Procedure: New Market Authorization Class III
Country: Global Procedure
Version #: 01/08/2024
Author: Daria Kostiuchenko
Editor: Daria Kostiuchenko
ID: GP-MD-VIII-SR
Category: Medical Devices
Validity: For 5 years (US), CE mark valid for 3 years (EU)
Certified by: Vlad Reznikov
Copyright: Pattern of USA Inc.
SUMMARY
Class III medical devices are fall under the highest risks category. In USA once the device has been classified as Class III, the manufacturer must submit a Premarket Approval (PMA) application to the FDA. This application must include data from clinical studies demonstrating the device’s safety and effectiveness, as well as detailed information about the device’s design, manufacturing, and labeling, and fully documented quality system compliant with design controls. The FDA may request additional information or clarification from the manufacturer. The approval process for Class III medical devices can be lengthy and complex, and it may take several years for a device to go through the entire process. However, the FDA has several expedited review programs in place to help bring promising medical technologies to market more quickly. In Europe once the device has been classified as Class III, the manufacturer must obtain a CE mark, which indicates that the device meets all relevant EU regulatory requirements. To obtain a CE mark, the manufacturer must complete a conformity assessment procedure, which typically includes a technical file review and a clinical evaluation. The technical file review is similar to the Premarket Approval (PMA) process in the US and requires the manufacturer to provide detailed information about the device’s design, manufacturing, and labeling. The clinical evaluation assesses the device’s safety and effectiveness based on data from clinical studies and other relevant sources. Class III MA requires manufacturers to monitor the safety and performance of their devices and report any adverse events or field safety corrective actions to the National Regulatory Authorities (NRAs).
Must-Have Requirements, Recognized Standards, and Certifications:
- Device description, including variants
- Technical documentation (MDR/IVDR)
- Instructions for use (IFU)
- Quality Management System (QMS/QSR)
- Good Manufacturing Practice (GMP)
- Declaration of Conformity (DoC)
- Risk Management
- Clinical Evidence
- POA
- Substantially equivalent to the predicate device
- MAs in other countries
- CE mark and ISO 13485 in many countries
Nice-to-have:
- IEC 60601
- ISO 14971
- ISO 10993
- Labeling
- Regulatory Compliance and Gap Analysis see GP-PhR-GAP-SR card
- Regulatory Intelligence and Strategic Consulting see GP-PhR-RI-SR card
- Q-Sub Activities see GP-MD-QSA-SR card
Typical Gaps and Deficiencies: Understanding of the regulatory pathway and requirements applicable to the device. Incorrect predicate device selection. Inadequate documentation. Rush in submitting the application without being prepared
Implementation Period: Immediately upon approval
Deliverables: Market Authorization (Clearance or Registration), NRA Listing and Establishment registration
PHASE | TASK | TASK | START | DURATION | Fee | KPI | ||
NUMBER | TITLE | OWNER | W/M/Q/Y | in weeks | 3rd Party | Service | State | |
0 | In-house Pre-Submission Activity | |||||||
0.1 | NDA signing or validation | Executor | week 1 | 1 | ||||
0.2 | Contract Closing | MAH | week 1 | 1 | ||||
0.3 | SOW is approved by MAH | MAH | week 1 | 1 | SOW | |||
0.4 | POA issuance and shipping | MAH | week 2 | 1 | ||||
0.5 | Invoice is sent to MAH and paid | MAH | week 3 | 1 | POP | |||
I | Prep and Submission | |||||||
I.1 | Predicate device equivalence, admin. & info set review | Executor | week 4 | 1 | ||||
I.2 | Classify the device (exemption review) | Executor | week 5 | 1 | ||||
I.3 | Technical Documentation review vs. NRA requirements | Executor | week 6 | 2 | ||||
I.4 | Application and supplement documents development | Executor | week 8 | 2 | ||||
I.5 | Approval of the Application | MAH | week 10 | 1 | ||||
I.6 | NRA payment | MAH | week 10 | 1 | ||||
I.7 | Submission of the Application | Executor | week 11 | 1 | Submission | |||
II | Studies | |||||||
II.1 | Сonducting technical, toxicology, electrical, and software tests, as well clinical and suitability studies, if required | Executor | week 12 | 4 | Reports | |||
III | Review and Evaluation | |||||||
III.1 | NRA Application review | NRA | week 16 | 2 | ||||
III.2 | NRA Technical file review | NRA | week 18 | 2 | ||||
III.3 | NRA Lab tests and clinical evaluation review | NRA | week 20 | 2 | ||||
III.4 | NRA Addressing clarifications or queries if so | NRA | week 22 | 1 | ||||
III.5 | Answering with relevant documents from MAH | Executor | week 23 | 1 | ||||
III.6 | Facility Inspection if required | NRA | week 24 | 4 | ||||
III.7 | NRA Official Response | NRA | week 28 | 1 | ||||
III.8 | NRA Approval (GoTo Ph. IV) or Query (Rpt. Ph. III.5) | NRA | week 29 | 1 | Approval | |||
IV | Approval | |||||||
IV.1 | NRA/NB Conclusion draft verification | Executor | week 30 | 1 | ||||
IV.2 | NRA Conclusion publication | NRA | week 31 | 1 | ||||
IV.3 | State Listing update | Executor | week 32 | 1 | ||||
IV.4 | Reporting to MAH | Executor | week 33 | 1 | Report | |||
F | Final Phase In-house Post-Authorization Activity | |||||||
F.1 | Service Acceptance Certificate signing | MAH | week 34 | 1 | ||||
F.2 | Final Invoice | Executor | week 34 | 1 | ||||
F.3 | Final Payment | MAH | week 35 | 1 | ||||
F.4 | Contract Termination | Executor | week 35 | 1 | ||||
F.5 | Archiving and limiting access | Executor | week 36 | 1 | Archiving |
Feel free to submit a Request for Proposal (RFP) for a specific country or territory to info@patternofusa.com