The addition of the medical device law by the Drug Regulatory of Pakistan to register medical devices in Pakistan, as per national requirements (equivalence of FDA, CE, and ISO)
"Brief Introduction of China Food & Drug Administration" by Chang Yongheng, China Centre for Food and Drug International Exchange, China Food & Drug Administration
"Brief Introduction of China Food & Drug Administration" by Chang Yongheng, China Centre for Food and Drug International Exchange, China Food & Drug Administration
Regulatory requirnment and approval procedure of drugs in japan pptsandeep bansal
this ppt is about all the rules and regulations of drugs in Japan.this ppt contains the PMDA structure, DMF data, IND and NDA procedure, cosmetic regulations, post marketing survelliance etc.
For more information:
Email: info@arqon.com
LinkedIn : ARQon - Asia Regulatory and Quality Consultancy for Medical Device and Drugs
Twitter: @ARQonSG
Medical device regulatory & registration in Asia/ASEAN: Australia, Cambodia, China, Hong Kong, India, Indonesia, Japan, Malaysia, Myanmar, Nepal, New Zealand, Philippines, Singapore, South Korea, Taiwan, Thailand, Vietnam
-ARQon Service-
ARQon (Asia Regulatory & Quality Consultancy) is a regulatory consultancy firm for medical devices and drug companies. We assist our clients in areas of regulatory and quality from product development to product registration to attain market approval in ASIA, ASEAN, EU, US, and the Rest of the World.
ASIA - Austria TGA, Taiwan FDA, New Zealand Medsafe, Japan MHLW, South Korea MFDS, Hong Kong MDCO, Pakistan DRA, Bangladesh DGDA, China FDA, India CDSCO Approvals
ASEAN - Singapore HSA, Cambodia DDF, MOH Indonesia, Malaysia MDA, Myanmar FDA, Philippines FDA, Thai FDA, Vietnam DMEC Approvals
AMERICAS - Brazil ANVISA, Health Canada, Colombia INVIMA, Costa Rica MOH, Mexico COFEPRIS, Peru DIGEMID, US FDA Approvals
EUROPE - Notified Bodies Approval
MIDDLE EAST - Egypt CAPA, Emirates MOH, Saudi Arabia FDA Approvals
“CFDA Registration – Market Access Before Investment” delivered by Tim Lin, T...ulmedical
Due to a large population, increasing middle class and government plans to build tens of thousands of hospitals, there is a lot of demand for high quality medical devices in China. For many foreign medical device manufacturers, the regulatory barriers are still significant obstacles.
The medical device regulation in China is less harmonized and generally unique from other major markets. The primary challenges tend to be: actual testing, drafting standards, language barriers and license parking. These additional requirements create a delay in the registration process.
Foreign manufacturers need to specifically understand the Chinese medical device regulation in advance, and then are able to determine appropriate strategies aimed at successful China market entry.
This is the content for a live webinar, "CFDA Registration, Market Access before Investment...Solving the CFDA Challenge" delivered by UL's Tim Lin. Tim is the Senior Technical Consultant working in the Greater China Region. He majored in public health and medical device engineering, and worked as a reviewer in the Taiwan FDA for high and moderate-risk medical device and clinical trial protocol for over 5 years; and also drafted guidance for industry. He is now responsible for risk management file, usability engineering, software validation and CE MDD technical documentation.
Medical device management in china and latest regulatory updates_EdwinCIRS China
Currently, China is one of the world's most promising markets for medical devices, which on the back of its vast market size, offers huge potential to medical device companies. All medical devices marketed or sold for use in China must be registered with China Food and Drug Administration (CFDA).
Firstly it was a division of Chemistry, then named as The Bureau Of Chemistry.
In Jully1930,the name was shortened to Food And Drug Administration.
Up to 1940,FDA was under Department Of Agriculture.
In 1968,it become part of Public Health Service within Health Education And Welfare (HEW).
Drugs Technical Advisory Board (DTAB) Minutes of meetingsRakeshDahiya16
This division deals with organizing and convening meetings of ‘Drugs Technical Advisory Board (DTAB)’.
The recommendations of DTAB on the matters rose out of administration of the Drugs and Cosmetics Act and Rules thereunder shall be done by amending the relevant particulars of the Drugs and Cosmetics Act and Rules thereunder.
Guidance document on GDPMD and Site Master File from DRAPMUHAMMAD SOHAIL
Guidance documents on Good Distribution Practices for Medical Devices and Site Master File as per Medical Devices Rule 2015 issued by Drug Regulatory Authority of PAKISTAN
Regulatory requirnment and approval procedure of drugs in japan pptsandeep bansal
this ppt is about all the rules and regulations of drugs in Japan.this ppt contains the PMDA structure, DMF data, IND and NDA procedure, cosmetic regulations, post marketing survelliance etc.
For more information:
Email: info@arqon.com
LinkedIn : ARQon - Asia Regulatory and Quality Consultancy for Medical Device and Drugs
Twitter: @ARQonSG
Medical device regulatory & registration in Asia/ASEAN: Australia, Cambodia, China, Hong Kong, India, Indonesia, Japan, Malaysia, Myanmar, Nepal, New Zealand, Philippines, Singapore, South Korea, Taiwan, Thailand, Vietnam
-ARQon Service-
ARQon (Asia Regulatory & Quality Consultancy) is a regulatory consultancy firm for medical devices and drug companies. We assist our clients in areas of regulatory and quality from product development to product registration to attain market approval in ASIA, ASEAN, EU, US, and the Rest of the World.
ASIA - Austria TGA, Taiwan FDA, New Zealand Medsafe, Japan MHLW, South Korea MFDS, Hong Kong MDCO, Pakistan DRA, Bangladesh DGDA, China FDA, India CDSCO Approvals
ASEAN - Singapore HSA, Cambodia DDF, MOH Indonesia, Malaysia MDA, Myanmar FDA, Philippines FDA, Thai FDA, Vietnam DMEC Approvals
AMERICAS - Brazil ANVISA, Health Canada, Colombia INVIMA, Costa Rica MOH, Mexico COFEPRIS, Peru DIGEMID, US FDA Approvals
EUROPE - Notified Bodies Approval
MIDDLE EAST - Egypt CAPA, Emirates MOH, Saudi Arabia FDA Approvals
“CFDA Registration – Market Access Before Investment” delivered by Tim Lin, T...ulmedical
Due to a large population, increasing middle class and government plans to build tens of thousands of hospitals, there is a lot of demand for high quality medical devices in China. For many foreign medical device manufacturers, the regulatory barriers are still significant obstacles.
The medical device regulation in China is less harmonized and generally unique from other major markets. The primary challenges tend to be: actual testing, drafting standards, language barriers and license parking. These additional requirements create a delay in the registration process.
Foreign manufacturers need to specifically understand the Chinese medical device regulation in advance, and then are able to determine appropriate strategies aimed at successful China market entry.
This is the content for a live webinar, "CFDA Registration, Market Access before Investment...Solving the CFDA Challenge" delivered by UL's Tim Lin. Tim is the Senior Technical Consultant working in the Greater China Region. He majored in public health and medical device engineering, and worked as a reviewer in the Taiwan FDA for high and moderate-risk medical device and clinical trial protocol for over 5 years; and also drafted guidance for industry. He is now responsible for risk management file, usability engineering, software validation and CE MDD technical documentation.
Medical device management in china and latest regulatory updates_EdwinCIRS China
Currently, China is one of the world's most promising markets for medical devices, which on the back of its vast market size, offers huge potential to medical device companies. All medical devices marketed or sold for use in China must be registered with China Food and Drug Administration (CFDA).
Firstly it was a division of Chemistry, then named as The Bureau Of Chemistry.
In Jully1930,the name was shortened to Food And Drug Administration.
Up to 1940,FDA was under Department Of Agriculture.
In 1968,it become part of Public Health Service within Health Education And Welfare (HEW).
Drugs Technical Advisory Board (DTAB) Minutes of meetingsRakeshDahiya16
This division deals with organizing and convening meetings of ‘Drugs Technical Advisory Board (DTAB)’.
The recommendations of DTAB on the matters rose out of administration of the Drugs and Cosmetics Act and Rules thereunder shall be done by amending the relevant particulars of the Drugs and Cosmetics Act and Rules thereunder.
Guidance document on GDPMD and Site Master File from DRAPMUHAMMAD SOHAIL
Guidance documents on Good Distribution Practices for Medical Devices and Site Master File as per Medical Devices Rule 2015 issued by Drug Regulatory Authority of PAKISTAN
Contents:
History
DRAP
Composition of DRAP
Function of DRAP
Policy board
Funds and budget of DRAP
Real picture of DRAP
Other agencies
References
History Of Authorities
What Is Drug Regulatory Authority
Drug Regulatory Authority of Pakistan (DRAP) has been established in NOV13,2012 for effective coordination and enforcement of the Drugs Act, 1976.
The Drug Regulatory Authority of Pakistan (DRAP) is an autonomous body working under the administrative control of Ministry of National Health Services.
The Authority is expected to regulate, manufacture, import, export, storage, distribution and sale of therapeutic goods.
What Is Drug Regulatory Authority,…
The authority may set up its establishments including sub-offices and laboratories at province capital and such other places from time to time.
The existing Federal Drug Control Administration(FDCA) and sub offices set up in all provinces are called Central Drug Laboratory
For example;
National Control Laboratory on Biological, Karachi
Federal Drug Surveillance Laboratory, Islamabad
Composition Of DRAP
Chief executive officer
Director Pharmaceutical Evaluations and Registration
Director Drug Licensing
Director Quality Assurance and Laboratory Testing
Director Medical Devices and Medicated Cosmetics
Director Biological Drugs
Composition Of DRAP,….
Director Controlled Drugs
Director Health and OTC Products (non-drugs)
Director Costing and Pricing
Director Budget and Accounts
Director Administration, Human Resource and Logistics
Director Legal Affairs
Director Management Information Services
Power And Function Of DRAP
Evaluation and Registration of pharmaceutical drugs, medical devices and medicated cosmetics, alternative medicines And Licensing of Drug Manufacturing facilities.
Regulation of controlled drugs and biological drugs.
Policy board
DRA will work under the Policy board which consists of 15 members.
Chair person of Board will be Secretary of Federal Health Division
Members will consist of Chief Executive of Agency, Health Secretary of all provinces.
Functions of policy board
Monitor and supervise all function of the DRAP.
Approve the budget of the DRAP.
Determine all fees and leaves.
Funds And Budgets
Loans and grants from the national and international agencies received by the federal government and provincial government to finance the function of the authority.
Grat-in aid in term of salaries and retirements benefits of the existing staff provided by the federal government.
Charges and fees collected by the authority to recover the cost of regulated activities
Funds And Budgets……………
Central research fund collected from pharmaceutical industry.
The authority shall, in respect of each financial year prepare an annual budget for approval from board and shall sent to the federal government for appropriate provision and allocation.
Facts About DRAP
Dr Hussein, regional
How to Make Awesome SlideShares: Tips & TricksSlideShare
Turbocharge your online presence with SlideShare. We provide the best tips and tricks for succeeding on SlideShare. Get ideas for what to upload, tips for designing your deck and more.
eHealth - Medical Systems Interoperability & Mobile Healthulmedical
The Medical Device industry is rapidly adopting technologies that enable communication and connectivity of health products and systems to improve both speed and quality of care as well as patient safety. The users (i.e. hospitals and others) are demanding an approach that will support interoperability among multiple independently sourced medical devices. Industry will require standardization to support such interoperability. Government and regulators, on behalf of the patients and in compliance with their mission to protect public health, as well as users and manufacturers require that such interoperability is safe. This complementary webinar will introduce the eHealth sector and applications, outline the challenges and risks inherent in connecting heterogeneous equipment into medical device systems, and provide insights to how manufacturers can demonstrate compliance with the rapidly changing regulatory landscape for interoperable medical devices.
This webinar was presented by UL eHealth experts on October 30, 2013.
A complete scenario of Medical Device Industry Of USA and India as well as of some major players. The presentation also highlights the Rules and regulations with respect to the devices and also SWOT analysis of emerging markets
KCR: Post-Authorisation Safety Studies (PASS) - Is the Ongoing Surveillance a...KCR
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28th DIA EuroMeeting
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Magdalena Matusiak, MPharm
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The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Cold Sores: Causes, Treatments, and Prevention Strategies | The Lifesciences ...The Lifesciences Magazine
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ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
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The Importance of Community Nursing Care.pdfAD Healthcare
NDIS and Community 24/7 Nursing Care is a specific type of support that may be provided under the NDIS for individuals with complex medical needs who require ongoing nursing care in a community setting, such as their home or a supported accommodation facility.
KEY Points of Leicester travel clinic In London doc.docxNX Healthcare
In order to protect visitors' safety and wellbeing, Travel Clinic Leicester offers a wide range of travel-related health treatments, including individualized counseling and vaccines. Our team of medical experts specializes in getting people ready for international travel, with a particular emphasis on vaccines and health consultations to prevent travel-related illnesses. We provide a range of travel-related services, such as health concerns unique to a trip, prevention of malaria, and travel-related medical supplies. Our clinic is dedicated to providing top-notch care, keeping abreast of the most recent recommendations for vaccinations and travel health precautions. The goal of Travel Clinic Leicester is to keep you safe and well-rested no matter what kind of travel you choose—business, pleasure, or adventure.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
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There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
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8. TO BE PUBLISHED IN PART – II OF THE EXTRAORDINARY GAZZETE OFTO BE PUBLISHED IN PART – II OF THE EXTRAORDINARY GAZZETE OF
PAKISTANPAKISTAN
GOVERNMENT OF PAKISTANGOVERNMENT OF PAKISTAN
DRUGS REGULATORY AUTHORITY OF PAKISTANDRUGS REGULATORY AUTHORITY OF PAKISTAN
MINISTERY OF NATIONAL HEALTH SERVICES,REGULATION ANDMINISTERY OF NATIONAL HEALTH SERVICES,REGULATION AND
COORDINATIONCOORDINATION
NOTIFICATIONNOTIFICATION
S.R.O 204(I)/2015S.R.O 204(I)/2015 Islamabad, theIslamabad, the 99thth
March,2015March,2015
In exercise of the power conferred byIn exercise of the power conferred by section 23section 23 of Drugof Drug
Regulatory Authority of Pakistan, with approval of the FederalRegulatory Authority of Pakistan, with approval of the Federal
Government , is pleased to make the following rules , being madeGovernment , is pleased to make the following rules , being made
on the first occasion namelyon the first occasion namely
““ MEDICAL DEVICES RULES , 2015MEDICAL DEVICES RULES , 2015 ””
Shall come into force at once.Shall come into force at once.
MEDICA
L RULES
2015
11. MEDICAL DEVICES RULES ,2015MEDICAL DEVICES RULES ,2015 ………………………………
HISTORYHISTORY
11STST
time introduced by USA in 1976time introduced by USA in 1976
PakistanPakistan the 1the 1stst
country in South Asia to implement these rulescountry in South Asia to implement these rules
Yet not applied on devices in India & BangladeshYet not applied on devices in India & Bangladesh
Drug act 1976 covered only syringes/stents/catheters forDrug act 1976 covered only syringes/stents/catheters for
registrationregistration
In 1996 issue of hepatitis due to reuse of syringes raised Govt. triedIn 1996 issue of hepatitis due to reuse of syringes raised Govt. tried
toto regulate but manufacturers took stay which stood for 10 years.regulate but manufacturers took stay which stood for 10 years.
Resistance by stake holders to regulate medical devicesResistance by stake holders to regulate medical devices
DRA
MEDICA
L RULES
2015
12. NEEDNEED
No check & balance on devices used for human healthNo check & balance on devices used for human health
Contamination hazards of metals/reagents/chemicalsContamination hazards of metals/reagents/chemicals
No proper calibrations as per ISO standardsNo proper calibrations as per ISO standards
Violations of usage/claims due to non market surveillanceViolations of usage/claims due to non market surveillance
Spread of hepatitis & other infectious diseases blood productsSpread of hepatitis & other infectious diseases blood products
No check of safety measures in installations/fabrications etc.No check of safety measures in installations/fabrications etc.
Illegal imports in person of hand carry/portable devicesIllegal imports in person of hand carry/portable devices
No proper presentations ofNo proper presentations of MADE IN PAKISTANMADE IN PAKISTAN
Misbranded/substandard imports/usageMisbranded/substandard imports/usage
A vacuum in health claims/facilitiesA vacuum in health claims/facilities
Loss of revenue/resourcesLoss of revenue/resources
DRA
P
MEDICA
L RULES
2015
13. ScopeScope
OverOver 1 Million1 Million medical devices to be regulatedmedical devices to be regulated
Spectacles/cardiac stents/pace makers –Spectacles/cardiac stents/pace makers – the lawful use & safetythe lawful use & safety
Laproscopy machines/Lab & clinical machines –Laproscopy machines/Lab & clinical machines – proper calibrationproper calibration
Machines used in drug manufacturing –Machines used in drug manufacturing – Standard productionsStandard productions
Home use/personal use devices –Home use/personal use devices – to get qualityto get quality products with warrantyproducts with warranty
Regulate devices for imports/Exports –Regulate devices for imports/Exports – improves Country imageimproves Country image
Meet WHO/ISO parametersMeet WHO/ISO parameters
Pioneers in south AsiaPioneers in south Asia
A step ahead from India & BangladeshA step ahead from India & Bangladesh
DRA
P
MEDICA
L RULES
2015
14. PURPOSEPURPOSE
11stst
time in Pakistan Medical Devices are coming under comprehensivetime in Pakistan Medical Devices are coming under comprehensive
MEDICAL DEVICES RULES 2015MEDICAL DEVICES RULES 2015 TO :TO :
PROTECT PUBLIC HEALTHPROTECT PUBLIC HEALTH
PROTECT PEOPLE FROM UNSAFE, SUB STANDARD, FAKE,PROTECT PEOPLE FROM UNSAFE, SUB STANDARD, FAKE,
SPORIOUS & NON FUNCTIONAL MEDICAL DEVICESSPORIOUS & NON FUNCTIONAL MEDICAL DEVICES
Prevent reuse of disposable medical devicesPrevent reuse of disposable medical devices
Minimize blood born infectious diseases AID,HEPATITIS(A,Minimize blood born infectious diseases AID,HEPATITIS(A,
B ,C)B ,C)
VIRAL HEMORRHGIC FEVER, SEPTICEMIAVIRAL HEMORRHGIC FEVER, SEPTICEMIA
PROVIDE SAFE & EFFECTIVE MEDICAL DEVICESPROVIDE SAFE & EFFECTIVE MEDICAL DEVICES
ADEHERENCE TO ISO, WHO,IMDRF,GMDN STANDARDSADEHERENCE TO ISO, WHO,IMDRF,GMDN STANDARDS
IMPROVE EXPORT – GENERATE MORE REVENUEIMPROVE EXPORT – GENERATE MORE REVENUE
MINIMIZE IMPORT – SELF RELIANCE – NATIONAL GROWTHMINIMIZE IMPORT – SELF RELIANCE – NATIONAL GROWTH
DRA
P
MEDICA
L RULES
2015
15. MEDICAL DEVICES RULES 2015MEDICAL DEVICES RULES 2015 -- INDEXINDEX
Chapter TOPIC Rules # Page
s
1. Terminology , Clarification & Definitions 1-2 1-7
2. Conformity Assessment Procedure 3-45 7-28
3. Registration of Conformity Assessment Body (CAB) 46-54 28-31
4. Requirements for Registration of CAB 55-68 31-42
5. Establishment license (Manufacturing & Import) 69-76 42-48
6. Classification of Medical Devices 77-83 48-58
7. Grouping of Medical Devices 84-85 58 - 64
8. Registration of Medical Devices 86-93 64 - 70
9. Import & Export of Medical Devices 94-113 70 -76
10. Labeling of Medical Devices 114-121 77 -80
11. Responsibilities & Obligations 121-127 80 -81
12. Exemptions , Prohibitions and Sampling 128-130 81 -82
13. Usage , Operation , Maintenance Etc 131-134 82 - 85
14. MEDICAL DEVICE BOARD (MDB) 135 85-87
15. Appeal 136 87
16. Medical Device Register (MDR) 137 87
17. FEE 138 87-88
18 Advertising of Medical Devices 139-141 88-90
19. Miscellaneous 142-146 90
DRA
P
MEDICA
L RULES
2015
16. TerminologyTerminology
MDB – Medical Device Board CAB –Conformity Assessment BodyMDB – Medical Device Board CAB –Conformity Assessment Body
MD – Medical Devices MDR – Medical Devices RegisterMD – Medical Devices MDR – Medical Devices Register
CA C – ConforCA C – Conformity Assessment Certificate GDP – Good Distribution Practicesmity Assessment Certificate GDP – Good Distribution Practices
GSP – Good Storage Practices GLP – Good Laboratory PracticesGSP – Good Storage Practices GLP – Good Laboratory Practices
GMP – Good Manufacturing Practices GDMN – Global Medical DevicesGMP – Good Manufacturing Practices GDMN – Global Medical Devices
NomenclatureNomenclature
AHWP – Asian Harmonization Working Party IVD – In Vitro DiagnosticsAHWP – Asian Harmonization Working Party IVD – In Vitro Diagnostics
IMDRF – International Medical Devices Forum IMD – Invasive Medical DevicesIMDRF – International Medical Devices Forum IMD – Invasive Medical Devices
DRAP ACT – Drug Regulatory Authority of Pakistan Act 2012 (XXI of 2012)DRAP ACT – Drug Regulatory Authority of Pakistan Act 2012 (XXI of 2012)
MDB
DRA
P MEDICA
L RULES
2015
19. MDBMDB -- DDetailsetails
CHAIRMAN, secretary & DG Health are EX Officio membersCHAIRMAN, secretary & DG Health are EX Officio members
Other members are nominated for 2 yearsOther members are nominated for 2 years
Chairman himself OR on direction of Authority may call meetingChairman himself OR on direction of Authority may call meeting
In absence of chairman members may elect any member to presideIn absence of chairman members may elect any member to preside
Quorum to conduct meeting shall be one half of total membersQuorum to conduct meeting shall be one half of total members
No act or proceeding of MDB shall be invalidNo act or proceeding of MDB shall be invalid merely on the ground ofmerely on the ground of
the existing of any vacancy in ,or any defect in its constitutionthe existing of any vacancy in ,or any defect in its constitution
MDB may appoint a panel of experts or inspectors for inspection of firmMDB may appoint a panel of experts or inspectors for inspection of firm
MDB shall follow policy guidelines issued by the policy board ofMDB shall follow policy guidelines issued by the policy board of
authorityauthority
Where MDB requires examination or evaluation of applications a subWhere MDB requires examination or evaluation of applications a sub
Committee will examine & give report to MDB.Committee will examine & give report to MDB.
Sub CommitteeSub Committee members(members( SecretarySecretary MDB,MDB, Deputy DirectorDeputy Director MedicalMedical
Devices & Medicated cosmeticsDevices & Medicated cosmetics , Expert member(s), Expert member(s) nominated by MDBnominated by MDB
MDB
20. MDBMDB -- MainMain
RESPONSIBILITIESRESPONSIBILITIES
Registration AuthorityRegistration Authority
For registration of Conformity Assessment Bodies (For registration of Conformity Assessment Bodies ( CAB’sCAB’s))
For registration ofFor registration of Medical DevicesMedical Devices
For Renewal/suspension/cancellation the registrationFor Renewal/suspension/cancellation the registration
Licensing AuthorityLicensing Authority
To approveTo approve license for manufacturinglicense for manufacturing of Medical devicesof Medical devices
To Renew /suspend/cancel the licenseTo Renew /suspend/cancel the license
Authority for issuance ofAuthority for issuance of
ImportImport permit for importing Medical Devicespermit for importing Medical Devices
ExportExport permit for export of Medical Devicespermit for export of Medical Devices
Renewal/suspension/cancellation of permitRenewal/suspension/cancellation of permit
Authority toAuthority to
Ensure implementationEnsure implementation of Medical Devices Rulesof Medical Devices Rules
Check, inspect, investigate or validateCheck, inspect, investigate or validate a person/a person/
firms/manufacturers /Establishment /factoryfirms/manufacturers /Establishment /factory
distributor/involved in Medical Devices business &distributor/involved in Medical Devices business &
SEAL/Stop operation/order for Batch withdrawalSEAL/Stop operation/order for Batch withdrawal
of any of above mentioned parties.of any of above mentioned parties.
MDB
21. FORMATSFORMATS
FORM
NO
PURPOSE Rules applied
1 Application for registration/renewal of CAB 47/1, 49/1, 50/2
2 Certificate of registration of CAB in MDB 48/3
3 Application for grant/renewal of license (manufacturing) 70/2, 73/1, 74/3
3-A Application for grant/renewal of license (Imports) - do -
4. License to manufacture Medical Devices 71/2
4-A License to import Medical Devices 71/2
5. Warranty under medical devices rules 2015
72(2i/4b), 92/7, 124/1i
6. Application for Registration/Renewal of MD (Local
MFG.)
87/2.89/1, 90/2
6-A Application for Registration/Renewal of imported MD’s - do -
7 Certificate of registration of MD (Locally manufactured) 88/4
7-A Certificate of Registration of MD (imported) - do -
8. Intimation regarding import (LC, Qty, rate, parties etc) 94/b
9 Application for import permit(MD/component/material) 96/1
10. MOU (to be attached with application for import) - do -
MDB
22. FORMATSFORMATS
FORM
No
PURPOSE Rules
Applied
11. Application for Import Permit for MD(Clinical analysis) 96/2
12. IMPORT PERMIT (MD’s/component/raw materials) 96/3
13. Import Permit of MD’s (for clinical analysis/ test) - d0 -
14. Intimation of arrival of MD’s/component/raw materials 101/1b
15. Application FORM for EXPORT PERMIT of MD 104/3
16. EXPORT PERMIT for Medical Devices 105/1
17. Application for Export of small quantties of MD for
(Clinical investigation/testing/examination/analysis)
106/1
18. Export permit for small quantities (as shown in 17) 106/3
19. MEDICAL DEVICE REGISTER (MDR)- at MDB 137
20. Application for approval of advertisement of MD’s 140/1
21. PERMISSION to advertise a medical device 140/3
MDB
23. FEE CHARTFEE CHARTCategory Purpose FEE (Rs.)
1 Locally manufactured Medical Devices Registration 20,000
2. - do - Renewal 10,000
3. Imported Medical Devices Registration 1,00,000
4. - do - Renewal 50,000
5 IF imported MD is not manufactured locally Registration 50,000
6 - do - Renewal 25,000
7 - do - (for any change in Regd. MD) Any Change 25,000
8 For Conformity Assessment Body -CAB Registration 1,00,000
9 - do - Renewal 50,000
10 - do - Any Change 50,000
11 Establishment license - ForManufacturing License fee 1.00.000
12 - do - Renewal 50,000
13 - do - Any Change 50,000
14 Establishment License – For Import License fee 20,000
15 - d0 - Renewal 10,000
16 - do - Any Change 10,000
17 Import permit & its Renewal Permit/Renewal 5,000
18 Export permit & its Renewal Permit/Renewal 1,000
19 Appeal Appeal 50,000
20 Advertisement permission Advertise 20,000
21 Miscellaneous - For any other commercial activity MISC. 5,000
FEE
CHART
MDB
24. Exemption Rules - 128 & 146Exemption Rules - 128 & 146
The Conformity Assessment bodies, medical Devices,The Conformity Assessment bodies, medical Devices,
Establishments and Medical Devices specified in table 2Establishments and Medical Devices specified in table 2
below shall , in terms of section 36 of the Act, bebelow shall , in terms of section 36 of the Act, be
exemptedexempted
from its commencement for a period as specified infrom its commencement for a period as specified in
columncolumn
3 thereof, namely (3 thereof, namely (Pease see table on last slidePease see table on last slide ))
The provisions ofThe provisions of the rules made under the Drugs Actthe rules made under the Drugs Act ,,
1976 (XXXI of 1976)1976 (XXXI of 1976) so far as they regulate medicalso far as they regulate medical
devices and their directives covered under these rulesdevices and their directives covered under these rules
areare hereby repealedhereby repealed from the dates and in respect of thefrom the dates and in respect of the
medical devices and activities thereof specifies undermedical devices and activities thereof specifies under
rule 128rule 128
Rule
128
Rule
146
MDB
25. ExemptionsExemptions in Medical Devices Rule – 2015 (in Medical Devices Rule – 2015 ( Rule 128Rule 128 ))
#
(1)
Category
(2)
Time
Period
(3)
Approx
Dates
(4)
1 Conformity Assessment Bodies (CAB’s) 6
months
6.9.2015
2 Class D Medical Devices (Manufacturer/Importers) 1 year 6.3.2016
3 Class C Medical Devices
(Manufacturers/importers)
1.5 year 6.9.2016
4 Class A-MD(Active , sterile or having measuring
function)
(Manufacturer/Importer)
2 years 6.3.2017
5 Class B Medical Devices
(Manufacturers/Importers)
2 years 6.3.2017
MDB
27. Conformity Assessment BodiesConformity Assessment Bodies
A private technical body (Person/firm)A private technical body (Person/firm)
Duly registered with MDBDuly registered with MDB
Having expertiseHaving expertise in Judging Quality Parameters of Medical Devicesin Judging Quality Parameters of Medical Devices
A sound organization with adequate competent staff & appropriateA sound organization with adequate competent staff & appropriate
facilities, test equipment to carry conformity test of Med devicesfacilities, test equipment to carry conformity test of Med devices
BASIC FUNCTIONsBASIC FUNCTIONs
A legal supportive bodyA legal supportive body established under Medicalestablished under Medical
DevicesDevices
Rules 2015 (Rule 46-48)Rules 2015 (Rule 46-48)
AnAn independentindependent, fully responsible , technically competent, fully responsible , technically competent
to perform conformity assessments of medical devicesto perform conformity assessments of medical devices
asas
per rules &per rules & submit reportsubmit report to MDB in specified time.to MDB in specified time.
Confidentiality is mandatoryConfidentiality is mandatory for CAB. No detail/record orfor CAB. No detail/record or
results should be disclosed to any party except MDBresults should be disclosed to any party except MDB
CA
B
28. CAB - DUTIESCAB - DUTIES
CONFORMITY ASSESSMENT OF :CONFORMITY ASSESSMENT OF :
QMS (Quality Management System)QMS (Quality Management System)
of applicant for registration of deviceof applicant for registration of device
PMSS (Post Market Surveillance System) as per device claimsPMSS (Post Market Surveillance System) as per device claims
Technical documentsTechnical documents
Declaration of conformityDeclaration of conformity
CA
B
29. Selection & registration with Conformity Assessment BodySelection & registration with Conformity Assessment Body
3 types can apply (manufacturer/importer or rep/distributor)
Procedure
Select any party from approved list by MDB
CAB should not be related to the firm/person
Provide /allocate/display your product /device for assessment
Give all necessary information of device
Provide QMS data of medical device (if applicable) as follows :
Manufacturer : ISO 13485 –Medical Devices QMS (for regulatory)
Importer/Rep : GDPMD (Ask manufacturer)-approval by CAB/ MDB
Distributor : GDPMD (Good Distribution Practices of Medical devices)
For Foreign Concerns ( company/firm/Person )
Authorize a person/firm in Pakistan
Provide relevant documents/requirements (QMS)
Get CAB validation/conformity of QMS/documents
/Evidence etcas per procedure mentioned above
Exemption from
CAB registration is
applicable on
certain foreign
firms as per rule
142 (1) a
CA
B
31. Classification of MedicalClassification of Medical
DevicesDevices
Clarification of terms/words whether mentioned or not is theClarification of terms/words whether mentioned or not is the
exclusive & Discrete right of DRAP under DRAP ACTexclusive & Discrete right of DRAP under DRAP ACT
In case of dispute/misunderstanding between CAB & firm aboutIn case of dispute/misunderstanding between CAB & firm about
classification of a medical deviceclassification of a medical device MDB will decideMDB will decide on writtenon written
request of either party & inform both the partiesrequest of either party & inform both the parties
Categories/TypesCategories/Types
Non invasive/Invasive
Implantable/Non implantable
IVD’s (diagnostics)
Life supporting/sustaining
Self testing/adminsitration
Service providing
Reusable surgical instruments
Special access tools/machines (Custom made)
Surgical invasive MD
MD
32. Classification –Non Invasive (NIMD)Classification –Non Invasive (NIMD)
Non Invasive -1Non Invasive -1( Derma related)( Derma related)
AA – Simple wound dressings . cotton wool etc– Simple wound dressings . cotton wool etc
BB – non medicated impregnated gauze dressings .etc– non medicated impregnated gauze dressings .etc
CC – Dressings for - severe burns or chronic ulcerated wounds– Dressings for - severe burns or chronic ulcerated wounds
etcetc
Non Invasive-2Non Invasive-2
AA – Administration set( Gravity infusions)/syringes– Administration set( Gravity infusions)/syringes (No needle)(No needle)
BB –– Syringes/sets for infusion pumps/anesthesia/bSyringes/sets for infusion pumps/anesthesia/b reathing circuitsreathing circuits
etcetc
Tubes used for blood transfusion , organ storageTubes used for blood transfusion , organ storage
containerscontainers
Blood bags that do not incorporate an anti coagulant etcBlood bags that do not incorporate an anti coagulant etc
CC – blood bags– blood bags
NON INVASIVE - 3NON INVASIVE - 3
AA – Urine collection bottles/compression hosiery– Urine collection bottles/compression hosiery
Non Invasive electrodes , hospital bedsNon Invasive electrodes , hospital beds
BB – devices to remove carbon dioxide– devices to remove carbon dioxide
Particulate filters in extracorporial circulation system etcParticulate filters in extracorporial circulation system etc
MD
33. Classification – INVASIVE (IMD)Classification – INVASIVE (IMD)
Examination gloves/enema devices ETC.Examination gloves/enema devices ETC.
Dentures to be removed/Dressings for nasal bleedingDentures to be removed/Dressings for nasal bleeding
Urinary catheters/tracheal tubes/orthodontic wireUrinary catheters/tracheal tubes/orthodontic wire
Dental prosthesis (fix)Dental prosthesis (fix)
Urethral stents , contact lenses etc
manually operated surgical drills/bits & saw etc
Syringe needles/lancets, single use scalpets , surgical
staplers
Single aortic punch , surgical gloves ,
catheters/suckers etc
Surgical instruments (sterile/single use) other than
class D
Catheters containing sealed radioisotopes/insulin
pen etc
Invasive
1
Invasive
2A
B
C
D
A
B
C
MD
34. B – Infusion Canola , Temporary filling materials ,
Tissue stabilizers(CV)
Skin closure devices (non absorbable)
C – Surgical adhesives/brachy therapy device etc
D – Absorbable sutures/biological adhesives
Neurological & CV catheters
Carotid artery shunts ,
Pacemaker lead (temporary) etc
Invasive
3
B
C
D
MD
35. Classification –Implantable Medical DevicesClassification –Implantable Medical Devices
BRIDGES/CROWNS/DENTAL FILLING MATERIALSBRIDGES/CROWNS/DENTAL FILLING MATERIALS
Implants used in :Implants used in :
Orthopedic /dental/ophthalmic/CV fieldsOrthopedic /dental/ophthalmic/CV fields
Maxilla-facial implants , prosthetic joint replacementMaxilla-facial implants , prosthetic joint replacement
Bone cement , Internal sutures (non absorbable) etcBone cement , Internal sutures (non absorbable) etc
Rechargeable non active drug delivery systemRechargeable non active drug delivery system
etcetc
Prosthetic heart valves , spinal/vascularProsthetic heart valves , spinal/vascular
stentsstents
Pace makers & theirPace makers & their
electrodes/leadselectrodes/leads
ImplantableImplantable
defibrillators etcdefibrillators etc
BioactiveBioactive
implants etcimplants etc
B
C
D
MD
36. Classification – Active Medical DevicesClassification – Active Medical Devices
MRI equipment , Diagnostic ultrasound , evoked response stimulatorsMRI equipment , Diagnostic ultrasound , evoked response stimulators
Examination lamps , surgical microscopes , powered hospitalExamination lamps , surgical microscopes , powered hospital
beds/chairsbeds/chairs
Powered equipment for recording/processing/viewing of diagnosticPowered equipment for recording/processing/viewing of diagnostic
images , dental curing lightsimages , dental curing lights
Muscle stimulators , powered dental hand pieces , hearing aidsMuscle stimulators , powered dental hand pieces , hearing aids
Neonatal phototherapy equipment , ultrasound equipment (physio)Neonatal phototherapy equipment , ultrasound equipment (physio)
Gamma/Nuclear cameras , electronic thermometers , stethoscope ,Gamma/Nuclear cameras , electronic thermometers , stethoscope ,
BP monitors , ECG etc. Suction equipment , feedinBP monitors , ECG etc. Suction equipment , feedin g pumps , nebuliserg pumps , nebuliser
(safe)(safe)
Lung ventilators , baby incubators , surgical lasers , lithotriptersLung ventilators , baby incubators , surgical lasers , lithotripters
Therapeutic x ray , electrosurgical generators , external pacemakersTherapeutic x ray , electrosurgical generators , external pacemakers
External defibrillators etc. equipment used for ionizing radiation etcExternal defibrillators etc. equipment used for ionizing radiation etc
ICU monitors/alarms , Apnoea monitors ,biological sensors , oxygenICU monitors/alarms , Apnoea monitors ,biological sensors , oxygen
Saturation monitors , ultrasound equipment (CCU) , infusion pumpsSaturation monitors , ultrasound equipment (CCU) , infusion pumps
Anesthesia & dialysis equipment , hyperbaric chambers , nebulizersAnesthesia & dialysis equipment , hyperbaric chambers , nebulizers
(risk)(risk)
B
A
C
MD
37. Classification of Medical Device – AdditionalClassification of Medical Device – Additional
methodmethod
Manufactured from non-viable animal tissues or their derivatives &touchManufactured from non-viable animal tissues or their derivatives &touch
with intact skin only (leather components of ortho paedic appliances etc.with intact skin only (leather components of ortho paedic appliances etc.
Intended for disinfecting medical devices prior to sterilization or higherIntended for disinfecting medical devices prior to sterilization or higher
level disinfection e.g. washer disinfectorslevel disinfection e.g. washer disinfectors etcetc
Intended for sterilization/disinfection of Medical devices as end pointIntended for sterilization/disinfection of Medical devices as end point
processing e.g. MD for sterilizing endoscopes , disinfectants with MD etcprocessing e.g. MD for sterilizing endoscopes , disinfectants with MD etc
Intended for disinfecting/cleaning/rinsing/hydrating contact lenses.Intended for disinfecting/cleaning/rinsing/hydrating contact lenses.
Used for contraception ,STD prevention (condoms ,contraceptiveUsed for contraception ,STD prevention (condoms ,contraceptive
diaphragmsdiaphragms
Antibiotic bone cement , heparin coated catheters , Antimicrobial woundAntibiotic bone cement , heparin coated catheters , Antimicrobial wound
dressings , blood bags(anticoagulants) , manufactured from human/animaldressings , blood bags(anticoagulants) , manufactured from human/animal
cells/tissues & their derivatives as well (viable or not) e.g. porcine heartcells/tissues & their derivatives as well (viable or not) e.g. porcine heart
valves , catgut sutures etc.valves , catgut sutures etc.
A
B
C
D
MD
38. Classification – In Vitro Diagnostic Medical Devices – (IVD)Classification – In Vitro Diagnostic Medical Devices – (IVD)
Reagents/others articles/Instruments used for IVD proceduresReagents/others articles/Instruments used for IVD procedures
Specimen receptacles (wash solutions , instruments & plain urine cupSpecimen receptacles (wash solutions , instruments & plain urine cup
Identification kits for cultured microorganismsIdentification kits for cultured microorganisms
Self testing devices (pregnancy test/urine test stripes/fertility testing etc)Self testing devices (pregnancy test/urine test stripes/fertility testing etc)
All IVD devices not covered in A , C , D e.g. blood gases , metabolicAll IVD devices not covered in A , C , D e.g. blood gases , metabolic
markersmarkers
H. Pylori & physiological markers such as hormones/vitamins/enzymesH. Pylori & physiological markers such as hormones/vitamins/enzymes
All IVD devices controlled without qualitative/quantitative valueAll IVD devices controlled without qualitative/quantitative value
Intended for :Intended for :
Detection of presence of or exposure to a transmissible agent inDetection of presence of or exposure to a transmissible agent in
blood ,blood ,
blood components/blood derivatives/cells/tissues/organs to acessblood components/blood derivatives/cells/tissues/organs to acess
suitability of transfusion/transplant etcsuitability of transfusion/transplant etc
Tests for HIV ,HCV ,HBV , HTLVTests for HIV ,HCV ,HBV , HTLV
All types of assays (first line/confirmatory/supplemental)All types of assays (first line/confirmatory/supplemental)
Used for ABO , rhesus (C ,c ,D , E , e) & anti-kell determinationUsed for ABO , rhesus (C ,c ,D , E , e) & anti-kell determination
A
B
D
MD
39. CLASSIFICATION - IVDCLASSIFICATION - IVD
Used for :Used for :
Blood grouping , tissue typing , e.g. HLA , anti – Duffy , anti KiddBlood grouping , tissue typing , e.g. HLA , anti – Duffy , anti Kidd
Detection of presence/exposure to STD’sDetection of presence/exposure to STD’s
Detection of infectious agent in cerebrospinal fluid or bloodDetection of infectious agent in cerebrospinal fluid or blood
Diagnostic assay for CMV , Chlamydia pneumoniae , MRSADiagnostic assay for CMV , Chlamydia pneumoniae , MRSA
Pre natal screening (Immune status test for rubella/ toxoplasmosisPre natal screening (Immune status test for rubella/ toxoplasmosis
Detection of infective disease/ immune status e.g. CMV/HSV in transplantsDetection of infective disease/ immune status e.g. CMV/HSV in transplants
Screening of disease stage or diagnosis of cancer e.g. personalizedScreening of disease stage or diagnosis of cancer e.g. personalized
medicinesmedicines
Human genetic testingHuman genetic testing
Monitoring levels of medicinesMonitoring levels of medicines
Management of patients suffering from life threatening diseasesManagement of patients suffering from life threatening diseases
Screening for congenital disorders in fetus (spina bifida/down syndrome)Screening for congenital disorders in fetus (spina bifida/down syndrome)
Intended for :Intended for :
self testing e.g. blood glucose monitoringself testing e.g. blood glucose monitoring
Blood gases & blood glucose determinations for near- patient testingBlood gases & blood glucose determinations for near- patient testing
c
MD
40. CODING OF MEDICAL DEVICESCODING OF MEDICAL DEVICES
Category of Medical Device Principal
code
Sub codes
Non Active – Non Implantable MD-0100 0101-0109
Non Active Implants MD-0200 0201-0204
DEVICES FOR WOUND CARE MD-0300 0301-0303
NON ACTIVE DENTAL DEVICES/ACCESSORIES MD-0400 0401-0403
GENERAL ACTIVE MEDICAL DEVICES MD-1100 1101-1111
DEVICES FOR IMAGING MD-1200 1201-1202
MONITORING DEVICES MD- 1300 1301-1302
RADIATION/THERMO THERAPY DEVICES MD-1400 1401-1404
ACTIVE IMPLANTABLE DEVICES (AIMD) AIMD-0100 0101-0103
IVD – REAGENTS/PRODUCTS FOR BLOOD GROUPS IVD-0100 0101-0103
IVD –REAGENTS/PRODUCTS FOR DETECTION OF
MARKERS
IVD-0200 0201-0203
IVD – REAGENTS/PRODUCTS FOR SELF DIAGNOSIS IVD-0300 0301-0309
IVD – DEVICES FOR SELF TESTING IVD-0400 0401-0406
SPECIFIC & ACTIVE MEDICAL DEVICES (MDS/AIMD) MDS-7000 7001-7005
SPECIFICS OF IVD MDS-7200 7206-7210
MD
42. MEDICAL DEVICESMEDICAL DEVICES
REGISTRATIONREGISTRATION
STEP - ISTEP - I
Establish a firm (Sole proprietor/partnership/private Ltd) – optionalEstablish a firm (Sole proprietor/partnership/private Ltd) – optional
Declare the firm as manufacturer/importer/exporter/distributor/RepDeclare the firm as manufacturer/importer/exporter/distributor/Rep
Get the firm registered with registrar of firmsGet the firm registered with registrar of firms
Get NTN no of firmGet NTN no of firm
Get drug license (if applicable)Get drug license (if applicable)
Apply for trade mark patent registration (Firm/Device)- optionalApply for trade mark patent registration (Firm/Device)- optional
STEP -IISTEP -II
Select the category of device & its code from list of MDBSelect the category of device & its code from list of MDB
Appoint /select CAB (conformity assessment body registered by MDB)Appoint /select CAB (conformity assessment body registered by MDB)
Provide the dossier(s) of the Medical Device(s)Provide the dossier(s) of the Medical Device(s)
Get conformity assessment certificate (registration) of device with CABGet conformity assessment certificate (registration) of device with CAB
Apply for Manufacturing license or import/export permit from MDBApply for Manufacturing license or import/export permit from MDB
STEP – IIISTEP – III
Complete the required documentation by MDBComplete the required documentation by MDB
Prepare the Dossier (CSDT) . Attach the relevant documentsPrepare the Dossier (CSDT) . Attach the relevant documents ..
Deposit the fee (as per MDB list).Deposit the fee (as per MDB list).
Submit the dossier to MDB for registration of deviceSubmit the dossier to MDB for registration of device
Registration
44. DOSSIER of Medical DevicesDOSSIER of Medical Devices
CSDTCSDT -- CCommonommon SSuubmissionbmission DDossierossier TTemplateemplate
1. To be submitted by manufacturer for conformity assessment1. To be submitted by manufacturer for conformity assessment
2. As a summary of the technical documents of Medical Device2. As a summary of the technical documents of Medical Device
3. Contains the3. Contains the ElementsElements as per rules 30-45as per rules 30-45
4. Where Elements not applicable (NA) – provide justification for NA4. Where Elements not applicable (NA) – provide justification for NA
Classification of MDClassification of MD
Complexity of MDComplexity of MD
New /Existing category of MDNew /Existing category of MD
High risk/hazardous/Adverse effects/useHigh risk/hazardous/Adverse effects/use
errorserrors
Any specific public health concern of MDAny specific public health concern of MD
Support documents should beSupport documents should be
Legible/Valid/submitted in fullLegible/Valid/submitted in full
Duly signed & stamped by authorized personDuly signed & stamped by authorized person
Attached as annexureAttached as annexure
Basics
Details
Support
DOSSIE
R
45. Elements of DOSSIERElements of DOSSIER -- CSDTCSDT
Executive summaryExecutive summary -- ((Introductory description/history/uses/evidence/safety)Introductory description/history/uses/evidence/safety)
Essential principles/RulesEssential principles/Rules -- (Relevant & to demonstrate conformity – see(Relevant & to demonstrate conformity – see Rule 31Rule 31))
Description of MDDescription of MD (Mode of action/label claims/Risk(Mode of action/label claims/Risk
class/configurations/accessory)class/configurations/accessory)
Summary of Design/ValidationSummary of Design/Validation --(Biocompatibility/software/Eng. & lab tests etc /CAC)(Biocompatibility/software/Eng. & lab tests etc /CAC)
Pre clinical studiesPre clinical studies -- (see rule 34)(see rule 34)
Software ValidationSoftware Validation -- (Supportive documents of testing /results/validation etc)(Supportive documents of testing /results/validation etc)
Clinical EvidenceClinical Evidence (Systemic review/clinical experience/ clinical(Systemic review/clinical experience/ clinical
investigations)investigations)
Existing bibliographyExisting bibliography (From relevant publications/peer reviewed scientific Lit. etc)(From relevant publications/peer reviewed scientific Lit. etc)
A
B
DOSSIE
R
46. Elements of DOSSIERElements of DOSSIER -- CSDTCSDT
MD labelingMD labeling (Instructions for use/install/maintain/training/guidance etc)(Instructions for use/install/maintain/training/guidance etc)
Risk analysisRisk analysis (risk management report-RPR/as per MDB approved(risk management report-RPR/as per MDB approved
standards )standards )
Manufacturing info.Manufacturing info. ( Mfg. process/QC/QA/List of resources & procedures)( Mfg. process/QC/QA/List of resources & procedures)
Special requirementSpecial requirement for MD used for clinical investigation (seefor MD used for clinical investigation (see rule 42rule 42))
Declaration of conformityDeclaration of conformity (( CACCAC)) (fulfils requirements of DRAP Act/MDR 2015)(fulfils requirements of DRAP Act/MDR 2015)
C
Mandatory
DOSSIE
R
48. EstablishmentEstablishment LicenseLicense
Application to be onApplication to be on FORM -3FORM -3 & addressed to secretary MDB& addressed to secretary MDB
Applicant should be Pakistani NationalApplicant should be Pakistani National
Applicant should beApplicant should be registeredregistered withwith CABCAB
Separate application forSeparate application for each premiseseach premises (if more than one)(if more than one)
FeeFee deposit is mandatory (see rule 138)deposit is mandatory (see rule 138)
BASIC
S
Manufacturin
g
49. EstablishmentEstablishment LicenseLicense
Receipt of application in MDBReceipt of application in MDB
Inspection of premises (may be or may not be)Inspection of premises (may be or may not be)
Appointment of expert panel by MDB(inspectors/auditors of CAB)Appointment of expert panel by MDB(inspectors/auditors of CAB)
Satisfactory report of panel submittedSatisfactory report of panel submitted
to MDBto MDB
Issuance of license onIssuance of license on
FORM – 4FORM – 4
Entry of license in MDR (Medical Devices
Register)
Renewal after 5 years from
date of issue
Provincial Governments in accordance with section 6 of the
Procedur
e
Note
Manufacturin
g
50. General conditions for LicenseGeneral conditions for License
Appropriate premisesAppropriate premises
AdequateAdequate
equipmentequipment
Production in chargeProduction in charge Pharmacist/Bio Med. EngineerPharmacist/Bio Med. Engineer Full timeFull time
employeesemployees
Quality Control In charge- a pharmacistQuality Control In charge- a pharmacist Have 2 yearsHave 2 years
samesame
Proper medical coverage of employeesProper medical coverage of employees categorycategory
experienceexperience
..
Display license on a visible place in premisesDisplay license on a visible place in premises
Keep proper record of each batchKeep proper record of each batch
License is the
property of
MDB
Manufacturin
g
51. General conditions for LicenseGeneral conditions for License
Visits of inspector/Rep ofVisits of inspector/Rep of MDB to any premisesMDB to any premises mentionedmentioned
Provide all documents on demand by inspector/Rep of MDBProvide all documents on demand by inspector/Rep of MDB
Withdrawal/cease sales of stocks if any batch rejected by MDBWithdrawal/cease sales of stocks if any batch rejected by MDB
Compliance of GMP/GDP/GSPCompliance of GMP/GDP/GSP
EnvironmentalEnvironmental compliancecompliance
Ventilation/wastageVentilation/wastage
disposal/toilets etcdisposal/toilets etc
License is Non
transferable without
MDB permission
Manufacturing
52. RenewalRenewal of Manufacturingof Manufacturing
LicenseLicense
Application to MDB (FORM 3) – 60 days before expiry of licenseApplication to MDB (FORM 3) – 60 days before expiry of license
Application feeApplication fee
Documents as per form-3 requirementDocuments as per form-3 requirement
Certificate of conformity by CAB (where applicable)Certificate of conformity by CAB (where applicable)
MDB - verification/visits/Panel Report/CAB report etc (if applicable)MDB - verification/visits/Panel Report/CAB report etc (if applicable)
MDB – Recommendations /ApprovalMDB – Recommendations /Approval
Issuance of Renewal license for next 5 years from previous expiry dateIssuance of Renewal license for next 5 years from previous expiry date
10% (of renewal fee) per day if10% (of renewal fee) per day if applied within 60 days after expiry dateapplied within 60 days after expiry date
License is valid ifLicense is valid if applied before expiry OR 60 days after expiry with fine paidapplied before expiry OR 60 days after expiry with fine paid
License cease to existLicense cease to exist if appliedif applied after 60 days of date of expiryafter 60 days of date of expiry &&
Application will be treated as fresh one (Application will be treated as fresh one ( new license rules will applynew license rules will apply ))
Procedur
e
Penalty
Manufacturin
g
53. Change(s)Change(s) in Particulars ofin Particulars of
LicenseLicense
Changes includesChanges includes BUT not limitedBUT not limited to one or more of theto one or more of the
following :following :
PremisesPremises
Quality system(s)Quality system(s)
CABCAB
Class, category ,code of medical deviceClass, category ,code of medical device
ApplicationApplication
on form – 3on form – 3
Fee deposit as perFee deposit as per
fee schedulefee schedule
Verification/inspection/visits/panel views byVerification/inspection/visits/panel views by
MDBMDB
Recommendations/reports by CAB/REPRecommendations/reports by CAB/REP
of MDBof MDB
Procedure
Chang
e
Manufacturing
54. Cancellation/suspension of LicenseCancellation/suspension of License
Non compliance of MD rules 2015Non compliance of MD rules 2015
AnyAny violationviolation of MD rules 2015of MD rules 2015
Wrong information in applicationWrong information in application
Non compliance of Inspection/visits/notes orNon compliance of Inspection/visits/notes or corrective measurescorrective measures
The circumstances at time of issuance do not exist nowThe circumstances at time of issuance do not exist now
Necessary in vitalNecessary in vital public interestpublic interest
License obtained by fraud or misrepresentationLicense obtained by fraud or misrepresentation
Written complaint(s) & verified by MDB/CAB or REP of MDBWritten complaint(s) & verified by MDB/CAB or REP of MDB
Any Violation of DRAP ACTAny Violation of DRAP ACT
Reasons
Manufacturing
55. Cancellation/suspension of LicenseCancellation/suspension of License
LodgingLodging of written complaintof written complaint
Verification of authenticity of complaint by MDBVerification of authenticity of complaint by MDB
Show causeShow cause notice to the licensee (in writing)notice to the licensee (in writing)
ReplyReply to show cause notice by licensee within 14 days from date of issueto show cause notice by licensee within 14 days from date of issue
HearingHearing (to give an opportunity to the Licensee to clarify/satisfy MDB(to give an opportunity to the Licensee to clarify/satisfy MDB
Decision by MDBDecision by MDB to suspend/cancel the licenseto suspend/cancel the license
GrievancesGrievances (if any) of licensee regarding QC lab tests/reports will be(if any) of licensee regarding QC lab tests/reports will be
addressed by sending the case with samples (lying with MDB) to theaddressed by sending the case with samples (lying with MDB) to the
Appellate lab set/notified by the authority for final/conclusive verdicAppellate lab set/notified by the authority for final/conclusive verdic tt
Final decisionFinal decision in writing by MDB to cancel/suspend the license(cc toin writing by MDB to cancel/suspend the license(cc to
party)party)
Return/surrenderReturn/surrender of license to MDB by licensee within 14 days from date Of decision withoutof license to MDB by licensee within 14 days from date Of decision without
demandeman
All MD’s registrationsAll MD’s registrations under this license will beunder this license will be automatically cancelledautomatically cancelled
Procedure
License is the
property of
MDB
Manufacturing
57. License for Import of Medical DevicesLicense for Import of Medical Devices
((Issuance/changes/Renewal/suspension/cancellationIssuance/changes/Renewal/suspension/cancellation ))
Procedure/Requirements/documentation/conditionsProcedure/Requirements/documentation/conditions
Same as for manufacturing licenseSame as for manufacturing license BUTBUT
Apply on FORM 3-AApply on FORM 3-A
Fee as per schedule of import licenseFee as per schedule of import license
Need authority letter/Agreement from principal to import/sellNeed authority letter/Agreement from principal to import/sell
Foreign CAB having certified MD being approved by any of theForeign CAB having certified MD being approved by any of the
regulatory authorities of (regulatory authorities of (USA/Canada/Japan/Australia/Austria/ Belgium/USA/Canada/Japan/Australia/Austria/ Belgium/
Denmark/France/Germany/Italy/UK/Ireland/Sweden/Norway/Spain /SwitzerlandDenmark/France/Germany/Italy/UK/Ireland/Sweden/Norway/Spain /Switzerland
//NetherlandNetherland ) OR pre qualified by) OR pre qualified by WHOWHO – shall be exempted from– shall be exempted from
registration with MDBregistration with MDB
License is the
property of
MDB
License is Non
transferable without
MDB permission
IMPOR
T
59. IMPORT PERMIT for MDIMPORT PERMIT for MD
Valid import license of the company issued by MDBValid import license of the company issued by MDB
Valid MD registration with MDBValid MD registration with MDB
Intimation to MDB on form -8 within 15 days after opening LCIntimation to MDB on form -8 within 15 days after opening LC
A single application/permit for import of more than one MD’s of same firmA single application/permit for import of more than one MD’s of same firm
Application for import permit on FORM – 9Application for import permit on FORM – 9
Undertaking/MOU on FORM - 10Undertaking/MOU on FORM - 10
Application to import small quantities for clinical investigations (Form –Application to import small quantities for clinical investigations (Form –
11)11)
Permit for import of MD’s for commercial use will be issued on FORM –Permit for import of MD’s for commercial use will be issued on FORM –
1212
Permit for import of small quantities on FORM – 13Permit for import of small quantities on FORM – 13
Permit will be issued for a period of 3 yearsPermit will be issued for a period of 3 years
Permit validity is subject to validity of License & MD’s registrationPermit validity is subject to validity of License & MD’s registration
Renewal application to be submitted 3 months before expiry dateRenewal application to be submitted 3 months before expiry date
Previous permit will remain valid till the decision of renewal applicationPrevious permit will remain valid till the decision of renewal application
Basics
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60. IMPORT PERMITIMPORT PERMIT
Apply on prescribed formatsApply on prescribed formats
Attach valid documentary evidenceAttach valid documentary evidence
Deposit FeeDeposit Fee
Inspection of premises by MDB/its REP with or without noticeInspection of premises by MDB/its REP with or without notice
Keep proper record at premises of all the activities regarding desiredKeep proper record at premises of all the activities regarding desired
MD’sMD’s
Inspection report submission to MDBInspection report submission to MDB
Evaluation of inspection report & findingsEvaluation of inspection report & findings
Time frame for corrective measures (if in findings)Time frame for corrective measures (if in findings)
Final report after taking corrective measures (if applicable)Final report after taking corrective measures (if applicable)
RecommendationsRecommendations
Issue of permitIssue of permit
Procedure
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61. General conditions of import of MDGeneral conditions of import of MD
Each import should accompany :Each import should accompany :
Test reportTest report of – copy by competent authority of country ofof – copy by competent authority of country of
originorigin
IntimationIntimation of consignment arrival to clearing authorityof consignment arrival to clearing authority
AttachAttach 3 copies of invoice3 copies of invoice with intimation (Form 14)with intimation (Form 14)
UndertakingUndertaking on stamp paper by importer of MD showingon stamp paper by importer of MD showing
MD imported is genuine as per DRAP ACT/RulesMD imported is genuine as per DRAP ACT/Rules
Information given in import is 100% correctInformation given in import is 100% correct
Importer will be solely responsible for wrong declarationImporter will be solely responsible for wrong declaration
Importer will be liable for punishment for violation ofImporter will be liable for punishment for violation of
RulesRules
Custom rules apply as per
RULE 103 of MD rules 2015
for clearance of MD from
port
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62. Import of MD for personal use – Rule 100Import of MD for personal use – Rule 100
Small quantities of MD including those the import of which is otherwiseSmall quantities of MD including those the import of which is otherwise
prohibited under the DRAP Act and the rules made there under may beprohibited under the DRAP Act and the rules made there under may be
imported for personal use provided :imported for personal use provided :
MD is part of personal baggageMD is part of personal baggage
For exclusive personal requirementFor exclusive personal requirement
Quantity restricted to personal requirement onlyQuantity restricted to personal requirement only
IF MD is not part of personal baggageIF MD is not part of personal baggage
Take prior permission from MDBTake prior permission from MDB
Quantity must be approved by MDB (sufficient to meet the need ofQuantity must be approved by MDB (sufficient to meet the need of
person)person)
For
Personal
use
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64. Export permit for MDExport permit for MD
All terms, conditions, rules, regulationsAll terms, conditions, rules, regulations
&&
procedures for export of MD are almostprocedures for export of MD are almost
same as of Import except thatsame as of Import except that
Application will be made on FORM – 15Application will be made on FORM – 15
Export permit will be issued on FORM - 16Export permit will be issued on FORM - 16
EXPOR
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