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Regulatory


transitioned to the MDR – can benefit from additional transition time until 26 May 2024, as long as it has a certificate that is valid up until that date or its validity is extended as described below.


Extension conditions


Providing certain conditions are met, the MDR amendment extends the validity of legacy device certificates under the Medical Devices Directives. Firstly, the certificate must have been valid on 26 May 2021 and should not have been withdrawn by its notified body. If the certificate would normally expire after 20 March 2023, then its validity is extended automatically by the MDR amendment until either end-2027 or end-2028.


For certificates that normally expired before 20 March 2023, validity is only extended either if a contract for MDR certification was signed between the manufacturer and notified body before the certificate’s normal date of expiry, or if the National Competent Authority granted a derogation under Article 59 or Article 97 of the MDR before 20 March 2023. If a competent authority has granted a derogation in accordance with Article 59 MDR or has applied Article 97 MDR they shall be considered valid in two scenarios: If the manufacturer has signed a written agreement with the notified body for a conformity assessment of the legacy device; or if a national competent authority has granted a derogation in accordance with Article 59(1) MDR or has required the manufacturer, in accordance with Article 97(1) MDR, to carry out the applicable conformity assessment procedure within a specified period of time (see the second subparagraph of Article 120(2) MDR).


Even if the national derogation is limited in time or the manufacturer has been required to carry out the conformity assessment procedure within a given period of time, the legacy device can still benefit from the extended transition periods and the certificate is deemed to be valid until the end of the applicable transitional period unless it is withdrawn. If none of these conditions are met, the legacy device certificate cannot benefit from an extended validity according to the MDR amendment. In that case, CE-marking under the MDR should be considered.


There is also a specific transitional period for Class III custom-made implantable devices. While all other custom-made devices can be placed on the market after their manufacturer has drawn up a statement in accordance with Annex XIII to the MDR, the conformity assessment of Class III custom-made implantable devices requires the involvement of a notified body. These devices can be placed on the market without the relevant certificate until 26 May 2026, provided the manufacturer has lodged an application with a notified body for conformity


Medical Device Developments / www.nsmedicaldevices.com


assessment no later than 26 May 2024 and signed a written agreement with that notified body no later than 26 September 2024.


Cumulative conditions


There are a set of cumulative conditions that must be met for legacy devices to access and remain under the extended transition periods from May 2024 until the end of 2027 or 2028. Perhaps the most time-urgent one – since this deadline arrives in just eight months’ time – is that by 26 May 2024 at the latest, manufacturers must send a formal application to a notified body designated under the MDR to conduct a conformity assessment for the legacy device, or its substitute device (if applicable). By that date, the manufacturer must also have their quality management system in place in accordance with the MDR. By 26 September 2024, a contract for the device must be signed between the manufacturer and the notified body (including transfer of surveillance to the MDR notified body, where needed).


There are additional requirements for the device itself, including that it must comply with the relevant medical devices directive, it cannot have significant changes to its design and intended purpose, it cannot pose an unacceptable risk to the health or safety of patients and it must comply with relevant MDR requirements relating to market surveillance, post- market surveillance, vigilance and registration of actors and devices.


It is important to know that when sending an application before the May 2024 deadline, the full technical documentation does not need to be submitted – it will need to be submitted according to the actual review start time agreed with the MDR notified body. This helps ensure that the notified body is reviewing the latest technical documentation. However, all the relevant documentation relating to the quality management system will need to be submitted


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Custom-made implant devices can be placed on the market without the relevant certificate until 26 May 2026, provided they meet the appropriate criteria.


Olena Yakobchuk/Shutterstock.com


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