDA itself reviewed approval for all classes. Since February      class I and II Medical Devices with a measuring or sterile function. In the case
2011, KFDA-appointed third-party organizations have been able to carry out          of several production facilities, the site of the on-site audit is selected on
review for class II Medical Devices.                                                the basis of criteria including risk, import volume, PMS data etc. The GIP
                                                                                    audit for importers is dropped. (KFDA Notification No. 2012-12)
As in the past, review of the technical documentation of IVDs, new class II
Medical Devices and all Medical Devices in classes III and IV for which clinical    5)  VD Reagents are now partly regulated under Medical Device
                                                                                       I
study reports must be submitted are still carried out by the KFDA.                     scheme
                                                                                    IVD reagents to be used with IVD instruments – which have not been regulated
3) External test reports accepted                                                   for pre-market approval – are now regulated as Medical Devices. They are
Test reports issued by external laboratories have already been accepted since       classified under four classes. Product approval is required step by step from
February 2011, provided they are in compliance with KOLAS (Korean Laboratory        2012 for class IV, and will be mandatory for all classes in 2014. Technical
Accreditation Scheme, ISO 17025) and issued as CB or GLP Reports. Own               documentation review and GMP audit are required for approval. Technical
tests carried out by KGMP-certified manufacturers are also accepted.                documentation will be reviewed by KFDA directly.
Vol. 3 October 2012
 TÜV SÜD E-ssentials
                                                                                                                                                   Page 3




Web links:                                                                  Favorable indicators for the health market
You can find the introduction to the approval of Medical Devices in Korea   The term ”Miracle on the Han River“ is used by an amazed world to
here.                                                                       describe the breathtaking economic growth that South Korea has
The KFDA information portal in English is available here.                   experienced since 1954. South Korea is the only country in the world
                                                                            that has raised its national income 380-fold and its gross domestic
Current versions and directives:                                            product 750-fold in a mere 50 years – and that following a highly
Regulations:                                                                destructive war. Today, South Korea is one of the world‘s leading
Korean                                                                      economic nations, ranking 15th in the world by nominal gross domestic
English                                                                     product. The country‘s population is approaching the 50-million mark
Note: The English versions are not always up to date.                       but is ageing rapidly. Since 2005, the average age of the population has
                                                                            risen from 34.5 to 38.4 years. Improvement of medical care is one of
Directives:                                                                 the declared objectives of the Korean government. South Korea already
Korean                                                                      has the highest health spending of the four ”Asian Tigers“ (Hong Kong,
                                                                            Singapore, South Korea, Taiwan), and a further rise is expected over the
                                                                            next years. 55% of health expenditure is publicly financed.


                                                                            Import dominates the Medical Devices market
                                                                            South Korea is one of the most attractive export markets for the German

                                         contact                            Medical Devices industry. In 2008, the Medical Devices market already
                                                                            had an overall volume of USD 2.4 million – and it is still rising. In 2011,
                                         Georg Bauer                        in Korea 2,899 new Medical Devices were approved, a year-on-year
                                         	 89 5008-4143
                                          +49                               increase of 8.7 % compared to 2010; the top 3 were hearing aids (6.7%),
                                         @	
                                           georg.bauer@tuev-sued.de         tooth implants (3.8%) and soft contact lenses (2.5%). 51% of the new
                                                                            Medical Devices approved were imports. In general, European companies

                                         contact                            play a significant role in South Korea. The EU is the second biggest trading
                                                                            partner of South Korea after China, and the largest part of foreign
                                         Hye-Jeong Sohn                     investments is from the EU. Among the leading importing countries,
                                         	 2 32151-142
                                           +82                              Germany ranks second after the USA and before Japan. n
                                         @	hye-jeong.sohn@tuv-sud.kr
Vol. 3 October 2012
 TÜV SÜD E-ssentials
                                                                                                                                                         Page 4




Japan: transition period started!
JIS T 0601-1:2012 to become mandatory in 2017
Manufacturers wishing to sell their Medical Devices on the                        Testing in accordance with JIS T 0601-1:2012
Japanese market must prove by May 31, 2017 at the latest that their               TÜV SÜD Japan has already prepared for the new requirements and, parallel
products are in compliance with the Japanese industrial standard                  to the publication of JIS T 0601-1:2012 in Tokyo, has opened a new testing
JIS T 0601-1:2012. The 2012 revision of JIS T 0601-1 was published                laboratory where it will conduct safety and function tests in accordance
only recently. Now, the Japanese Ministry of Health, Labor and                    with the current requirements in the future. This includes tests related to
Welfare, MHLW, has defined a five-year transition period for its                  electrical safety, safe earthing, power loss, requirements related to the
implementation. In parallel, TÜV SÜD Japan opened a new laboratory                power source and air and creepage distances. n
where the safety tests required by the JIS T 0601-1:2012 standard
can be carried out in the future.

The safety standard JIS T 0601-1:2012
The Japanese standard JIS T 0601-1:2012, with the full title ”Medical                                                     contact
electrical equipment – Part 1: General requirements for basic safety and                                                  Kazuya Minamino

essential performance“, refers to the safety and function of medical electrical                                           	 663960228
                                                                                                                            +81

equipment and corresponds to the European standard IEC 60601-1:2005,                                                      @	kazuya.minamino@tuv-sud.jp

3rd edition. The standard is one in a series of provisions which, in accordance
with the Japanese Pharmaceutical Affairs Law, J-PAL, represent the
requirements for approval in the Japanese market.

Transition by 2017
JIS T 0601-1:2012 applies to all manufacturers of medical electrical
equipment, not only those of international origin. Until the end of the
transition period in 2017, all manufacturers can apply for Japanese market
approval in accordance with the JIS T 0601-1:1999 standard valid so far or
the new JIS T 0601-1:2012 standard. However, manufacturers who wish to
sell their products beyond May 31, 2017 must ensure that their devices will
be in conformance with the revised standard by then.
Vol. 3 October 2012
 TÜV SÜD E-ssentials
                                                                                                                                                          Page 5




Malaysia: new Medical Device Act
Implementation gains momentum
                                                                                   Short transition periods up to 2013/14
                                                                                   The Medical Device Act became effective in October 2012. The Act will
                                                                                   presumably grant a two-year transition period for the approval of devices, up
                                                                                   to October 2014. Manufacturers importing or placing on the market unapproved
                                                                                   Medical Devices after this date will face severe fines of up to MYR 200,000
                                                                                   (around USD 64,000). Plans provide for the licensing of the companies to be
                                                                                   completed one year earlier, in October 2013.

                                                                                   The Medical Device market in Malaysia
                                                                                   The new Medical Device Act is an important milestone in Malaysia‘s
                                                                                   development, which is striving to obtain the status of a fully developed
                                                                                   industrialized country by 2020. Given this, the parliament of Malaysia has
                                                                                   made an important step towards improving the country‘s healthcare and
                                                                                   expanding its healthcare system. The Medical Device Act is expected,
                                                                                   among other things, to remove low-quality products from the market and
One year ago, the Malaysian government introduced legal regulations                strengthen quality-aware suppliers. Malaysia‘s health spending amounted
governing approval on the Medical Device market. The Medical Device                to an estimated USD 10.3 billion in 2010, and market analysts expect this
Act of October 3, 2011 is considered a milestone in healthcare, defining           figure to rise to around USD 19.0 billion by 2015. The five ASEAN countries –
the requirements for the licensing of companies and the safety and                 Malaysia, Thailand, Indonesia, the Philippines and Singapore – spend almost
function of technical Medical Devices. The new Act came into effect                10% of their annual health budget on Medical Devices and equipment.
in October 2012, finally providing the Medical Device industry with a              The annual sales revenue of Malaysia‘s Medical Device market reached
clear picture of the requirements they will have to meet in the future.            USD 1.3 million.

Act No. 737: approval of companies and devices                                     Gain approval with TÜV SÜD Malaysia
The Medical Device Act comprises two laws. Act No. 737, also referred to           TÜV SÜD Malaysia applied for approval as Conformity Assessment Body
as the ”Medical Device Act of 2012“, includes the requirements governing           (CAB) with the Medical Device Authority and has already been included in
the conditions and prohibitions for the sale of Medical Devices. All companies,    the list of assessment bodies. As soon as approval becomes official,
including manufacturers, importers, authorized representatives and                 TÜV SÜD can offer all conformity assessments in accordance with the
distributors, must first obtain a market license. In the future, all Medical       new Medical Device Act No. 737. TÜV SÜD also offers audits for company
Devices – including bandages and dressings, condoms and syringes but also          approval in accordance with the ISO 13485 standard for manufacturers and
high-tech equipment such as magnetic resonance tomographs – will have              in accordance with the ”Malaysia Good Distribution Practice of Medical Device“
to be approved by a Conformity Assessment Body, CAB. The act provides              (GDPMD) for importers, authorized representatives and distributors.
for risk-based classification and registration and establishes safety- and
function-related requirements. In addition, Act No. 737 governs CAB approval.      The information by the Malaysian Health Ministry is available here. n

Act No. 738: Regulation by the Medical Device Authority
Act No. 738, also referred to as the ”Medical Device Authority Act of 2012“
and published parallel to Act No. 737, defines that the Medical Device Authority
(MDA) will be in charge of monitoring the implementation of the new
requirements. The organizational structure and responsibilities of the MDA
are comparable to that of the FDA in the United States, the corresponding

                                                                                                                             contact
regulatory authorities in the EU or the TGA in Australia. The MDA will take
all measures that are necessary to implement the Act, regulates approval,
develops specific regulations governing the pre-marketing, placement on                                                      Paul Tan
market and post-marketing of Medical Devices, and monitors compliance                                                        	 6885-1270
                                                                                                                               +65
therewith.                                                                                                                   @	paul.tan@tuv-sud-psb.sg
Vol. 3 October 2012
 TÜV SÜD E-ssentials
                                                                                                                                                                              Page 6




3rd edition IEC/EN 60601-1
When and where the 3rd edition will come into effect – a global overview
For the manufacturers of Medical Devices, knowing when the                                            both the development and certification of their products. To provide
3rd edition of the IEC 60601-1 standard will come to replace the                                      you with a quick and compact overview, we have prepared a list of
2nd edition in the individual target markets is important as it concerns                              the various transition periods that apply worldwide.


           3rd edition IEC/EN 60601-1
           Global overview: When and where does the 3rd edition come into effect?

           Individual transition periods* in the various target markets



             2010 2011                    2012                   2013                        2014               2015                 2016               2017




            October 1, 2010                      June 1, 2012           June 1, 2013 January 1, 2014                                                           May 31, 2017
            EU                                   EU                     EU           Brazil                                                                    Japan
            Expiry of transition period          Expiry of              Expiry of
            for ultrasonic medical               transition period      transition
            diagnostic and monitoring            for Medical            period for
            equipment in accordance              Devices not            X-ray
            with EN 60601-2-37:2008              governed by a          equipment for
                                                 part 2 standard        interventional
                                                                        procedures in
                                                 Canada – Health        accordance
                                                                        with EN 60601-
                                                 Canada
                                                                        2-43:2010
                                                 Expiry of
                                                 transition
                                                 period for initial     June 30, 2013
                                                 certification          USA – FDA
                                                 without part 2         Expiry of
                                                                        transition
                                                                        period for initial
                                                                        certifications


The above figure summarizes the transition periods in the individual target markets in the form of a timeline.


  Region/ figure only includes data that have been officially confirmed.
                             Effective                          Acceptance of
       * The
                                                                                                       Transition period                         Further information
  country                    (today)                            3rd edition
             TÜV SÜD Product Service GmbH
  EU                           2nd Ed.             Yes                                              The transition period for               http://ec.europa.eu/enterprise/
                               3rd Ed.             Note: Applicable part 2                          Medical Devices without                 policies/european-standards/
                                                   and collateral standards                         an applicable part 2 standard           documents/harmonised-standards-
                                                   should be used along                             expired on June 1, 2012.                legislation/list-references/medical-
                                                   with the correct edition                         Applicable part 2 standards             devices/index_en.htm
                                                   of the general standard.                         can change the transition
                                                                                                    period in both directions.
                                                                                                    Example:
                                                                                                    The transition period for
                                                                                                    ultrasonic equipment in
                                                                                                    accordance with the
                                                                                                    EN 60601-2-37:2008 standard
                                                                                                    already expired on
                                                                                                    October 1, 2010.
                                                                                                    However, the transition
                                                                                                    period for interventional
                                                                                                    X-ray systems in accordance
                                                                                                    with EN 60601-2-43:2010 will
                                                                                                    not expire until June 1, 2013.
Vol. 3 October 2012
  TÜV SÜD E-ssentials
                                                                                                                                                    Page 7




   Region/                       Effective                Acceptance of
                                                                                       Transition period                 Further information
   country                       (today)                  3rd edition

   USA – FDA                    2nd Ed.                   Yes                       The transition period for       http://www.accessdata.fda.gov/
                                3rd Ed.                                             new submissions ends on         scripts/cdrh/cfdocs/cfStandards/
                                                                                    June 30, 2013.                  detail.cfm?standard__identification_
                                                                                    Whether this also applies       no=30270
                                                                                    to safety-relevant changes
                                                                                    to 2nd Ed. Medical Devices
                                                                                    is unclear at present.

   Canada –                     2nd Ed.                   Yes                       The transition period for       http://www.hc-sc.gc.ca/dhp-mps/
   Health Canada                3rd Ed.                                             new submissions without         md-im/standards-normes/notice_
                                                                                    part 2 standards expires on     iec_60601_avis-eng.php
                                                                                    June 1, 2012.
                                                                                    Part 2 standards extend
                                                                                    their transition period by up
                                                                                    to 3 years from the date of
                                                                                    publication.

   Japan                        2nd Ed.                   Yes                       May 31, 2017                    http://www.tuv-sud.jp/infoservice/
                                3rd Ed.                   Since June 1, 2012 as                                     pdf/20120601_06011_t601.pdf
                                                          JIS T 0601-1:2012

   Brazil                       2nd Ed.                   Yes                       January 1, 2014                 http://www.brasilsus.com.br/
                                                                                                                    legislacoes/anvisa/108530-3.html

   Russia                       2nd Ed.                   Yes, as                   Unknown                         http://www.standards.ru/
                                3rd Ed.                   ГОСТ Р МЭК                                                document/4583734.aspx
                                                          60601-1-2010

   IECEE –                      2nd Ed.                   Yes                       No specific date known.         http://dom5.iec.ch/iecee/
   CB scheme                    3rd Ed.                                             Several years expected.         ieceemembers.nsf/IECEEScopeIn
                                                                                                                    StandardByCat?ReadFormPC=MED

   USA – NRTL                   2nd Ed. +                 Unknown.                  Unknown                         http://www.osha.gov/dts/otpca/nrtl/
                                UL60601-                  The main concerns of                                      allstds.html
                                1:2003                    the OSHA regard the
                                                          risk management concept
                                                          in the ANSI/AAMI
                                                          ES60601-1:2005 standard

   Canada –                     2nd Ed. +                 Unknown                   Unknown                         http://www.ccohs.ca/
   NRTL                         CAN/CSA-                  (as CAN/CSA-C22.2
                                C22.2                     No. 60601-1-08)
                                No. 601.1-
                                M90:2003


   China – SFDA                 2nd Ed.                   Unknown                   Unknown                         http://eng.sfda.gov.cn/WS03/
                                                                                                                    CL0757/62136.html
                                                                                                                    (GB 9706.1-2007 = 2Ed + A1+A2
                                                                                                                    since July 1, 2008)

* The table only includes data that have been officially confirmed.
Vol. 3 October 2012
 TÜV SÜD E-ssentials
                                                                                                                                                          Page 8




Part 2 standards decisive for transition period                                       he following problems may arise when the transition period
                                                                                      T
In the European Union, the use of harmonized standards is recommended,                has already expired:
but is not absolutely necessary to furnish evidence of compliance with the
Essential Requirements (ER). According to the Medical Device Directive, the         	  edical Devices approved in accordance with the 2nd edition
                                                                                    nM
following transition periods have been defined for the EN 60601-1 standard:           can no longer be placed on the European market unless
a)  or medical electrical equipment (MEE) without applicable part 2 standard
   F                                                                                  manufacturers can furnish impartial evidence that their
   until June 1, 2012                                                                 devices are in compliance with the essential requirements
b)  or MEE with applicable part 2 standard until the date defined in the EN
   F                                                                                  of the MDD 93/42/EEC. The assumption of compliance
   part 2 standard. For example: EN 60601-2-37:2008 establishes that the              with the essential requirements is based on the use of
   transition period ends on October 1, 2010.                                         valid harmonized standards, in this case the 3rd edition.
                                                                                      Given this, delta testing and assessment (2Ed  3Ed)
In this context, please note that                                                     will be required.
EN ISO 80601-2-XX, EN IEC 80601-2-XX and any EN ISO XXXXX such as                     Further information on this issue is available in ZLG-Papier 3.5 A1.
EN ISO 15004-1:2009, which
n are listed in the Official Journal of the European Union, and                   	n  any manufacturers of Medical Devices are anticipated to require
                                                                                     M
n  re based on the 3rd edition of EN 60601-1:2006, i.e. IEC 60601-1:2005
   a                                                                                 delta testing and assessment at the same time. This may lead to long
will be treated as part 2 standards. Consequently, their transition period will      waiting times in testing laboratories. Given this, we recommend that
also change.                                                                         manufacturers contact TÜV SÜD Product Service, which is a Notified
                                                                                     Body (NB), Certification Body Test Laboratory (CBTL) and Nationally
                                                                                    Recognized Test Laboratory (NRTL), at an early stage in the process.

                                                                                  Further information about the transition from 2nd to 3rd edition within the
                                                                                  scope of CE marking can be found here. n



                                                                                                                             contact
                                                                                                                             Martin Schneeberg
                                                                                                                             	 89 5008-4476
                                                                                                                               +49
                                                                                                                             @	martin.schneeberg@tuev-sued.de
Vol. 3 October 2012
 TÜV SÜD E-ssentials
                                                                                                                                                Page 9




Med-Infos now also available as e-books
From November onwards, up to date information on the go
From November 2012 onwards, TÜV SÜD‘s most important Med-Infos            ”Clinical Affairs“, ”International Affairs“ and ”Further Services.“ At
will be available in epub format in addition to pdf format. Users can     present, 33 Med-Infos are available on a wide variety of subjects, such
thus read the texts on all iOS and Android mobile devices at any time.    as ”Introduction to Korean Medical Device Regulations“. The specialist
In contrast to pdf-files, the new format allows digital publication       information newsletters are free and updated at regular intervals; they
text to reflow according to screen size and adapt dynamically to the      can be downloaded from www.tuev-sued.de/medinfo – effective this
individual settings of e-book reader apps. Given this, the specialist     November both as pdf-files and epub-files.
information newsletter can now also be optimally displayed on
smartphones and tablet devices.                                           As a special service for MEDICA visitors, between November 14 and 17, 2012
                                                                          you can conveniently download all Med-Infos available in epub format to
In their Med-Infos, TÜV SÜD‘s experts summarize current and relevant      your smartphone or tablet computer at the TÜV SÜD stand by scanning in
information from the following categories: ”Standards  EU Guidelines“,   the QR code.




                                                                          The following Med-Infos will be available as epub version
                                                                          from November on:

                                                                          Standards  EU Guidelines
                                                                          n  ouncil Directive 93/42/EEC
                                                                            C
                                                                          n VD Directive 98/79/EC
                                                                            I
                                                                          n EC 60601-1:2005: 3rd Edition
                                                                            I
                                                                          n Transition from 2nd Edition to 3rd Edition of IEC/EN 60601-1:2005
                                                                            
                                                                          n  sability of Medical Devices
                                                                            U

                                                                          International Affairs
                                                                          n Globalization of Medical Device Approval
                                                                             
                APPS OHNE DOWNS                                           n FDA 510(k)
                                                                             
                   GESICHERTE MARKTERFOLGE                                n Access USA and Canada
                                                                             
                   MIT UNSEREN BEGLEITENDEN                               n Access Russian Federation (GOST)
                                                                             
                           SERVICES
                                                                          n Access Australia
                                                                             
                            START                                         n  hinese Approval for MD
                                                                             C

                                                                          Further Services
                                                                          n Medical Device Software
Vol. 3 October 2012
 TÜV SÜD E-ssentials
                                                                                                                                                       Page 10




Sterile Medical Devices
Useful checklists for the certification of Medical Devices




Detailed checklists support manufacturers in the certification of                 n Steam sterilization
sterile and reprocessable Medical Devices. Using these checklists                 n Design of sterile packaging and validation of the packaging process
as a basis, manufacturers can prepare for the certification of their              n Reprocessing of Medical Devices
Medical Devices in a well-structured and efficient manner and
check the completeness of their documentation point by point.                     Many advantages for manufacturers
The ”Submission Forms“ thus ensure maximum transparency,                          The Submission Forms have a clear layout providing simple and complete
saving manufacturers time and money.                                              technical documentation for large and small manufacturers of Medical Devices.
                                                                                  This is an important aspect, as missing data result in lengthy and costly
Certification requirements in a nutshell                                          certification procedures. The Submission Forms supply manufacturers
TÜV SÜD‘s experts prepared lists for five areas and presented the various         with an overview of all data, saving time and money.
applicable requirements in easy-to-understand questions. The experts
took great care to keep the individual questions as simple as possible.           The completed checklists not only support preparation for the certification
Manufacturers that require more in-depth information will find a reference        procedure, but are also useful for internal evaluation and documentation:
to the relevant section of the related harmonized standard in the same line.      thanks to the simple structure of the data, overlapping certification
                                                                                  requirements become evident at first sight, permitting manufacturers to
Manufacturers can enter the required evidence (section data) and references       use the already available data. Duplication of data entry thus becomes a
to the related sources of information (including name and page of the document)   thing of the past.
directly in the checklist. By adopting this approach, they gain a good overview
of the certification process and can quickly review the required data for         The use of these checklists is not mandatory but an optional service
completeness.                                                                     provided by TÜV SÜD for a simple and transparent certification process.

The Submission Forms point out, for example, that full documentation of           Order information
the completed test cycles is required and must be prepared. Manufacturers         The Submission Forms can be ordered from Dr. Jan Havel, for a one-time
must also describe the validation of their microbial methods and provide the      fee of EUR 3,000 per Submission List. n
maximum microbial count up to which the sterilization process can still be

                                                                                                                           contact
commenced.

Submission Forms are available in the following areas:                                                                      Dr. Jan Havel
n EO sterilization                                                                                                          	 89 5008-4376
                                                                                                                              +49
n Radiation sterilization                                                                                                  @	jan.havel@tuev-sued.de
Vol. 3 October 2012
 TÜV SÜD E-ssentials
                                                                                                                                                  Page 11




MEDDEV 2.1/6: software
Apps and stand-alone software: when is software a Medical Device?




Is a medical app enough to turn a smartphone into a Medical                     n  ommunication systems for general e-mail, mobile and video communication
                                                                                  C
Device? This and other questions related to the classification of               n Video software for teleconsulting between clinic and patient
stand-alone software are broadly discussed within the scope of the
Medical Device Directive (MDD) 93/42/EC, which is very vague in                 However, software products may be classified as Medical Devices
many of these areas. The new guidance MEDDEV 2.1/6 issued by the                in the following cases:
European Commission provides more clarity, supplying additional                 n  ecision support software. This includes systems which combine
                                                                                   D
criteria, decision diagrams and numerous practical examples.                       medical knowledge databases and algorithms with patient-specific data
                                                                                   and software products that provide recommendations for diagnosis,
MEDDEV 2.1/6 now provides manufacturers and notified bodies with initial           prognosis, monitoring and treatment of individual patients
further assistance for the classification of stand-alone software as non-       n  oftware which generates alarms based on the observation and analysis
                                                                                   S
binding guidance. After all, the correct classification of products is one of      of patients‘ physiological parameters
the obligations for manufacturers.                                              n  elesurgery systems, for example, for conducting a surgical procedure
                                                                                   T
                                                                                   from a remote location
MEDDEV 2.1/6 includes two decision diagrams from which users can establish
whether, firstly, software must be regarded as a Medical Device falling under   The entire MEDDEV 2.1/6 guideline (in English) plus decision diagrams and
the European Medical Device Directive MDD, and, secondly, whether it also       further examples is available for download here. n
falls under the IVDD (In-vitro Diagnostic Directive 98/79/EC).

In addition, the guideline presents and explains various cases.

The following stand-alone software products, for example, need
not be classified as Medical Devices:
n  ospital information systems for tasks such as patient admission,
  H
  scheduling patient appointments, insurance, billing and general patient
  management                                                                                                            contact
n  eneral information systems used to store, archive and transfer data.
  G                                                                                                                     Dr. Markus Wagner
  However, if the software is used with additional modules, these modules                                               	 89 5008-4169
                                                                                                                          +49
  might qualify as Medical Devices in their own right.                                                                  @	markus.wagner@tuev-sued.de
Vol. 3 October 2012
 TÜV SÜD E-ssentials
                                                                                                                                                     Page 12




TÜV SÜD at MEDICA
International team will meet you in Duesseldorf, Germany
TÜV SÜD will present itself at the MEDICA trade fair in Duesseldorf,             MEDICA
Germany, from November 14 to 17, 2012. Specialists from various                  MEDICA, the world‘s largest medical fair, takes place in Duesseldorf,
areas such as active Medical Devices, non-active Medical Devices,                Germany, every October. There, MedTech manufacturers from all over the
in-vitro diagnostics, international approvals etc. will be available             world meet and present the whole bandwidth of new products, services and
at our Booth B05 in Hall 10. In addition, colleagues from countries              procedures in out-patient and in-patient care.
including China, Korea and the USA will bring you the latest updates
from their countries. Medical Device manufacturers will thus have
the opportunity of informing themselves in depth about TÜV SÜD‘s                                          November 14 to 17, 2012, Duesseldorf
global certifications and services. A lecture series is also planned                                      Hall 10, Booth B05
at the trade show.                                                                                        www.medica.de n

Focal themes at MEDICA
This year, the TÜV SÜD team will focus on four topical themes:
n	 evision of the European Medical Device Directive (MDD)
  R
n	 uropean In-vitro Diagnostics Directive (IVDD)
  E
n	EC 62304 – Medical Device software – software life cycle processes
  I
n	 mendment 1 IEC 6060-1 3rd Edition
  A

The international experts will answer your questions in personal                                                        contact
discussions. We will be happy to make an appointment with you:                                                          Ralph Urbanek
www.tuev-sued.de/ps/medica2012                                                                                          	 89 5008-4315
                                                                                                                         +49
We will provide you with a day ticket to the trade show for the day of                                                  @	
                                                                                                                          ralph.urbanek@tuev-sued.de
your appointment.



ARAB HEALTH 2013 in Dubai
TÜV SÜD goes east
The increasing numbers of patients from the Arab world in western
health facilities show that the Arab and European health industries
have grown very close. In January, the industry‘s focus will turn to
the east when the 38th ARAB HEALTH opens its doors in Dubai.
TÜV SÜD will be represented by a stand in the German pavilion.
                                                                                 January 28 to 31, 2013, Dubai
ARAB HEALTH, the world‘s oldest health exhibition, takes place every             German Pavilion
year in Dubai. 3,500 exhibitors from 142 countries present their products        www.arabhealthonline.com n
and services over a total floor space of 47,000 sqm. In 2012, the exhibition
plus congress counted 83,278 visitors. Most visitors come from the United
Arab Emirates, their neighboring regions and India. Norbert Stuiber, who                                                contact
specializes in the approval of Medical Devices in Saudi Arabia, and colleagues                                          Norbert Stuiber
from TÜV SÜD‘s branch office in Al-Jubail (Saudi Arabia) will jointly present                                           	 89 5008-4144
                                                                                                                          +49
the entire service portfolio with a focus on active Medical Devices.                                                    @	norbert.stuiber@tuev-sued.de
Vol. 3 October 2012
 TÜV SÜD E-ssentials
                                                                                                                                                                                               Page 13




           Med-Info
                                                                                   Update
           International expert information
           for the Medical Device industry                                         October 2012


Standards  EU Guidelines                                           n  D utilizing material of animal origin
                                                                       M                                                                 Further Services
n  ouncil Directive 93/42/EEC
  C                                                                 n Biological Safety
                                                                                                                                         n Quality Management in Dialysis
                                                                                                                                            
n Revision of MDD 93/42/EEC
                                                                   n  ools for tissue engineering
                                                                       T                                                                  n EN 60601-2-5 Therapeutic ultrasound devices
                                                                                                                                            
n VD Directive 98/79/EC
  I                                                                 n  dvanced Therapy Medicinal Products
                                                                       A                                                                  n  N 60601-2-37 Diagnostic ultrasound devices
                                                                                                                                            E
n EC 60601-1:2005: 3rd Edition
  I                                                                 n Biological Evaluation
                                                                                                                                         n Medical Device Software
                                                                                                                                            
n Transition from 2nd Edition to 3rd Edition of
  
  IEC/EN 60601-1:2005                                               International Affairs
n Design Dossiers
                                                                   n Globalization of Medical Device Approval
                                                                       
n  sability of Medical Devices
  U                                                                 n FDA 510(k)
                                                                                                                                        Partially available also in German
n  ransition to EC Directive 2007/47/EC
  T                                                                 n Access USA and Canada
                                                                       
                                                                    n Korea
                                                                                                                                        Download our free information from
Clinical Affairs                                                    n  AL – MHLW Movement
                                                                       P                                                                 www.tuev-sued.com/medinfo. n
n  linical Data Requirements for EC Certificate
  C                                                                 n Japanese PAL
                                                                       
  Extension                                                         n  AL – Change application and notification
                                                                       P
n Clinical Data Requirements in Era of 2007/47/EC
                                                                   n PAL – Fundamental Info
                                                                       
n Assessment of Medical Devices
                                                                   n Access Russian Federation (GOST)
                                                                       
  Incorporating Material of Animal Origin                           n Access Australia
                                                                       
n Human Blood Derivatives
                                                                   n  hinese Approval for MD
                                                                       C




Your Medical Device contacts worldwide
Germany                                       Italy                                          United Kingdom                               USA                                 Asia-Pacific
TÜV SÜD Product Service GmbH                  TÜV Italy S.r.l.                               TÜV SÜD Product Service Ltd.                 TÜV SÜD America Inc.                TÜV SÜD PSB Pte. Ldt.
Ridlerstrasse 65                              Via Isonzo, 61                                 Octagon House, Concorde Way                  10 Centennial Drive                 1 Science Park Drive
80339 Munich                                  40033 Casalecchio di Reno (BO)                 Segensworth North                            Peabody, MA 01960                   Singapore 118221
+49 89 5008-4358                              +39 051 298-7411                               Fareham – Hampshire PO15 5RL                 +1 978 5732500                      +65 6778 7777
                                                                                             +44 1489 558217

Or by e-mail to info@tuev-sued.de



DISCLAIMER
All reasonable measures have been taken to ensure the quality, reliability, and accuracy of the information in this newsletter. However, TÜV SÜD is not responsible for the third-party content contained
in this newsletter. TÜV SÜD makes no warranties or representations, expressed or implied, as to the accuracy or completeness of information contained in this newsletter.
This newsletter is intended to provide general information on a particular subject or subjects and is not an exhaustive treatment of such subject(s). Accordingly, the information in this newsletter is
not intended to constitute consulting or professional advice or services. If you are seeking advice on any matters relating to information in this newsletter, you should – where appropriate – contact us
directly with your specific query or seek advice from qualified professional people.
The information contained in this newsletter may not be copied, quoted, or referred to in any other publication or materials without the prior written consent of TÜV SÜD.
All rights reserved © 2012 TÜV SÜD.
PHOTO CREDITS
Page 1: KROMKRATHOG; Page 4: cofkocof; Page 5: wong yu liang; Page 9: Kraska; Page 10: jannoon028; Page 11: watcharakun; all photos from shutterstock.com

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Medical Devices E-ssential_october_2012

  • 1. TÜV SÜD I Vol. 3 October 2012 E-ssentials Medical Devices | Technical industry e-news updates essential to your operations Editorial Dear Readers, South Korea facilitates approval “Desire to have things done quickly prevents them from being done thoroughly. Looking at small advantages prevents great affairs from being accomplished.” Around 2,500 years ago, China’s most famous philosopher Changes for Medical Devices in classes I Confucius adeptly summarized what today is still the quintessence of human coexistence, as well as the core of business life in and II, IVDs and third-party testing general and of our work with colleagues and authorities in Asia. Personally, as a European I had the pleasure of spending more than six years in Japan and Singapore, where I came to appreciate the Asian virtues. Given this, I am delighted to present you news from as many as three Asian countries in this newsletter: the focus is on South Korea, one of the most popular import markets in the world. Japan recently published a revision of its national standard JIS T 0601-1, while in Malaysia the new Medical Device Act (MDA) came into effect in October 2012. However, we can also report news from other areas. For example, we provide you with an overview of the transition periods of the IEC 60601-1 in various target markets. Or are you already familiar with our Med-Infos, our regular information bulletins for the Medical Device industry? In addition to the customary PDF format, they are now also available as e-books for your mobile devices. I hope you find our newsletter an interesting and informative read. The Korea Food and Drug Administration (KFDA), a government agency of the Ministry of Health and Welfare (MOHW), has regulated the South Korean health Best regards, market since 1997. The basis for the approval of Medical Devices is the Medical Device Act (MDA) which lays down comprehensive requirements concerning their Dr. Peter Havel safety and effectiveness. The KFDA controls MDA implementation with the help Senior Vice President, Medical & Health Services Global of detailed regulations and directives governing technical requirements, test procedures and processes. 2011 and 2012 saw wide-ranging new regulations come Contents into effect which makes approval easier for a large number of Medical Devices. South Korea facilitates approval 01 The approval process in South Korea in brief All suppliers who want to become active on the health market in South Korea must be Japan: transition period started! 04 approved by the KFDA. Foreign companies not located in South Korea cannot enter the Malaysia: new Medical Device Act 05 South Korean market directly or submit applications for the approval of Medical Devices there. Given this, they need to appoint an importer license holder in South Korea. 3rd edition IEC/EN 60601-1 06 Med-Infos now also available as e-books 09 Simple notification in class I In step one of the approval process, Medical Devices are categorized under one of four Sterile Medical Devices 10 risk classes which are subject to different approval requirements. Devices in class I only need to be registered via the online notification system of KFDA. The KFDA reviews the MEDDEV 2.1/6: software 11 documentation of the Medical Devices and supplies an online certificate of Medical Device TÜV SÜD at MEDICA 12 notification. Devices in classes II to IV require KFDA approval. ARAB HEALTH 2013 in Dubai 12
  • 2. Vol. 3 October 2012 TÜV SÜD E-ssentials Page 2 Technical documentation for devices in class II and higher Entering the South Korean market The heart of the application for approval is the technical documentation. From the manufacturers‘ perspective, the access to South For most of class II Medical Devices, general technical documentation must Korea‘s medical device market is relatively transparent and be reviewed. reasonable. Nevertheless, foreign companies in particular face some administrative, cultural and language barriers. For class II Medical Devices with at least three equivalents already approved on the South Korean market, technical documentation review is waived. In a country where saying ”no“ is considered impolite and where people In this case, equivalency has to be verified in intended use, operation principle are partial to flowery language, cooperation with the authorities also and used materials, performance, test specification and operation methods differs from our familiar EU bureaucracy. The fact that applications for etc. by a KFDA-registered laboratory. approval must be in Korean does not make matters easier. In addition, not all new regulations are also published in English. Leaving approval In cases involving new types of devices, a new technology, a new intended solely in the hands of the Korean sales partner is a doubtful approach, use for a class II device or devices in classes III and IV, the KFDA requires since the application is critical for marketing products later on. submission for a Safety and Efficacy Review (SER) – Technical File plus Manufacturers who wish to keep control despite the language barrier clinical studies. are advised to take on board an impartial third party. The technical documentation of class II Medical Devices is reviewed by Support by TÜV SÜD Korea a KFDA-approved third-party organization. All other cases are reviewed TÜV SÜD has operated in Korea since 1992, maintaining offices in directly by the KFDA. Seoul and Busan and a testing laboratory in Guro, Seoul. The company currently employs roughly 6 specialists in Medical and Health Services. Test reports for Medical Devices in class II and higher Based on their abundant experience and in-depth knowledge of the For Medical Devices in class II and higher, test reports on the function, safety requirements applicable on the South Korean Market, the experts and efficacy issued by KFDA-approved laboratories must be enclosed with all support manufacturers in securing the necessary approvals. In addition applications for approval. Own function tests carried out by manufacturers to this, TÜV SÜD Korea is recognized by the KFDA as a third-party that underwent a KGMP (Korean Good Manufacturing Practice) compliance organization for the review of technical documentation of all product audit are accepted. categories in class II. (Korean) Good Manufacturing Practice Audit You can find the website of TÜV SÜD Korea here. n Medical Devices in classes II, III and IV and class I Medical Devices with sterile or measuring function additionally require a (K)GMP compliance audit. GMP certificates are valid for three years, while company and product approvals are valid for an unlimited period of time as long as the product is not modified. Changes in the approval procedure 2011/12 4) GMP audits made easier 1) Regulations merged With effect from April 8, 2012, the GMP (Good Manufacturing Practice) audit In April 2012, the separate regulations that governed review of the technical is only required for 25 categories (formerly 39). The audit has been waived documentation and approval were merged into a single regulation also in cases involving minor changes to the product or class I Medical Devices, including IVDs (in-vitro diagnostics) (KFDA Notification No. 2012-8). Within with the exception of Medical Devices with sterile or measuring function. the KFDA, an In-Vitro Diagnostic Medical Devices Task Force was set up. For foreign manufacturers, an on-site GMP audit will be introduced in a step-by-step approach. Starting with class IV devices in 2012, the audit will 2) Review by third parties now possible for the first time then also become mandatory in 2013 for devices in class III, and in 2014 for In the past, the KFDA itself reviewed approval for all classes. Since February class I and II Medical Devices with a measuring or sterile function. In the case 2011, KFDA-appointed third-party organizations have been able to carry out of several production facilities, the site of the on-site audit is selected on review for class II Medical Devices. the basis of criteria including risk, import volume, PMS data etc. The GIP audit for importers is dropped. (KFDA Notification No. 2012-12) As in the past, review of the technical documentation of IVDs, new class II Medical Devices and all Medical Devices in classes III and IV for which clinical 5) VD Reagents are now partly regulated under Medical Device I study reports must be submitted are still carried out by the KFDA. scheme IVD reagents to be used with IVD instruments – which have not been regulated 3) External test reports accepted for pre-market approval – are now regulated as Medical Devices. They are Test reports issued by external laboratories have already been accepted since classified under four classes. Product approval is required step by step from February 2011, provided they are in compliance with KOLAS (Korean Laboratory 2012 for class IV, and will be mandatory for all classes in 2014. Technical Accreditation Scheme, ISO 17025) and issued as CB or GLP Reports. Own documentation review and GMP audit are required for approval. Technical tests carried out by KGMP-certified manufacturers are also accepted. documentation will be reviewed by KFDA directly.
  • 3. Vol. 3 October 2012 TÜV SÜD E-ssentials Page 3 Web links: Favorable indicators for the health market You can find the introduction to the approval of Medical Devices in Korea The term ”Miracle on the Han River“ is used by an amazed world to here. describe the breathtaking economic growth that South Korea has The KFDA information portal in English is available here. experienced since 1954. South Korea is the only country in the world that has raised its national income 380-fold and its gross domestic Current versions and directives: product 750-fold in a mere 50 years – and that following a highly Regulations: destructive war. Today, South Korea is one of the world‘s leading Korean economic nations, ranking 15th in the world by nominal gross domestic English product. The country‘s population is approaching the 50-million mark Note: The English versions are not always up to date. but is ageing rapidly. Since 2005, the average age of the population has risen from 34.5 to 38.4 years. Improvement of medical care is one of Directives: the declared objectives of the Korean government. South Korea already Korean has the highest health spending of the four ”Asian Tigers“ (Hong Kong, Singapore, South Korea, Taiwan), and a further rise is expected over the next years. 55% of health expenditure is publicly financed. Import dominates the Medical Devices market South Korea is one of the most attractive export markets for the German contact Medical Devices industry. In 2008, the Medical Devices market already had an overall volume of USD 2.4 million – and it is still rising. In 2011, Georg Bauer in Korea 2,899 new Medical Devices were approved, a year-on-year 89 5008-4143 +49 increase of 8.7 % compared to 2010; the top 3 were hearing aids (6.7%), @ georg.bauer@tuev-sued.de tooth implants (3.8%) and soft contact lenses (2.5%). 51% of the new Medical Devices approved were imports. In general, European companies contact play a significant role in South Korea. The EU is the second biggest trading partner of South Korea after China, and the largest part of foreign Hye-Jeong Sohn investments is from the EU. Among the leading importing countries, 2 32151-142 +82 Germany ranks second after the USA and before Japan. n @ hye-jeong.sohn@tuv-sud.kr
  • 4. Vol. 3 October 2012 TÜV SÜD E-ssentials Page 4 Japan: transition period started! JIS T 0601-1:2012 to become mandatory in 2017 Manufacturers wishing to sell their Medical Devices on the Testing in accordance with JIS T 0601-1:2012 Japanese market must prove by May 31, 2017 at the latest that their TÜV SÜD Japan has already prepared for the new requirements and, parallel products are in compliance with the Japanese industrial standard to the publication of JIS T 0601-1:2012 in Tokyo, has opened a new testing JIS T 0601-1:2012. The 2012 revision of JIS T 0601-1 was published laboratory where it will conduct safety and function tests in accordance only recently. Now, the Japanese Ministry of Health, Labor and with the current requirements in the future. This includes tests related to Welfare, MHLW, has defined a five-year transition period for its electrical safety, safe earthing, power loss, requirements related to the implementation. In parallel, TÜV SÜD Japan opened a new laboratory power source and air and creepage distances. n where the safety tests required by the JIS T 0601-1:2012 standard can be carried out in the future. The safety standard JIS T 0601-1:2012 The Japanese standard JIS T 0601-1:2012, with the full title ”Medical contact electrical equipment – Part 1: General requirements for basic safety and Kazuya Minamino essential performance“, refers to the safety and function of medical electrical 663960228 +81 equipment and corresponds to the European standard IEC 60601-1:2005, @ kazuya.minamino@tuv-sud.jp 3rd edition. The standard is one in a series of provisions which, in accordance with the Japanese Pharmaceutical Affairs Law, J-PAL, represent the requirements for approval in the Japanese market. Transition by 2017 JIS T 0601-1:2012 applies to all manufacturers of medical electrical equipment, not only those of international origin. Until the end of the transition period in 2017, all manufacturers can apply for Japanese market approval in accordance with the JIS T 0601-1:1999 standard valid so far or the new JIS T 0601-1:2012 standard. However, manufacturers who wish to sell their products beyond May 31, 2017 must ensure that their devices will be in conformance with the revised standard by then.
  • 5. Vol. 3 October 2012 TÜV SÜD E-ssentials Page 5 Malaysia: new Medical Device Act Implementation gains momentum Short transition periods up to 2013/14 The Medical Device Act became effective in October 2012. The Act will presumably grant a two-year transition period for the approval of devices, up to October 2014. Manufacturers importing or placing on the market unapproved Medical Devices after this date will face severe fines of up to MYR 200,000 (around USD 64,000). Plans provide for the licensing of the companies to be completed one year earlier, in October 2013. The Medical Device market in Malaysia The new Medical Device Act is an important milestone in Malaysia‘s development, which is striving to obtain the status of a fully developed industrialized country by 2020. Given this, the parliament of Malaysia has made an important step towards improving the country‘s healthcare and expanding its healthcare system. The Medical Device Act is expected, among other things, to remove low-quality products from the market and One year ago, the Malaysian government introduced legal regulations strengthen quality-aware suppliers. Malaysia‘s health spending amounted governing approval on the Medical Device market. The Medical Device to an estimated USD 10.3 billion in 2010, and market analysts expect this Act of October 3, 2011 is considered a milestone in healthcare, defining figure to rise to around USD 19.0 billion by 2015. The five ASEAN countries – the requirements for the licensing of companies and the safety and Malaysia, Thailand, Indonesia, the Philippines and Singapore – spend almost function of technical Medical Devices. The new Act came into effect 10% of their annual health budget on Medical Devices and equipment. in October 2012, finally providing the Medical Device industry with a The annual sales revenue of Malaysia‘s Medical Device market reached clear picture of the requirements they will have to meet in the future. USD 1.3 million. Act No. 737: approval of companies and devices Gain approval with TÜV SÜD Malaysia The Medical Device Act comprises two laws. Act No. 737, also referred to TÜV SÜD Malaysia applied for approval as Conformity Assessment Body as the ”Medical Device Act of 2012“, includes the requirements governing (CAB) with the Medical Device Authority and has already been included in the conditions and prohibitions for the sale of Medical Devices. All companies, the list of assessment bodies. As soon as approval becomes official, including manufacturers, importers, authorized representatives and TÜV SÜD can offer all conformity assessments in accordance with the distributors, must first obtain a market license. In the future, all Medical new Medical Device Act No. 737. TÜV SÜD also offers audits for company Devices – including bandages and dressings, condoms and syringes but also approval in accordance with the ISO 13485 standard for manufacturers and high-tech equipment such as magnetic resonance tomographs – will have in accordance with the ”Malaysia Good Distribution Practice of Medical Device“ to be approved by a Conformity Assessment Body, CAB. The act provides (GDPMD) for importers, authorized representatives and distributors. for risk-based classification and registration and establishes safety- and function-related requirements. In addition, Act No. 737 governs CAB approval. The information by the Malaysian Health Ministry is available here. n Act No. 738: Regulation by the Medical Device Authority Act No. 738, also referred to as the ”Medical Device Authority Act of 2012“ and published parallel to Act No. 737, defines that the Medical Device Authority (MDA) will be in charge of monitoring the implementation of the new requirements. The organizational structure and responsibilities of the MDA are comparable to that of the FDA in the United States, the corresponding contact regulatory authorities in the EU or the TGA in Australia. The MDA will take all measures that are necessary to implement the Act, regulates approval, develops specific regulations governing the pre-marketing, placement on Paul Tan market and post-marketing of Medical Devices, and monitors compliance 6885-1270 +65 therewith. @ paul.tan@tuv-sud-psb.sg
  • 6. Vol. 3 October 2012 TÜV SÜD E-ssentials Page 6 3rd edition IEC/EN 60601-1 When and where the 3rd edition will come into effect – a global overview For the manufacturers of Medical Devices, knowing when the both the development and certification of their products. To provide 3rd edition of the IEC 60601-1 standard will come to replace the you with a quick and compact overview, we have prepared a list of 2nd edition in the individual target markets is important as it concerns the various transition periods that apply worldwide. 3rd edition IEC/EN 60601-1 Global overview: When and where does the 3rd edition come into effect? Individual transition periods* in the various target markets 2010 2011 2012 2013 2014 2015 2016 2017 October 1, 2010 June 1, 2012 June 1, 2013 January 1, 2014 May 31, 2017 EU EU EU Brazil Japan Expiry of transition period Expiry of Expiry of for ultrasonic medical transition period transition diagnostic and monitoring for Medical period for equipment in accordance Devices not X-ray with EN 60601-2-37:2008 governed by a equipment for part 2 standard interventional procedures in Canada – Health accordance with EN 60601- Canada 2-43:2010 Expiry of transition period for initial June 30, 2013 certification USA – FDA without part 2 Expiry of transition period for initial certifications The above figure summarizes the transition periods in the individual target markets in the form of a timeline. Region/ figure only includes data that have been officially confirmed. Effective Acceptance of * The Transition period Further information country (today) 3rd edition TÜV SÜD Product Service GmbH EU 2nd Ed. Yes The transition period for http://ec.europa.eu/enterprise/ 3rd Ed. Note: Applicable part 2 Medical Devices without policies/european-standards/ and collateral standards an applicable part 2 standard documents/harmonised-standards- should be used along expired on June 1, 2012. legislation/list-references/medical- with the correct edition Applicable part 2 standards devices/index_en.htm of the general standard. can change the transition period in both directions. Example: The transition period for ultrasonic equipment in accordance with the EN 60601-2-37:2008 standard already expired on October 1, 2010. However, the transition period for interventional X-ray systems in accordance with EN 60601-2-43:2010 will not expire until June 1, 2013.
  • 7. Vol. 3 October 2012 TÜV SÜD E-ssentials Page 7 Region/ Effective Acceptance of Transition period Further information country (today) 3rd edition USA – FDA 2nd Ed. Yes The transition period for http://www.accessdata.fda.gov/ 3rd Ed. new submissions ends on scripts/cdrh/cfdocs/cfStandards/ June 30, 2013. detail.cfm?standard__identification_ Whether this also applies no=30270 to safety-relevant changes to 2nd Ed. Medical Devices is unclear at present. Canada – 2nd Ed. Yes The transition period for http://www.hc-sc.gc.ca/dhp-mps/ Health Canada 3rd Ed. new submissions without md-im/standards-normes/notice_ part 2 standards expires on iec_60601_avis-eng.php June 1, 2012. Part 2 standards extend their transition period by up to 3 years from the date of publication. Japan 2nd Ed. Yes May 31, 2017 http://www.tuv-sud.jp/infoservice/ 3rd Ed. Since June 1, 2012 as pdf/20120601_06011_t601.pdf JIS T 0601-1:2012 Brazil 2nd Ed. Yes January 1, 2014 http://www.brasilsus.com.br/ legislacoes/anvisa/108530-3.html Russia 2nd Ed. Yes, as Unknown http://www.standards.ru/ 3rd Ed. ГОСТ Р МЭК document/4583734.aspx 60601-1-2010 IECEE – 2nd Ed. Yes No specific date known. http://dom5.iec.ch/iecee/ CB scheme 3rd Ed. Several years expected. ieceemembers.nsf/IECEEScopeIn StandardByCat?ReadFormPC=MED USA – NRTL 2nd Ed. + Unknown. Unknown http://www.osha.gov/dts/otpca/nrtl/ UL60601- The main concerns of allstds.html 1:2003 the OSHA regard the risk management concept in the ANSI/AAMI ES60601-1:2005 standard Canada – 2nd Ed. + Unknown Unknown http://www.ccohs.ca/ NRTL CAN/CSA- (as CAN/CSA-C22.2 C22.2 No. 60601-1-08) No. 601.1- M90:2003 China – SFDA 2nd Ed. Unknown Unknown http://eng.sfda.gov.cn/WS03/ CL0757/62136.html (GB 9706.1-2007 = 2Ed + A1+A2 since July 1, 2008) * The table only includes data that have been officially confirmed.
  • 8. Vol. 3 October 2012 TÜV SÜD E-ssentials Page 8 Part 2 standards decisive for transition period he following problems may arise when the transition period T In the European Union, the use of harmonized standards is recommended, has already expired: but is not absolutely necessary to furnish evidence of compliance with the Essential Requirements (ER). According to the Medical Device Directive, the edical Devices approved in accordance with the 2nd edition nM following transition periods have been defined for the EN 60601-1 standard: can no longer be placed on the European market unless a) or medical electrical equipment (MEE) without applicable part 2 standard F manufacturers can furnish impartial evidence that their until June 1, 2012 devices are in compliance with the essential requirements b) or MEE with applicable part 2 standard until the date defined in the EN F of the MDD 93/42/EEC. The assumption of compliance part 2 standard. For example: EN 60601-2-37:2008 establishes that the with the essential requirements is based on the use of transition period ends on October 1, 2010. valid harmonized standards, in this case the 3rd edition. Given this, delta testing and assessment (2Ed  3Ed) In this context, please note that will be required. EN ISO 80601-2-XX, EN IEC 80601-2-XX and any EN ISO XXXXX such as Further information on this issue is available in ZLG-Papier 3.5 A1. EN ISO 15004-1:2009, which n are listed in the Official Journal of the European Union, and n any manufacturers of Medical Devices are anticipated to require M n re based on the 3rd edition of EN 60601-1:2006, i.e. IEC 60601-1:2005 a delta testing and assessment at the same time. This may lead to long will be treated as part 2 standards. Consequently, their transition period will waiting times in testing laboratories. Given this, we recommend that also change. manufacturers contact TÜV SÜD Product Service, which is a Notified Body (NB), Certification Body Test Laboratory (CBTL) and Nationally Recognized Test Laboratory (NRTL), at an early stage in the process. Further information about the transition from 2nd to 3rd edition within the scope of CE marking can be found here. n contact Martin Schneeberg 89 5008-4476 +49 @ martin.schneeberg@tuev-sued.de
  • 9. Vol. 3 October 2012 TÜV SÜD E-ssentials Page 9 Med-Infos now also available as e-books From November onwards, up to date information on the go From November 2012 onwards, TÜV SÜD‘s most important Med-Infos ”Clinical Affairs“, ”International Affairs“ and ”Further Services.“ At will be available in epub format in addition to pdf format. Users can present, 33 Med-Infos are available on a wide variety of subjects, such thus read the texts on all iOS and Android mobile devices at any time. as ”Introduction to Korean Medical Device Regulations“. The specialist In contrast to pdf-files, the new format allows digital publication information newsletters are free and updated at regular intervals; they text to reflow according to screen size and adapt dynamically to the can be downloaded from www.tuev-sued.de/medinfo – effective this individual settings of e-book reader apps. Given this, the specialist November both as pdf-files and epub-files. information newsletter can now also be optimally displayed on smartphones and tablet devices. As a special service for MEDICA visitors, between November 14 and 17, 2012 you can conveniently download all Med-Infos available in epub format to In their Med-Infos, TÜV SÜD‘s experts summarize current and relevant your smartphone or tablet computer at the TÜV SÜD stand by scanning in information from the following categories: ”Standards EU Guidelines“, the QR code. The following Med-Infos will be available as epub version from November on: Standards EU Guidelines n ouncil Directive 93/42/EEC C n VD Directive 98/79/EC I n EC 60601-1:2005: 3rd Edition I n Transition from 2nd Edition to 3rd Edition of IEC/EN 60601-1:2005 n sability of Medical Devices U International Affairs n Globalization of Medical Device Approval APPS OHNE DOWNS n FDA 510(k) GESICHERTE MARKTERFOLGE n Access USA and Canada MIT UNSEREN BEGLEITENDEN n Access Russian Federation (GOST) SERVICES n Access Australia START n hinese Approval for MD C Further Services n Medical Device Software
  • 10. Vol. 3 October 2012 TÜV SÜD E-ssentials Page 10 Sterile Medical Devices Useful checklists for the certification of Medical Devices Detailed checklists support manufacturers in the certification of n Steam sterilization sterile and reprocessable Medical Devices. Using these checklists n Design of sterile packaging and validation of the packaging process as a basis, manufacturers can prepare for the certification of their n Reprocessing of Medical Devices Medical Devices in a well-structured and efficient manner and check the completeness of their documentation point by point. Many advantages for manufacturers The ”Submission Forms“ thus ensure maximum transparency, The Submission Forms have a clear layout providing simple and complete saving manufacturers time and money. technical documentation for large and small manufacturers of Medical Devices. This is an important aspect, as missing data result in lengthy and costly Certification requirements in a nutshell certification procedures. The Submission Forms supply manufacturers TÜV SÜD‘s experts prepared lists for five areas and presented the various with an overview of all data, saving time and money. applicable requirements in easy-to-understand questions. The experts took great care to keep the individual questions as simple as possible. The completed checklists not only support preparation for the certification Manufacturers that require more in-depth information will find a reference procedure, but are also useful for internal evaluation and documentation: to the relevant section of the related harmonized standard in the same line. thanks to the simple structure of the data, overlapping certification requirements become evident at first sight, permitting manufacturers to Manufacturers can enter the required evidence (section data) and references use the already available data. Duplication of data entry thus becomes a to the related sources of information (including name and page of the document) thing of the past. directly in the checklist. By adopting this approach, they gain a good overview of the certification process and can quickly review the required data for The use of these checklists is not mandatory but an optional service completeness. provided by TÜV SÜD for a simple and transparent certification process. The Submission Forms point out, for example, that full documentation of Order information the completed test cycles is required and must be prepared. Manufacturers The Submission Forms can be ordered from Dr. Jan Havel, for a one-time must also describe the validation of their microbial methods and provide the fee of EUR 3,000 per Submission List. n maximum microbial count up to which the sterilization process can still be contact commenced. Submission Forms are available in the following areas: Dr. Jan Havel n EO sterilization 89 5008-4376 +49 n Radiation sterilization @ jan.havel@tuev-sued.de
  • 11. Vol. 3 October 2012 TÜV SÜD E-ssentials Page 11 MEDDEV 2.1/6: software Apps and stand-alone software: when is software a Medical Device? Is a medical app enough to turn a smartphone into a Medical n ommunication systems for general e-mail, mobile and video communication C Device? This and other questions related to the classification of n Video software for teleconsulting between clinic and patient stand-alone software are broadly discussed within the scope of the Medical Device Directive (MDD) 93/42/EC, which is very vague in However, software products may be classified as Medical Devices many of these areas. The new guidance MEDDEV 2.1/6 issued by the in the following cases: European Commission provides more clarity, supplying additional n ecision support software. This includes systems which combine D criteria, decision diagrams and numerous practical examples. medical knowledge databases and algorithms with patient-specific data and software products that provide recommendations for diagnosis, MEDDEV 2.1/6 now provides manufacturers and notified bodies with initial prognosis, monitoring and treatment of individual patients further assistance for the classification of stand-alone software as non- n oftware which generates alarms based on the observation and analysis S binding guidance. After all, the correct classification of products is one of of patients‘ physiological parameters the obligations for manufacturers. n elesurgery systems, for example, for conducting a surgical procedure T from a remote location MEDDEV 2.1/6 includes two decision diagrams from which users can establish whether, firstly, software must be regarded as a Medical Device falling under The entire MEDDEV 2.1/6 guideline (in English) plus decision diagrams and the European Medical Device Directive MDD, and, secondly, whether it also further examples is available for download here. n falls under the IVDD (In-vitro Diagnostic Directive 98/79/EC). In addition, the guideline presents and explains various cases. The following stand-alone software products, for example, need not be classified as Medical Devices: n ospital information systems for tasks such as patient admission, H scheduling patient appointments, insurance, billing and general patient management contact n eneral information systems used to store, archive and transfer data. G Dr. Markus Wagner However, if the software is used with additional modules, these modules 89 5008-4169 +49 might qualify as Medical Devices in their own right. @ markus.wagner@tuev-sued.de
  • 12. Vol. 3 October 2012 TÜV SÜD E-ssentials Page 12 TÜV SÜD at MEDICA International team will meet you in Duesseldorf, Germany TÜV SÜD will present itself at the MEDICA trade fair in Duesseldorf, MEDICA Germany, from November 14 to 17, 2012. Specialists from various MEDICA, the world‘s largest medical fair, takes place in Duesseldorf, areas such as active Medical Devices, non-active Medical Devices, Germany, every October. There, MedTech manufacturers from all over the in-vitro diagnostics, international approvals etc. will be available world meet and present the whole bandwidth of new products, services and at our Booth B05 in Hall 10. In addition, colleagues from countries procedures in out-patient and in-patient care. including China, Korea and the USA will bring you the latest updates from their countries. Medical Device manufacturers will thus have the opportunity of informing themselves in depth about TÜV SÜD‘s November 14 to 17, 2012, Duesseldorf global certifications and services. A lecture series is also planned Hall 10, Booth B05 at the trade show. www.medica.de n Focal themes at MEDICA This year, the TÜV SÜD team will focus on four topical themes: n evision of the European Medical Device Directive (MDD) R n uropean In-vitro Diagnostics Directive (IVDD) E n EC 62304 – Medical Device software – software life cycle processes I n mendment 1 IEC 6060-1 3rd Edition A The international experts will answer your questions in personal contact discussions. We will be happy to make an appointment with you: Ralph Urbanek www.tuev-sued.de/ps/medica2012 89 5008-4315 +49 We will provide you with a day ticket to the trade show for the day of @ ralph.urbanek@tuev-sued.de your appointment. ARAB HEALTH 2013 in Dubai TÜV SÜD goes east The increasing numbers of patients from the Arab world in western health facilities show that the Arab and European health industries have grown very close. In January, the industry‘s focus will turn to the east when the 38th ARAB HEALTH opens its doors in Dubai. TÜV SÜD will be represented by a stand in the German pavilion. January 28 to 31, 2013, Dubai ARAB HEALTH, the world‘s oldest health exhibition, takes place every German Pavilion year in Dubai. 3,500 exhibitors from 142 countries present their products www.arabhealthonline.com n and services over a total floor space of 47,000 sqm. In 2012, the exhibition plus congress counted 83,278 visitors. Most visitors come from the United Arab Emirates, their neighboring regions and India. Norbert Stuiber, who contact specializes in the approval of Medical Devices in Saudi Arabia, and colleagues Norbert Stuiber from TÜV SÜD‘s branch office in Al-Jubail (Saudi Arabia) will jointly present 89 5008-4144 +49 the entire service portfolio with a focus on active Medical Devices. @ norbert.stuiber@tuev-sued.de
  • 13. Vol. 3 October 2012 TÜV SÜD E-ssentials Page 13 Med-Info Update International expert information for the Medical Device industry October 2012 Standards EU Guidelines n D utilizing material of animal origin M Further Services n ouncil Directive 93/42/EEC C n Biological Safety n Quality Management in Dialysis n Revision of MDD 93/42/EEC n ools for tissue engineering T n EN 60601-2-5 Therapeutic ultrasound devices n VD Directive 98/79/EC I n dvanced Therapy Medicinal Products A n N 60601-2-37 Diagnostic ultrasound devices E n EC 60601-1:2005: 3rd Edition I n Biological Evaluation n Medical Device Software n Transition from 2nd Edition to 3rd Edition of IEC/EN 60601-1:2005 International Affairs n Design Dossiers n Globalization of Medical Device Approval n sability of Medical Devices U n FDA 510(k) Partially available also in German n ransition to EC Directive 2007/47/EC T n Access USA and Canada n Korea Download our free information from Clinical Affairs n AL – MHLW Movement P www.tuev-sued.com/medinfo. n n linical Data Requirements for EC Certificate C n Japanese PAL Extension n AL – Change application and notification P n Clinical Data Requirements in Era of 2007/47/EC n PAL – Fundamental Info n Assessment of Medical Devices n Access Russian Federation (GOST) Incorporating Material of Animal Origin n Access Australia n Human Blood Derivatives n hinese Approval for MD C Your Medical Device contacts worldwide Germany Italy United Kingdom USA Asia-Pacific TÜV SÜD Product Service GmbH TÜV Italy S.r.l. TÜV SÜD Product Service Ltd. TÜV SÜD America Inc. TÜV SÜD PSB Pte. Ldt. Ridlerstrasse 65 Via Isonzo, 61 Octagon House, Concorde Way 10 Centennial Drive 1 Science Park Drive 80339 Munich 40033 Casalecchio di Reno (BO) Segensworth North Peabody, MA 01960 Singapore 118221 +49 89 5008-4358 +39 051 298-7411 Fareham – Hampshire PO15 5RL +1 978 5732500 +65 6778 7777 +44 1489 558217 Or by e-mail to info@tuev-sued.de DISCLAIMER All reasonable measures have been taken to ensure the quality, reliability, and accuracy of the information in this newsletter. However, TÜV SÜD is not responsible for the third-party content contained in this newsletter. TÜV SÜD makes no warranties or representations, expressed or implied, as to the accuracy or completeness of information contained in this newsletter. This newsletter is intended to provide general information on a particular subject or subjects and is not an exhaustive treatment of such subject(s). Accordingly, the information in this newsletter is not intended to constitute consulting or professional advice or services. If you are seeking advice on any matters relating to information in this newsletter, you should – where appropriate – contact us directly with your specific query or seek advice from qualified professional people. The information contained in this newsletter may not be copied, quoted, or referred to in any other publication or materials without the prior written consent of TÜV SÜD. All rights reserved © 2012 TÜV SÜD. PHOTO CREDITS Page 1: KROMKRATHOG; Page 4: cofkocof; Page 5: wong yu liang; Page 9: Kraska; Page 10: jannoon028; Page 11: watcharakun; all photos from shutterstock.com