For the purpose of this survey, an in vitro diagnostic device (IVD) refers to any instrument, equipment or apparatus, reagent (alone or in combination) or control/calibrator, which is intended to be used in vitro for the examination of a specimen derived from the human body. Types of IVDs in the market 6. Please ensure your responses to this survey reflect only the operations of the business to whom this survey is addressed. General Information / Demographics 2 3 4 5 6 7 8 With respect to IVDs, please indicate which activities apply to your business? (You may tick more than one box) 1 2 3 Local manufacturing Distributing of locally manufactured products Importing and distributing of your own company’s products (i.e. proprietary products) 4 Importing and distributing of another company’s products (i.e. third party products) 5 3. Exporting Does your business have an overseas parent or overseas subsidiary/s? Yes No 1 4. 2 3 4 5 3 10 or less 11-20 21-50 51-100 More than 100 For the last financial year, what was the range of your business’s total annual turnover? 1 2 3 4 5 6 7 5b 2 How many employees does your business have in Australia? 1 5a Don’t know Less than $250,000 $250,000 - $1,000,000 $1,000,001 - $5,000,000 $5,000 001 - $10,000,000 $10,000,001- $25,000,000 $25,000,001- $50,000,000 More than $50,000,000 7a 5d Locally manufactured: B. Imported IVDs: B. Bacteriology/microbiology C. Histopathology D. Biochemistry E. Cytopathology F. Serology G. Immunology H. Molecular genetics I. Biochemical genetics J. Transfusion medicine K. Endocrinology L. Other Low volume refers to products that are only marginally profitable for your business, due to a small number of tests sold or very low margins per unit sold. Does your business offer for supply, IVDs that you would consider to be low volume? What approximate percentage of your turnover related to the sale of IVDs was from a) locally manufactured IVDs, b) imported IVDs A. Haematology For example, if you were required to list all IVDs that you offer for supply in Australia with the TGA, you might consider withdrawing low volume IVDs from the market because the costs of listing may mean these IVDs are no longer profitable. What approximate percentage of this turnover was from the sale of IVDs? % 5c A. Imported third party QLD NT WA SA 1 Imported proprietary TAS VIC ACT NSW 2. For example, if all of the IVDs you offer for supply in Australia were required to be listed with the Therapeutic Goods Administration (TGA), how many products would you need to list in each of the following categories? In which state or territory is your business located? Locally Manufactured 1. How many IVDs (please refer to the definition at the top of this survey) do you currently offer for supply in Australia in each of the following categories, including those that are a) locally manufactured and b) imported, for both proprietary and third party products? (NB: Proprietary refers to products you import from your own company and third party refers to products you import from another company) Yes % 1 No (Go to Q8) 2 Don’t know (Go to Q8) 3 % 100% 7b How many IVDs that you manufacture or distribute (as identified in Question 6) would you consider to be low volume? 7c For those products you consider to be low volume, what is the average number of tests sold per month? What approximate percentage of your turnover related to the sale of IVDs, was from IVDs you export from Australia? % 8. What percentage of your total sales from IVDs, do home use IVDs contribute? 14. % For the last financial year, what approximate percentage of your exports of IVDs manufactured in Australia (by value of sales) were destined for each of the following markets? Impact of regulatory proposal 9. Go to Question 16 if you do not export IVDs manufactured in Australia. Go to Question 10 if you do not manufacture IVDs in Australia. Of the total number of IVDs that you manufacture in Australia (as identified in Question 6) how many of these IVDs are a) registered, b) listed or c) not registered or listed with the TGA? A. United States % B. Canada % C. European Union (see NB in Q12 above) % D. Other (Please specify below) % No. of IVDs Total 100% A. Registered in Australia: B. Listed in Australia: C. Not registered or listed in Australia: 10. Go to Question 11 if you do not import proprietary IVDs. Of the total number of IVDs that you import from your own company (as identified in Question 6), how many of these IVDs are a) registered, b) listed or c) not registered or listed with the TGA in Australia? No. of IVDs A. Registered in Australia: B. Listed in Australia: C. Not registered or listed in Australia: 11. Go to Question 12 if you do not import third party IVDs. Of the total number of IVDs that you import from another company (as identified in Question 6) how many of these IVDs are a) registered, b) listed or c) not registered or listed with the TGA in Australia? No. of IVDs A. Registered in Australia: B. Listed in Australia: C. Not registered or listed in Australia: 12. Go to Question 14 if you do not import IVDs. Please identify the source countries of the IVDs that your business imports. (Please tick all boxes that apply) 1 2 3 4 5 A. B. C. D. E. United States Canada European Union (see NB below) Asia Other NB: European Union refers to: Austria, Belgium, Denmark, Finland, France, Germany, Greece, Ireland, Italy, Luxembourg, the Netherlands, Portugal, Spain, Sweden, & United Kingdom. 13. In the last financial year, what approximate percentage of your total sales from IVDs did imported IVDs, which are registered or listed with regulatory bodies in the US, European Union or Canada contribute? (When thinking about the Europe Union please include all IVDs that will need to be registered or listed from December 2003) % 15. What approximate percentage of the locally manufactured IVDs that you export are a) registered and b) listed with the TGA in Australia? A. Registered in Australia: B. Listed in Australia: % % In the proposed new regulatory framework, the responsibility for IVD risk classification will lie with manufacturers, who will classify their products using a set of rules. The TGA will then confirm or revise the risk class upon receipt of the application. The TGA has proposed that there be four risk classes (see below), and that a given IVD’s risk classification will determine the requirements to be met prior to its supply on the Australian market, with requirements increasing as risk level increases. Class I represents the lowest risk class, while Class IV represents the highest risk class. 16. Go to Question 17 if you do not manufacture IVDs. Looking at the total number of IVDs that you manufacture in Australia (as reported in Question 6), please estimate what approximate percentage of these IVDs fall into each of the following proposed risk classes: Class IV - High public health risk E.g. IVDs used to screen blood or tissue donations etc. for the presence of serious disease causing or lifethreatening pathogens. Class III – High personal risk / Moderate public health risk E.g. IVDs used in the diagnosis of rubella infection in pregnancy, IVDs for the detection of some cancer markers. Class II – Low public health risk / Moderate personal risk E.g. IVDs for pregnancy testing, thyroid stimulating hormone, etc. Class I – No public health risk / Low personal risk E.g. Media used to identify or infer the identity of a micro-organism, IVD instrumentation. Total % % % % 100 % 17. Go to Question 18 if you are a manufacturer only 20. Looking at the total number of IVDs that you distribute in Australia (but do not manufacture), please estimate what approximate percentage of these IVDs fall into each of the following proposed risk classes: Class IV - High public health risk E.g. IVDs used to screen blood or tissue donations etc. for the presence of serious disease causing or lifethreatening pathogens. Class III – High personal risk / Moderate public health risk E.g. IVDs used in the diagnosis of rubella infection in pregnancy, IVDs for the detection of some cancer markers. Class II – Low public health risk / Moderate personal risk E.g. IVDs for pregnancy testing, thyroid stimulating hormone, etc. Class I – No public health risk / Low personal risk E.g. Media used to identify or infer the identity of a micro-organism, IVD instrumentation. Total 18. Go to Question 21 if you are a manufacturer only For those IVDs you distribute but do not manufacture, if required, could you obtain and provide evidence of compliance with quality system requirements from the manufacturer? (For example, ISO 13485/13488, EN 46001/46002 etc) NB: Quality system requirements are standards relating to the design, manufacture, packaging, labelling, storage, installation and servicing of finished products. % 1 Don’t know 2 No % 3 4 % 5 % 100 % Go to Question 19 if you do not manufacture IVDs in Australia. 6 21. For those IVDs that you manufacture, if there was a requirement for performance and safety data to be reviewed prior to supply, could you provide this data for those IVDs likely to fall into the proposed Class III or Class IV risk categories (i.e. high personal or high public risk)? Go to Question 22 if you do not manufacture IVDs in Australia For those IVDs you manufacture, if required, could you demonstrate compliance with formal quality system requirements? (For example, ISO 13485/13488, EN 46001/46002 etc) NB: Quality system requirements are standards relating to the design, manufacture, packaging, labelling, storage, installation and servicing of finished products. Performance and safety data refers to sufficient valid scientific evidence that provides reasonable assurance that the device is safe and effective for its intended uses(s). Don’t know 1 1 Don’t know No 2 2 No I could obtain performance and safety data for less than 25% of these IVDs 3 3 4 4 5 6 19. I could provide evidence of compliance for less than 25% of IVDs distributed I could provide evidence of compliance for 25%-50% of IVDs distributed I could provide evidence of compliance for 51%-75% of IVDs distributed I could provide evidence of compliance for more than 75% of IVDs distributed I could obtain performance and safety data for 25%-50% of these IVDs 5 6 I could obtain performance and safety data for 51%-75% of these IVDs I could obtain performance and safety data for more than 75% of these IVDs 22. For those IVDs that you distribute (but do not manufacture), if there was a requirement for performance and safety data to be reviewed prior to supply, could you obtain this data from the manufacturer, for those IVDs likely to fall into the proposed Class III or Class IV risk categories (i.e. high personal or high public risk)? 2 3 4 5 6 No I could obtain performance and safety data for less than 25% of these IVDs I could obtain performance and safety data for 25%-50% of these IVDs I could obtain performance and safety data for 51%-75% of these IVDs I could obtain performance and safety data for more than 75% of these IVDs Go to Question 23 if you are a manufacturer only If required, what approximate percentage of the manufacturers you purchase IVDs from, could you direct to modify their IVD product labelling or generate Australian specific labelling? Go to Question 21 if you are a manufacturer only. Performance and safety data refers to sufficient valid scientific evidence that provides reasonable assurance that the device is safe and effective for its intended uses(s) 1 Don’t know I could provide demonstrate compliance for less than 25% of IVDs distributed I could demonstrate compliance for 25%-50% of IVDs distributed I could demonstrate compliance for 51%-75% of IVDs distributed I could demonstrate compliance for more than 75% of IVDs distributed % 23. What approximate percentage of the total number of IVDs that you manufacture or distribute do you currently undertake post-market monitoring? (e.g. to track product failures, recalls etc) % In its discussion paper (see front cover), the TGA has proposed options for a new framework for the regulation of the supply of IVDs in the Australian market. 24a In what ways do you think the current arrangements by which the TGA regulates the supply of IVDs in the Australian market could be improved? 24b What do you think would be the major impacts of the TGA’s proposals for a higher level of regulatory oversight of the supply of IVDs in the Australian market? 26. Approximately how long did this questionnaire take you to complete? Hours Minutes Thank-you for assisting us with this survey. PLEASE RETURN YOUR COMPLETED SURVEY FORM TO PIAZZA CONSULTING IN THE REPLY PAID ENVELOPE PROVIDED BY DATE. PO Box 575 Woden ACT 2606 Ph: (02) 6282 4963 Fax: (02) 6282 4953