2. PAGE 2
Annex I
General safety and
performance
requirements
Annex II
Technical
Documentation
Annex III
Technical
Documentation on
Post-market
surveillance
Annex IX
Quality Management
System,
Chapters I, III
Annex IX
Chapter II
Technical documentation
per device category
Annex XI Part A
Production Quality
Assurance
Annex XI Part B
Production
verification
Class IIa Devices
Annex IV
Declaration of
Conformity
Annex V
CE Marking
3. PAGE 3
Annex I
General safety and
performance
requirements
Annex IX
Quality Management
System
Chapters I, III
Annex IX
Chapter II
Technical documentation
per device generic device
group
Annex X
Type Examination
Annex XI Part B
Production verification
Class IIb Devices Annex VIII Rule 12
All active devices intended to administer and/or remove medicinal
products, body liquids or other substances to or from the body are classified
as class IIa, unless this is done in a manner that is potentially hazardous,
taking account of the nature of the substances involved, of the part of the
body concerned and of the mode of application in which case they are
classified as class IIb.
Annex IX Sec.5 / Annex X Sec. 6
Clinical Evaluation Consultation Procedure
Annex XI Part A
Production Quality
Assurance Annex IV
Declaration of
Conformity
Annex V
CE Marking
4. PAGE 4
Annex I
General safety and
performance
requirements
Annex IX
Quality Management
System
Chapters I, III
Annex IX
Chapter II
Technical documentation
per device generic device
group
Annex X
Type Examination
Annex XI Part B
Production verification
Class IIb Implantable Well-Established Technologies
Class IIb non-implantable (non-rule 12, non-WET)
Annex XI Part A
Production Quality
Assurance
Well-established technologies (WET): sutures, staples, dental fillings, dental braces,
tooth crowns, screws, wedges, plates, wires, pins, clips and connectors
Annex IV
Declaration of
Conformity
Annex V
CE Marking
5. PAGE 5
Annex I
General safety and
performance
requirements
Annex IX
Quality Management
System
Chapters I, III
Annex IX
Chapter II
Technical documentation
For every device
Annex X
Type Examination
Annex XI Part B
Production verification
Class IIb Implantable devices (non-WET)
Annex XI Part A
Production Quality
Assurance
Well-established technologies (WET): sutures, staples,
dental fillings, dental braces, tooth crowns, screws,
wedges, plates, wires, pins, clips and connectors
Annex IV
Declaration of
Conformity
Annex V
CE Marking
6. PAGE 6
Annex I
General safety and
performance
requirements
Annex IX
Quality Management
System
Chapters I, III
Annex IX
Chapter II
Technical documentation
For every device
Annex X
Type Examination
Annex XI Part B
Production verification
Class III non-implantable devices
Consultation
2001/83/EC
EC/726/2004
2004/23/EC
EU/722/2012
Annex XI Part A
Production Quality
Assurance
Annex IV
Declaration of
Conformity
Annex V
CE Marking
7. PAGE 7
Annex I
General safety and
performance
requirements
Annex IX
Quality Management
System
Chapters I, III
Annex IX
Chapter II
Technical documentation
For every device
Annex X
Type Examination
Annex XI Part B
Production verification
Class III Implantable devices
Consultation
2001/83/EC
EC/726/2004
2004/23/EC
EU/722/2012
Annex XI Part A
Production Quality
Assurance
Annex IX Sec.5 / Annex X Sec. 6
Clinical Evaluation Consultation Procedure
Annex IV
Declaration of
Conformity
Annex V
CE Marking
8. Assessment by NB: III, IIb
Manufacturer needs to apply to NB for assessment of technical documentation
Technical documentation Annexes II and III
NB may conduct own tests or request more tests from the manufacturer
NB shall review the clinical evidence, may use external experts
NB shall assess the suitability of claimed equivalence and document its conclusion
NB verifies adequacy of clinical evaluation
NB verifies manufacturer’s conclusions on conformity
NB documents outcome of its assessment
Report on the Technical documentation assessment
Changes to approved device need to be approved by NB
PAGE 8
9. PAGE 9
Assessment by NB: III implantable, IIb active administering medicines
NB verifies quality of clinical data
supporting clinical evaluation report
NB transfers the clinical evaluation report
and its assessment to European
Commission
EC transmits the documents to relevant
expert panel
NB may be asked to present its conclusions
to the expert panel
11. PAGE 11
Expert panel
Expert panel provides scientific opinion
If the device has major clinical impact
due to novelty
In case of a significant worsening of risk
profile
Or in case of significant increase in
serious incidents
12. PAGE 12
Expert panel assessment
Reasoned decision advising NB to proceed with certification
Expert panel notifies the EC through Eudamed
No opinion within 60 days: NB can proceed with certification
NB considers scientific opinion in its decision.
13. PAGE 13
Expert panel scientific opinion
Expert panel is supervised by the Commission
Expert panel may provide scientific opinion if:
The device has major clinical impact due to novelty
Significant worsening of risk profile
Significant increase in serious incidents
reasoned decision advising NB to proceed (or not) with certification
14. PAGE 14
Devices incorporating a medicinal substance
Medicinal substance subject to Annex I of Directive 2001/83/EC
NB needs to seek scientific opinion from relevant medicinal
products authority (national or EMA)
Competent authority has 60 days to provide opinion
NB needs to consider this opinion in its decisions
15. PAGE 15
subject to Directive 2004/23/EC
NB submits preliminary assessment
Relevant authority provides opinion within 120 days
NB considers opinion and issues final decision
Supplement to the EU technical documentation assessment certificate
Devices incorporating a human tissues and cells
Cells and tissues of human origin
16. PAGE 16
Devices incorporating animal tissues and cells
Cells and tissues of animal origin
subject to Regulation (EU) 722/2012
NB shall apply relevant requirements
to their assessment directly
17. subject to Directive 2001/83/EC
NB shall seek scientific opinion from relevant
national competent authority or EMA
Scientific opinion within 150 days
NB must consider the opinion in its assessment
PAGE 17
Devices that are composed of
substances or their combinations that
are absorbed by or locally dispersed in
the human body
18. Subject to Directive 2001/83/EC
Batch verification
Manufacturer releases a batch and
notifies NB
PAGE 18
Devices incorporating a
medicinal product derived from
human blood or plasma