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Legislative Views on Risk Management in Healthcare Products and Services Tri-Division Conference  Regulations and Regulators Joseph Curtis MS, PhD March 27, 2008
Global Risk Management Infrastructure  Healthcare Products and Services FDA 3  2007 China-US Food Safety 2007 China-US Safety of Drugs & Medical Devices 2007 IMI Joint  Undertaking Australia - US Cooperative Agreement 2007 Advanced Therapy Medicinal Products & Amending Directive  Post-Market Surveillance Study 2008
Risk Management  Legislation  Healthcare Products ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
International Risk Management Legislation Initiatives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
US Legislation Initiatives  Healthcare Product Risk Management Legislative Approach to Managing Risks to Consumers of Medical Technology  The United States continues to expand its risk management infrastructure by integrating postmarket surveillance with eHealth tools for consumer safety, and apply science-based approaches to minimizing potential risks associated with medical technology.  Additional efforts have been initiated to innovate across the risk continuum and introduce advanced technology into the marketplace at reduced risk to the consumer.  Efforts to harmonize regulatory practice and extend the best practice in consumer safety into markets across the global medical product supply chain will also be examined.
US Legislative Framework for  Risk Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Medical Device  User Fee Amendments of 2007 ,[object Object],[object Object],[object Object],[object Object],Subtitle B —Amendments Regulating Medical Devices ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Medical Device  User Fee Amendments of 2007 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Title III -Pediatric Medical Device Safety and Improvement Act 2007 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],SEC. 307. Postmarket Surveillance Surveillance Approval-  Longer Surveillance For Pediatric Devices >36 months Dispute Resolution-  A   manufacturer may request review under section 562
Titles IV/V Pediatric Drug  Legislation 2007 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Title VIII – Expanded Clinical Trial  Registry Data Bank ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Global Clinical Trial Registry Network ICTRP CTRI CLINICAL TRIALS REGISTRY INDIA
Title IX – Enhanced Authorities Postmarket Safety of Drugs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Section 505 (k)(3) Active  Postmarket Risk Identification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Section 505 (k)(4) Advanced  Analysis of Drug Safety Data  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],The Secretary shall establish collaborations with public, academic, and private entities, including the Centers for Education and Research to provide for advanced analysis of drug safety data described in the Postmarket Risk Identification & Analysis System, in order to—
Section 505 (k)(5) and 505(l)  Adverse Event Reporting System and  Public Disclosure of Safety Data  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Section 505 (o)(3) Postmarket studies and  clinical trials ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
FD&C Section 505 (k)(3)  Active postmarket risk identification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Section 505 (o)(4)  Safety Labeling Changes  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Section 505 (p) Risk Evaluation  & Mitigation Strategy (REMS) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Postmarket Safety of Drugs Serious Risk Identification & Mitigation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Postmarket Safety of Drugs Patient Access to Drugs with Serious Risks ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Postmarket Safety of Drugs Implementation System & Assurance Evaluation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
(g) Assessment And  Modification of Approved  Risk Evaluation & Mitigation Strategy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
(h) Review of Proposed Strategies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
(h) Review of Proposed Strategies Dispute Resolution ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Section 503B Preview of  Television Advertisements ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Section 503B  Direct to Consumer Advertisements ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Section 902 Enforcement  Misbranding & Civil Penalties ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Section 913  Assuring Pharmaceutical Safety ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Title X – Food Safety   Reportable Food Registry ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Food Safety Reports  Data Elements ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
International Legislation for Risk Management Global Legislative Tools for Risk Management The global international community has responded to the direction of the World Health Organization and the United States to harmonize regulatory practice and extend the best practice in consumer safety into markets across the globe.  Australia   China Canada   European Union
The Third U.S. - China Strategic Economic  Dialogue 2007: MOAs ,[object Object],[object Object],[object Object],Healthcare Products & Services 2007 On December 11, 2007, the U.S. Department of Health and Human Services and the State Food and Drug Administration of the People's Republic of China signed memorandum of agreements in eight areas intended to improve the safety of exports.   Three of these support consumer health product quality and risk management:
China and US Sign Agreement  Safety of Drugs and Medical Devices 2007 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
European Union Council Regulation (EC) No 73/2008 ,[object Object],[object Object],[object Object],[object Object],[object Object],Joint Technology Initiative on Innovative 2007 The Joint Technology Initiative on Innovative Medicines establishes a coordinated approach to overcome identified research bottlenecks in the drug development process, and to support pre-competitive pharmaceutical research and development, in order to accelerate the development of safe and more effective medicines for patients.
European Union P harmacovigilance of Advanced Therapy Medicinal Products ,[object Object],[object Object],[object Object],[object Object],Advanced Therapy Medicinal Products And Amending Directive 2001/83/EC and Regulation (EC) No 726/2004 This regulation introduces additional provisions to those laid down in Directive 2001/83/EC. The scope of this regulation is to regulate advanced therapy medicinal products intended to be placed on the market in Member States and either prepared industrially or manufactured by a method involving an industrial process.
European Union Commission On Pharmacovigilance   Pending Legislation Strategy To Strengthen And Rationalize The EU Pharmacovigilance System ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Canada Federal Regulatory  Post-Market Surveillance Strategy 2007-2012 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Study on Post-Market Surveillance Of Pharmaceutical Products, Prescription and Non-Prescription House Of Commons.  In January 2008, the Standing Committee on Health will commence a study on the post-market surveillance of pharmaceutical products, prescription and non-prescription. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Australia’s Therapeutic Goods Administration (TGA) and FDA Sign Cooperative Agreement  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Global Risk Management Infrastructure  Healthcare Products and Services FDA 3  2007 China-US Food Safety 2007 China-US Safety of Drugs & Medical Devices 2007 IMI Joint  Undertaking Australia - US Cooperative Agreement 2007 Advanced Therapy Medicinal Products & Amending Directive  Post-Market Surveillance Study 2008
Discussion Items Joseph Curtis MS, PhD Legislative Views Risk Management in Healthcare Products ASQ Tri-Division Conference 2008 email:  [email_address]

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Legislative Views on Risk Management in Healthcare

  • 1. Legislative Views on Risk Management in Healthcare Products and Services Tri-Division Conference Regulations and Regulators Joseph Curtis MS, PhD March 27, 2008
  • 2. Global Risk Management Infrastructure Healthcare Products and Services FDA 3 2007 China-US Food Safety 2007 China-US Safety of Drugs & Medical Devices 2007 IMI Joint Undertaking Australia - US Cooperative Agreement 2007 Advanced Therapy Medicinal Products & Amending Directive Post-Market Surveillance Study 2008
  • 3.
  • 4.
  • 5. US Legislation Initiatives Healthcare Product Risk Management Legislative Approach to Managing Risks to Consumers of Medical Technology The United States continues to expand its risk management infrastructure by integrating postmarket surveillance with eHealth tools for consumer safety, and apply science-based approaches to minimizing potential risks associated with medical technology. Additional efforts have been initiated to innovate across the risk continuum and introduce advanced technology into the marketplace at reduced risk to the consumer. Efforts to harmonize regulatory practice and extend the best practice in consumer safety into markets across the global medical product supply chain will also be examined.
  • 6.
  • 7.
  • 8.
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  • 10.
  • 11.
  • 12. Global Clinical Trial Registry Network ICTRP CTRI CLINICAL TRIALS REGISTRY INDIA
  • 13.
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  • 24.
  • 25.
  • 26.
  • 27.
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  • 30.
  • 31.
  • 32.
  • 33. International Legislation for Risk Management Global Legislative Tools for Risk Management The global international community has responded to the direction of the World Health Organization and the United States to harmonize regulatory practice and extend the best practice in consumer safety into markets across the globe. Australia China Canada European Union
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.
  • 41. Global Risk Management Infrastructure Healthcare Products and Services FDA 3 2007 China-US Food Safety 2007 China-US Safety of Drugs & Medical Devices 2007 IMI Joint Undertaking Australia - US Cooperative Agreement 2007 Advanced Therapy Medicinal Products & Amending Directive Post-Market Surveillance Study 2008
  • 42. Discussion Items Joseph Curtis MS, PhD Legislative Views Risk Management in Healthcare Products ASQ Tri-Division Conference 2008 email: [email_address]