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Regulatory The spirit and the letter


In spirit, MDR exists to improve regulatory processes and ensure the safety of products all the way from the manufacturers to the end-users, but its advantages and disadvantages are a matter of perspective. Depending on how one looks at it, increased regulatory scrutiny, additional responsibilities and a wider definition of medical devices could be important steps towards ensuring safety or a costly limit on innovation that prevents patients getting the devices they need. One thing everyone can agree on is that the cost of achieving and maintaining regulatory compliance has shot up under MDR. There’s also less room for manufacturers to have their own perspective when it comes to the specific requirements of MDR. Although extensive documentation on quality, safety, efficacy and resources are needed to demonstrate compliance, the text offers little or no room for different interpretations of the regulation. In contrast, MDD allowed diverse interpretations, which could potentially lead to errors. The spirit of MDR is to offer a streamlined regulatory process, so it also offers more training and consulting opportunities to help companies prepare. Ultimately, revision to the way medical devices were regulated was required following incidents


MDR and Brexit


When the UK left the EU on 31 January 2020, it operated and observed EU laws through a transition period that ended on 31 December 2020. From 1 January 2021, the EU and UK have operated as separate sovereign jurisdictions subject to agreements on individual matters. While the medtech industry was preparing for the ‘date of application’ of MDR with all the accommodations and adjustments made as a result of the Covid-19 pandemic, the UK Medical Devices Regulations 2002 (SI 2002 No 618, as amended) were updated for the UKCA mark. This means companies with marketing interest in both the UK and EU should make preparations to comply with two separate regulatory regimes, although, until 30 June 2023, the UK will accept CE-marked medical devices if they are registered with the MHRA by the manufacturer or its UK responsible person. Under the UK MDR, UK approved bodies will operate in the same way as their EU counterparts, the notified bodies.


such as the Poly Implant Prothèse breast implant and the metal-on-metal hip implants scandals. The EU MDR provides a robust regulatory framework for ensuring that safer products that operate as intended are approved for use to improve health outcomes. The high cost is one of the key factors in attaining CE certification but quality, safety, and efficacy cannot be compromised and MDR is the right approach for ensuring this. Re-evaluating the strengths and weaknesses of the regulation itself as part of the transition process could help companies make better progress towards attaining or maintaining CE certification. ●


Medical Device Developments / www.nsmedicaldevices.com


23


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