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Capsules  as  Medical  Devices

                                   Maikel  Hendriks
                                   Partner  Progressare
                                   CPhI  October  2010




STRICTLY CONFIDENTIAL
Content




    Health  /                       Implement         Implement        Notification         Audit        Surveillance    
                    Requirements
  Medical  Claims                  Quality  System   Technical  File   (Pre  Market)    Notified  Body   (Post  Market)




STRICTLY CONFIDENTIAL
Health  Claims




               HEALTH  /  MEDICAL  CLAIMS




STRICTLY CONFIDENTIAL
Health   Medical  Claims




STRICTLY CONFIDENTIAL
Health  Medical Claims




                        FOOD   COS   MDD   PHARMA




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Health  Medical Claims
 Category                                                                                                                                                                       Europe

 Food  supplements                                                                                                                                                              1924/2006/EC
                                                                                                                                                                                Products  on  the  market  must  
 New  EU  regulations  make  medical  claims  on  food  supplements  possible.  
                                                                                                                                                                                comply  by    19  JAN  2010
                                                                                                                                              y,  a  food  or  one  of  its     Evaluation  <  June  2011
 constituents  and  health;                                                                                                                                                     Claim  opinions  <  End  2011
                                                                                                                                                                                Quality  System:
 Claim  indication:    attends,  support,  maintains,  keeps,  optimizes,  provides,  safes,  contributes                                                                       HACCP
 Claims  not  allowed:  cure,  treats,  prevents

 Cosmetics                                                                                                                                                                      76/768/EC
                                                                                                                                                                                Technical  data:
                                                                                                                                                 ternal  parts  of  the  
                                                                                                                                                                                Product  information  package
 human  body  (epidermis,  hair  system,  nails,  lips  and  external  genital  organs)  or  with  the  teeth  and  the  mucous  membranes  of  the  oral  cavity  with         Quality  System:
 a  view  exclusively  or  mainly  to  cleaning  them,  perfuming  them,  changing  their  appearance  and/or  correcting  body  odors  and/or  protecting  them                ISO-­‐22716:2007
 or  keeping  them  in  good  condition.

 Claimsindication:    cleaning,  perfuming,  change  appearance,  correcting  body  odors,  conditioning
 Claims  not  allowed:    cure,  treats,  prevents

 Medical  Devices  (Over-­‐The-­‐Counter)                                                                                                                                       93/42/EC  +  2004/47/ec
                                                                                                                                                                                Product  Data:
                                                             appliance,  software,  material  or  other  article,  whether  used  alone  or  in  combination,  
                                                                                                                                                                                Technical  construction  File
 together  with  any  accessories,  including  the  software  intended  by  its  manufacturer  to  be  used  specifically  for  diagnostic  and/or  therapeutic                 Quality  System:
 purposes  and  necessary  for  its  proper  application,  intended  by  the  manufacturer  to  be  used  for  human  beings  for  the  purpose  of:                            ISO-­‐13485:2008
         diagnosis,  prevention,  monitoring,  treatment  or  alleviation  of  disease,
         diagnosis,  monitoring,  treatment,  alleviation  of  or  compensation  for  an  injury  or  handicap,                                                                 Manufacturers  must  comply  by  21  
         investigation,  replacement or  modification of  the  anatomy  or  of  a  physiological  process,                                                                      MAR  2010
         control  of  conception,  and  which  does  not  achieve  its  principal

 Claims  indication:    attends,  support,  maintains,  keeps,  optimizes,  provides,  safes,  contributes,  treats,  prevents
 Claims  not  allowed:    cure

 Pharmaceutical                                                                                                                                                                 2001/83  EC
                                                                                                                                                                                Product  Data:
 Definition:  Medicinal  product  any  substance  or  combination  of  substances  presented  for  treating  or  preventing  disease  in  human  beings.  Any  
                                                                                                                                                                                eCommon  Technical  Dossier
 substance  or  combination  of  substances  which  may  be  administered  to  human  beings  with  a  view  to  making  a  medical  diagnosis  or to restoring,                Quality  System:
 correcting  or  modifying  physiological  functions  in  human  beings  is  likewise  considered  a  medicinal  product.                                                       GMP  standard

 Claims  indication:    cure,  treats,  prevents
 Claims  not  allowed:  None
 Cosmeceuticals: cosmetic products that are claimed, primarily by those within the cosmetic industry, to have drug-­like benefits.
 Examples of products typically labeled as cosmeceuticals include anti-­aging creams and moisturizers. The word is a portmanteau of the words "cosmetic" and "pharmaceutical

STRICTLY CONFIDENTIAL
REQUIREMENTS




STRICTLY CONFIDENTIAL
Requirements

      CE-­‐markering




STRICTLY CONFIDENTIAL
Requirements

   CE-­‐mark

    Jaar
    1987          20 Directives
    1994          Blue  Guidance
    1995          Effective
                  MDD  93/42/ec
    1998          Transfer
                  CE mandatory
    21 maart   Clinical Evaluation
    2010       2007/47/ec




STRICTLY CONFIDENTIAL
Requirements
       Medical  Device  definition  (93/42/ec  +  2007/47/ec)
                                                            appliance, software,
       material or other article, whether used alone or in combination, together
       with any accessories, including the software intended by its manufacturer to
       be used specifically for diagnostic and/or therapeutic purposes and necessary
       for its proper application, intended by the manufacturer to be used for human
       beings for the purpose of:
            diagnosis, prevention, monitoring, treatment or alleviation of disease,
            diagnosis, monitoring, treatment, alleviation of or compensation for an
            injury or handicap,
            investigation, replacement or modification of the anatomy or of a
            physiological process,
            control of conception,
       and which does not achieve its principal intended action in or on the human body by
       pharmacological, immunological or metabolic means, but
       which may be assisted in its function by such means




STRICTLY CONFIDENTIAL
Requirements




                What  is  a  medical  device  ?
                              TEST




STRICTLY CONFIDENTIAL
Requirements




STRICTLY CONFIDENTIAL
Requirements




STRICTLY CONFIDENTIAL
Requirements




STRICTLY CONFIDENTIAL
Requirements




STRICTLY CONFIDENTIAL
Requirements




STRICTLY CONFIDENTIAL
Requirements
     Classification  Matrix,  Annex  IX  93/42/ec  +  2007/47/ec
      Annex IX of the Medical Device Directive describes the classification rules. The manufacturer shall determine the
      conformity assessment route for product registration based upon this classification. A product will always be placed
      in the highest applicable rule.


      Class I;        outside body or through natural body openings, < 60 minutes min
      Class IIa;      Treats and prevents infections, breached skin, wounds < 30 days
      Class IIb;      pacemakers, monitoring equipment, wounds > 30 days
      Class III;      combination medical device with medicines (or animal tissue)


      Market authorization:
      Class I:        Manufacturer;

      Class IIab:    Manufacturer + Notified Body (can also be the manufacturer if QMS complies with Annex II);
      Class III:      Manufacturer + Notified Body + Medicine Board




STRICTLY CONFIDENTIAL
Notification  Competent  Authority
                Class I                                     EC  declaration  of  conformity  (Annex  VII)
                                 Measuring
                                  Sterile                                Notified  Body
                                                                 Full  quality  assurance  (Annex  II)


                                                                                                   EC  verification  
                                                   EC  declaration  
                                                                                                     (Annex  IV)
                                                   of  conformity  
                                       Class IIa
                                                    (Annex  VII)

                                                                                                    Production  
                                                                                                      quality  
                                                                                                    assurance  
                                                                                                     (Annex  V)
                                                      EC  type-­‐
                                                                                                                        ABC
Product class         Class II         Class IIb    examination                                   Product  quality  
                                                     (Annex  III)                                   assurance  
                                                                                                    (Annex  VI)



                                                                 Full  quality  assurance  (Annex  II)
                                                                                                                        ABC
                                                             Notified  Body  +  Medicine  Board

                                                     EC  design  
                                                    examination                                    EC  verification  
                                                    (Annex  II,  4)                                  (Annex  IV)
                Class III




                                                                                        option
                                                      EC  type-­‐                                   Production  
                                                    examination                                       quality           ABC
                                                     (Annex  III)                                   assurance  
                                                                                                     (Annex  V)
Requirements


     SCOPE               REQUIREMENTS                     MAINTENANCE                 SURVEILLANCE




 Supplier / contractor
                           Regulations
                                                   Technical        CE-declaration      Auditing
                                                Construction File

                            Classification  ?



    Manufacturer



                                                                                       Post Market
                                                Quality Manual                         Surveillance
                            Essential                               ISO Certificate
                          Requirements
      Distributor




STRICTLY CONFIDENTIAL
Appllying  the  Regulations

                                                                                                     Product  Lifecycle
                                                                                                         START

                                                                                                      Requirements
                                                                            Definitions                                                                               Classification
                                                                                                      Intended  use


                                                                                                      Design  input  /
                                                                     Essential  Requirements
                                                                                                      specifications


                                                                         Quality  System




                                                                                                                                                   STED  (Technical  dossier)
                                                                                                          Design
                                                                     Design  /  Risk  evaluation




                                                                                                                                                                                       Auditing   Internal  &  External  Certification
                                                                                                                             Technical  data
  Quality  System  &  Risk  Management




                                                                                                          Design  
                                                                     Essential  Requirements
                                                                                                        verification




                                                                                                                                                                                                                                         Scope  Full  Quality  System
                                         Scope  product  Lifecycle




                                                                            Labeling                       Pilot
                                                                     Quality  System    /  GMP          production
                                                                          Quality  System
                                                                         Risk  evaluation
                                                                                                         Validation
                                                                        Process  validation
                                                                        Clinical  Evaluation
                                                                                                                                                Conformity  Assessment
                                                                      Quality  System  /  GMP           Production                                       Route
                                                                                                                                                 Notification  /  License


                                                                                                   Placed  on  the  Market


                                                                                                                                               Post  Market  Surveillance
                                                                     Quality  System  Service             Results
                                                                                                                                                      &  vigilance


                                                                                                        Surveillance


                                                                                                     Product  Lifecycle
                                                                                                          END
Notification  Competent  Authority
                Class I                                     EC  declaration  of  conformity  (Annex  VII)
                                 Measuring
                                  Sterile                                Notified  Body
                                                                 Full  quality  assurance  (Annex  II)


                                                                                                   EC  verification  
                                                   EC  declaration  
                                                                                                     (Annex  IV)
                                                   of  conformity  
                                       Class IIa
                                                    (Annex  VII)

                                                                                                    Production  
                                                                                                      quality  
                                                                                                    assurance  
                                                                                                     (Annex  V)
                                                      EC  type-­‐
                                                                                                                        ABC
Product class         Class II         Class IIb    examination                                   Product  quality  
                                                     (Annex  III)                                   assurance  
                                                                                                    (Annex  VI)



                                                                 Full  quality  assurance  (Annex  II)
                                                                                                                        ABC
                                                           Notified  Body  +  Medicine  Authority

                                                     EC  design  
                                                    examination                                    EC  verification  
                                                    (Annex  II,  4)                                  (Annex  IV)
                Class III




                                                                                        option
                                                      EC  type-­‐                                   Production  
                                                    examination                                       quality           ABC
                                                     (Annex  III)                                   assurance  
                                                                                                     (Annex  V)
Parties  involved


                   BIG Brother is .....
                   watching YOU!




STRICTLY CONFIDENTIAL
3.  Parties  involved

                                                                            Farmatec


                                                                        Competent  
                                                                         authority

                                  DEKRA                                                                                   IGZ                  MDD
                                                                 Notification  class  I  MDD
                                Notified                                                                           Ministry  of  
                                 Body                                                                               Health

                                                                                                                         VWS
                                   BSI


                  Verify  class  IIab  and  III  MDD                                                          Policies  /  surveillance
                  Audit  Technical  Files                                                                      Free  of  Sales  Certificates
                  Audit  Quality  System                                Manufacturer

                                                    CBG                                              KOAGKAG



                                               Medicine                                         Health  Claim  
                                               Authority                                         authority



                            Verify  drug  substance  class  III  MDD                           Verify  Health  Claim
                            Review  Borderline  products




STRICTLY CONFIDENTIAL
Marketing  Authorisation    >  EU

     Mutual  Recognition

     Australia
     Singapore
     Hong Kong
     Malaisia
     South-Africa
     Canada (+)
     India (+)


                                     25
STRICTLY CONFIDENTIAL
MARKET  CHANGE    
NEW  CATEGORY  OTC




Today                                                      94  %                  6  %
Source IMS




                                                                   Borderline

2015                                                    85  %         3             30  %
             - Stronger regulations                                + New innovations
             - Movement Claim regulations                          + Less regulations
             - Homeopathic / herbal drugs regulations              + BIG Marketing advantage
             - Missing eCTD                                        + Nobody knows
                                                                   + CE = EU registration
                                                                   + New brands

                                                                   - Clinical Data claims
                                                                   -
                     Pharmaceuticals                               - Inspectorates are unexperienced
                     Medical Devices                               - Competition crap
MARKETING  ADVANTAGE    
Less limitations in Marketing Statements (pair of glasses)
Pricing stunts
No requirements to record ingredients
Clean packaging

Identical claims as pharma
Due to physical effects, less risks on side effects

Etc
Etc
SALES  ADVANTAGE    
 Internet
 Pharmacies
 Supermarkets
 Reforms
 Wellness

 Queensday      on the street (NL only)


 Everywhere
Capsule  Developments  




                                                                                  Pellets in Licaps®
                                                                  Pellet in Cap
                                                                  in Licaps®
                                                 Cap in Licaps®
                                   Licaps®
                                   Simethicone
                        Soft
                        Capsules

      Tablets



                                                                                               Time




STRICTLY CONFIDENTIAL
SUMMARY
User Perspective:             Health claim identical to Pharma
                              < side effects

Distributor / manufacturer:   > distribution points
                              > marketing advantage
                              > less regulations

IP:                           > patent applications
                              > protection

NEW as a MEDICAL DEVICE
3.  Contact  us




  Progressare B.V.
  Veembroederhof 96
  1019HC Amsterdam
  +31.20.3456363

  Diane Bond


                        Capsules as Medical Devices




STRICTLY CONFIDENTIAL

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Capsules as Medical Devices

  • 1. Capsules  as  Medical  Devices Maikel  Hendriks Partner  Progressare CPhI  October  2010 STRICTLY CONFIDENTIAL
  • 2. Content Health  /   Implement Implement Notification   Audit   Surveillance     Requirements Medical  Claims Quality  System Technical  File (Pre  Market) Notified  Body (Post  Market) STRICTLY CONFIDENTIAL
  • 3. Health  Claims HEALTH  /  MEDICAL  CLAIMS STRICTLY CONFIDENTIAL
  • 4. Health   Medical  Claims STRICTLY CONFIDENTIAL
  • 5. Health Medical Claims FOOD COS MDD PHARMA STRICTLY CONFIDENTIAL
  • 6. Health Medical Claims Category Europe Food  supplements 1924/2006/EC Products  on  the  market  must   New  EU  regulations  make  medical  claims  on  food  supplements  possible.   comply  by    19  JAN  2010 y,  a  food  or  one  of  its   Evaluation  <  June  2011 constituents  and  health; Claim  opinions  <  End  2011 Quality  System: Claim  indication:    attends,  support,  maintains,  keeps,  optimizes,  provides,  safes,  contributes HACCP Claims  not  allowed:  cure,  treats,  prevents Cosmetics 76/768/EC Technical  data: ternal  parts  of  the   Product  information  package human  body  (epidermis,  hair  system,  nails,  lips  and  external  genital  organs)  or  with  the  teeth  and  the  mucous  membranes  of  the  oral  cavity  with   Quality  System: a  view  exclusively  or  mainly  to  cleaning  them,  perfuming  them,  changing  their  appearance  and/or  correcting  body  odors  and/or  protecting  them   ISO-­‐22716:2007 or  keeping  them  in  good  condition. Claimsindication:    cleaning,  perfuming,  change  appearance,  correcting  body  odors,  conditioning Claims  not  allowed:    cure,  treats,  prevents Medical  Devices  (Over-­‐The-­‐Counter) 93/42/EC  +  2004/47/ec Product  Data: appliance,  software,  material  or  other  article,  whether  used  alone  or  in  combination,   Technical  construction  File together  with  any  accessories,  including  the  software  intended  by  its  manufacturer  to  be  used  specifically  for  diagnostic  and/or  therapeutic   Quality  System: purposes  and  necessary  for  its  proper  application,  intended  by  the  manufacturer  to  be  used  for  human  beings  for  the  purpose  of:   ISO-­‐13485:2008 diagnosis,  prevention,  monitoring,  treatment  or  alleviation  of  disease, diagnosis,  monitoring,  treatment,  alleviation  of  or  compensation  for  an  injury  or  handicap, Manufacturers  must  comply  by  21   investigation,  replacement or  modification of  the  anatomy  or  of  a  physiological  process, MAR  2010 control  of  conception,  and  which  does  not  achieve  its  principal Claims  indication:    attends,  support,  maintains,  keeps,  optimizes,  provides,  safes,  contributes,  treats,  prevents Claims  not  allowed:    cure Pharmaceutical 2001/83  EC Product  Data: Definition:  Medicinal  product  any  substance  or  combination  of  substances  presented  for  treating  or  preventing  disease  in  human  beings.  Any   eCommon  Technical  Dossier substance  or  combination  of  substances  which  may  be  administered  to  human  beings  with  a  view  to  making  a  medical  diagnosis  or to restoring,   Quality  System: correcting  or  modifying  physiological  functions  in  human  beings  is  likewise  considered  a  medicinal  product. GMP  standard Claims  indication:    cure,  treats,  prevents Claims  not  allowed:  None Cosmeceuticals: cosmetic products that are claimed, primarily by those within the cosmetic industry, to have drug-­like benefits. Examples of products typically labeled as cosmeceuticals include anti-­aging creams and moisturizers. The word is a portmanteau of the words "cosmetic" and "pharmaceutical STRICTLY CONFIDENTIAL
  • 8. Requirements CE-­‐markering STRICTLY CONFIDENTIAL
  • 9. Requirements CE-­‐mark Jaar 1987 20 Directives 1994 Blue  Guidance 1995 Effective MDD  93/42/ec 1998 Transfer CE mandatory 21 maart   Clinical Evaluation 2010 2007/47/ec STRICTLY CONFIDENTIAL
  • 10. Requirements Medical  Device  definition  (93/42/ec  +  2007/47/ec) appliance, software, material or other article, whether used alone or in combination, together with any accessories, including the software intended by its manufacturer to be used specifically for diagnostic and/or therapeutic purposes and necessary for its proper application, intended by the manufacturer to be used for human beings for the purpose of: diagnosis, prevention, monitoring, treatment or alleviation of disease, diagnosis, monitoring, treatment, alleviation of or compensation for an injury or handicap, investigation, replacement or modification of the anatomy or of a physiological process, control of conception, and which does not achieve its principal intended action in or on the human body by pharmacological, immunological or metabolic means, but which may be assisted in its function by such means STRICTLY CONFIDENTIAL
  • 11. Requirements What  is  a  medical  device  ? TEST STRICTLY CONFIDENTIAL
  • 17. Requirements Classification  Matrix,  Annex  IX  93/42/ec  +  2007/47/ec Annex IX of the Medical Device Directive describes the classification rules. The manufacturer shall determine the conformity assessment route for product registration based upon this classification. A product will always be placed in the highest applicable rule. Class I; outside body or through natural body openings, < 60 minutes min Class IIa; Treats and prevents infections, breached skin, wounds < 30 days Class IIb; pacemakers, monitoring equipment, wounds > 30 days Class III; combination medical device with medicines (or animal tissue) Market authorization: Class I: Manufacturer; Class IIab: Manufacturer + Notified Body (can also be the manufacturer if QMS complies with Annex II); Class III: Manufacturer + Notified Body + Medicine Board STRICTLY CONFIDENTIAL
  • 18. Notification  Competent  Authority Class I EC  declaration  of  conformity  (Annex  VII) Measuring Sterile Notified  Body Full  quality  assurance  (Annex  II) EC  verification   EC  declaration   (Annex  IV) of  conformity   Class IIa (Annex  VII) Production   quality   assurance   (Annex  V) EC  type-­‐ ABC Product class Class II Class IIb examination   Product  quality   (Annex  III) assurance   (Annex  VI) Full  quality  assurance  (Annex  II) ABC Notified  Body  +  Medicine  Board EC  design   examination   EC  verification   (Annex  II,  4) (Annex  IV) Class III option EC  type-­‐ Production   examination   quality   ABC (Annex  III) assurance   (Annex  V)
  • 19.
  • 20. Requirements SCOPE REQUIREMENTS MAINTENANCE SURVEILLANCE Supplier / contractor Regulations Technical CE-declaration Auditing Construction File Classification  ? Manufacturer Post Market Quality Manual Surveillance Essential ISO Certificate Requirements Distributor STRICTLY CONFIDENTIAL
  • 21. Appllying  the  Regulations Product  Lifecycle START Requirements Definitions Classification Intended  use Design  input  / Essential  Requirements specifications Quality  System STED  (Technical  dossier) Design Design  /  Risk  evaluation Auditing   Internal  &  External  Certification Technical  data Quality  System  &  Risk  Management Design   Essential  Requirements verification Scope  Full  Quality  System Scope  product  Lifecycle Labeling Pilot Quality  System    /  GMP production Quality  System Risk  evaluation Validation Process  validation Clinical  Evaluation Conformity  Assessment Quality  System  /  GMP Production Route Notification  /  License Placed  on  the  Market Post  Market  Surveillance Quality  System  Service Results &  vigilance Surveillance Product  Lifecycle END
  • 22. Notification  Competent  Authority Class I EC  declaration  of  conformity  (Annex  VII) Measuring Sterile Notified  Body Full  quality  assurance  (Annex  II) EC  verification   EC  declaration   (Annex  IV) of  conformity   Class IIa (Annex  VII) Production   quality   assurance   (Annex  V) EC  type-­‐ ABC Product class Class II Class IIb examination   Product  quality   (Annex  III) assurance   (Annex  VI) Full  quality  assurance  (Annex  II) ABC Notified  Body  +  Medicine  Authority EC  design   examination   EC  verification   (Annex  II,  4) (Annex  IV) Class III option EC  type-­‐ Production   examination   quality   ABC (Annex  III) assurance   (Annex  V)
  • 23. Parties  involved BIG Brother is ..... watching YOU! STRICTLY CONFIDENTIAL
  • 24. 3.  Parties  involved Farmatec Competent   authority DEKRA IGZ MDD Notification  class  I  MDD Notified   Ministry  of   Body Health VWS BSI Verify  class  IIab  and  III  MDD Policies  /  surveillance Audit  Technical  Files Free  of  Sales  Certificates Audit  Quality  System Manufacturer CBG KOAGKAG Medicine   Health  Claim   Authority authority Verify  drug  substance  class  III  MDD Verify  Health  Claim Review  Borderline  products STRICTLY CONFIDENTIAL
  • 25. Marketing  Authorisation    >  EU Mutual  Recognition Australia Singapore Hong Kong Malaisia South-Africa Canada (+) India (+) 25 STRICTLY CONFIDENTIAL
  • 26. MARKET  CHANGE     NEW  CATEGORY  OTC Today 94  % 6  % Source IMS Borderline 2015 85  % 3 30  % - Stronger regulations + New innovations - Movement Claim regulations + Less regulations - Homeopathic / herbal drugs regulations + BIG Marketing advantage - Missing eCTD + Nobody knows + CE = EU registration + New brands - Clinical Data claims - Pharmaceuticals - Inspectorates are unexperienced Medical Devices - Competition crap
  • 27. MARKETING  ADVANTAGE     Less limitations in Marketing Statements (pair of glasses) Pricing stunts No requirements to record ingredients Clean packaging Identical claims as pharma Due to physical effects, less risks on side effects Etc Etc
  • 28. SALES  ADVANTAGE     Internet Pharmacies Supermarkets Reforms Wellness Queensday on the street (NL only) Everywhere
  • 29. Capsule  Developments   Pellets in Licaps® Pellet in Cap in Licaps® Cap in Licaps® Licaps® Simethicone Soft Capsules Tablets Time STRICTLY CONFIDENTIAL
  • 30. SUMMARY User Perspective: Health claim identical to Pharma < side effects Distributor / manufacturer: > distribution points > marketing advantage > less regulations IP: > patent applications > protection NEW as a MEDICAL DEVICE
  • 31. 3.  Contact  us Progressare B.V. Veembroederhof 96 1019HC Amsterdam +31.20.3456363 Diane Bond Capsules as Medical Devices STRICTLY CONFIDENTIAL