Briefing for Industry - Apr 2010 M di l D Medical Device i IIndustry d t Briefing B i fi 26th April 2010 Medical Device Branch Health Products Regulation Group Health Sciences Authority 1 All Rights Reserved Health Sciences Authority Scope 1. 2 2. 3. 4. 5. 6. 7. 8. Implementation Milestones (Phase 3) Product Registration Updates Dealer’s Licence Updates Fees Updates Transition List Authorisation Routes Customs Declaration Medical Devices Currently under Drugs Regulatory Control 9. Change Notification 10 Clinical 10. Cli i l T Trials i l U Updates d t 11. Secondary Assembly 2 All Rights Reserved Health Sciences Authority Copyright 2010, Health Sciences Authority Distribution or reproduction of this document, in whole or in part, is prohibited for commercial purposes. Reproduction of this document in its entirety for internal use is authorised, provided the source is acknowledged. Briefing for Industry - Apr 2010 Scope 1. Implementation Milestones (Phase 3) 2. 2 3. 4. 5. 6. 7 7. 8. 9. 10. 11. Product P d t Registration R i t ti Updates U d t Dealer’s Licence Updates Fees Updates p Transition List Authorisation Routes C t Customs Declaration D l ti Medical Devices Currently under Drugs Regulatory Control Change g Notification Clinical Trials Updates Secondary Assembly 3 All Rights Reserved Health Sciences Authority Implementation Milestones of Phase 3 First Part (Phase 3a) From 1 May 2010 4 All Rights Reserved Health Sciences Authority Copyright 2010, Health Sciences Authority Distribution or reproduction of this document, in whole or in part, is prohibited for commercial purposes. Reproduction of this document in its entirety for internal use is authorised, provided the source is acknowledged. Briefing for Industry - Apr 2010 From 1 MAY 2010 1. Implementation of Full Fees for product registration. i e Standard fees will be applicable i.e. applicable. 2. Implementation of Streamlining of Application dossier type i.e. ONLY CSDT format shall be accepted for product d registration. i i V Voluntary l P Product d Registration Scheme (VPRS) format has been phased out. 3. Implementation p of FINAL Transition List ((T List). ) i.e. No more entries to T List after 30 April 2010. 5 All Rights Reserved Health Sciences Authority Implementation Milestones of Phase 3 Second Part ((Phase 3b)) From 1 AUGUST 2010 6 All Rights Reserved Health Sciences Authority Copyright 2010, Health Sciences Authority Distribution or reproduction of this document, in whole or in part, is prohibited for commercial purposes. Reproduction of this document in its entirety for internal use is authorised, provided the source is acknowledged. Briefing for Industry - Apr 2010 From 1 AUGUST 2010 1. DEALERS LICENCES ( BUSINESS ACTIVITY ) Implementation of Mandatory Dealers Licences ii.e. Companies C i will ill need dM Manufacturer, f t IImporter t and/or d/ Wholesaler Licence to deal in medical devices (regardless of its Risk Class) 7 All Rights Reserved Health Sciences Authority From 1 AUGUST 2010 2. MEDICAL DEVICES Medical Devices allowed to be supplied in Spore:Spore: i. Registered Class C & D Medical Devices ii. Class C & D that are on the T List iii. ALL Class A & B medical devices (until 31 Jul 2011) iv. MDs licensed with CRPNS(NEA) (until 31 Jul 2011) v. Unregistered U i t d class l C and d D MD MDs ((e.g. MD MDs th thatt are NOT on the T List) – can ONLY be continued to be supplied if they have gone through the Authorisation Routes. 3 SUPPLEMENTARY APPLICATIONS 3. Fees payable from 1 August 2010 8 All Rights Reserved Health Sciences Authority Copyright 2010, Health Sciences Authority Distribution or reproduction of this document, in whole or in part, is prohibited for commercial purposes. Reproduction of this document in its entirety for internal use is authorised, provided the source is acknowledged. Briefing for Industry - Apr 2010 Scope 1. 2 2. 3. 4. 5. 6. 7. 8. Implementation Milestones (Phase 3) Product Registration Updates Dealer’s Licences Updates Fees Updates Transition List Authorisation Routes Customs Declaration Medical Devices Currently under Drugs Regulatory Control 9. Change Notification 10 Clinical 10. Cli i l T Trials i l U Updates d t 11. Secondary Assembly 9 All Rights Reserved Health Sciences Authority IMPLEMENTATION MILESTONES (PHASE 3) 10 All Rights Reserved Health Sciences Authority Copyright 2010, Health Sciences Authority Distribution or reproduction of this document, in whole or in part, is prohibited for commercial purposes. Reproduction of this document in its entirety for internal use is authorised, provided the source is acknowledged. Briefing for Industry - Apr 2010 Medical Device Definition • The medical device definition is g gazetted in Schedule 1 of the Health Products Act. • The above definition can be accessed through the following weblink: http://statutes.agc.gov.sg/non_version/html/homepage.html • Based on this definition, companies should seek verification with the product owner on whether their product is controlled as a medical device. device 11 All Rights Reserved Health Sciences Authority Implementation Milestones Phase 1 (1 Nov 2007 onwards) Duties and Obligations under Part VIII of the Health Products Act came into effect. effect 1. Maintain Distribution and Complaint Records 2. Report FSCAs and AEs 3 Prohibition against false and misleading 3. advertisements Phase 2 (1 Nov 2008 to 30 April 2010) 1. Dealer’s Licencing and Product Registration commenced (Incentive fees) Dates are accurate as of 26 April 2010 and are subject to revision 12 All Rights Reserved Health Sciences Authority Copyright 2010, Health Sciences Authority Distribution or reproduction of this document, in whole or in part, is prohibited for commercial purposes. Reproduction of this document in its entirety for internal use is authorised, provided the source is acknowledged. Briefing for Industry - Apr 2010 Implementation Milestones Phase 3A (1 May 2010 to 31 July 2010) 1. Product registration standard fees applicable (incentive fees no longer apply) 2 CSDT d 2. dossier i submission b i i ffor P Product d tR Registration i t ti (VPRS format phased out) 3. Transition List is finalised and published (last entry 30 p 2010)) Apr Phase 3B (1 Aug 2010 to 31 July 2011) 1. Only licensed dealers shall manufacture, import or wholesale medical devices (ALL ( risk class)) 2. Unless authorised by HSA or listed on the Transition List, all unregistered class C and D medical devices shall be prohibited from supply Phase 3C (1 Aug 2011 onwards) 1. Only licensed dealers shall manufacture, import or wholesale h l l medical di l devices d i (ALL risk i k class) l ) 2. Unless authorised by HSA or listed on the Transition List, all unregistered medical devices shall be prohibited pp y from supply Dates are accurate as of 26 April 2010 and are subject to revision 13 All Rights Reserved Health Sciences Authority PRODUCT REGISTRATION UPDATES 14 All Rights Reserved Health Sciences Authority Copyright 2010, Health Sciences Authority Distribution or reproduction of this document, in whole or in part, is prohibited for commercial purposes. Reproduction of this document in its entirety for internal use is authorised, provided the source is acknowledged. Briefing for Industry - Apr 2010 Risk Classification • The risk classification rules are specified p in: GN-13: Guidance on risk classification of general medical devices, and GN GN-14: 14: Guidance on risk classification for in-vitro in vitro diagnostic medical devices. • Companies should seek verify the risk class of their medical device with the product owner based on its intended purpose. 15 All Rights Reserved Health Sciences Authority From 1 August 2010 Product Registration • Unless authorised by HSA or listed on the Transition List, all unregistered class C and D medical devices, except for those currently licensed under the Radiation Protection Act (Cap. 262), shall be prohibited from supply. • From 1 August 2011 all Class B medical devices shall require registration with HSA before supply • From 1 August 2011 all medical devices licensed under Radiation Protection Act (Cap.262) shall require registration with HSA before supply • Authorisation routes for supply of unregistered class C and D medical di l devices d i become b operational. ti l g Notification Change • Supplementary application fees become payable. 16 All Rights Reserved Health Sciences Authority Copyright 2010, Health Sciences Authority Distribution or reproduction of this document, in whole or in part, is prohibited for commercial purposes. Reproduction of this document in its entirety for internal use is authorised, provided the source is acknowledged. Briefing for Industry - Apr 2010 Product Registration by 1 August 2011 The following medical devices:• class A medical devices that have not been listed for exemption from product registration in GN-22: Guidance on List of Exempted Medical Devices, • class B medical devices, and • medical devices which are also licensed under the R di ti P Radiation Protection t ti A Actt (C (Cap.262) 262) b before f 1A Augustt 2011, shall have ha e to be registered with ith HSA if the they are to be supplied beyond 1 August 2011. The above medical devices can still be supplied before g 2011 even if not registered g with HSA yyet. 1 August 17 All Rights Reserved Health Sciences Authority DEALER'S LICENCE 18 All Rights Reserved Health Sciences Authority Copyright 2010, Health Sciences Authority Distribution or reproduction of this document, in whole or in part, is prohibited for commercial purposes. Reproduction of this document in its entirety for internal use is authorised, provided the source is acknowledged. Briefing for Industry - Apr 2010 From 1 August 2010 Dealer’s Licences • Onlyy licensed dealers shall manufacture, import p or wholesale medical devices, regardless of risk class. EXEMPTION O The following shall be exempted from the importer’s and wholesaler’s licensing g requirements q under the Health Products Act : 1) The import and wholesale of medical devices that are licensable under the Radiation Protection Act (Cap (Cap. 262) by the Centre for Radiation Protection and Nuclear Science (CRPNS) of the National Environment Agency (NEA). (only for these products ) 2) The import & supply of medical devices for Clinical Trials 19 All Rights Reserved Health Sciences Authority Dealer’s Licences • All dealers of medical devices require dealer’s licence, except: Import and supply of Medical Device for Clinical Trials / medical devices that are licensable under the Radiation Protection Act (Cap. 262) by CRPNS • Manufacturer s Licence holder will not require to apply for a Manufacturer’s Wholesaler’s Licence for medical devices that it manufactures • This does not exempt the manufacturer from all applicable wholesaler’s licence duties and obligations • All licences will have licence conditions • Licence type “Distributor” Distributor and “Export Export-only only” is obsolete. obsolete Please apply for a Importer’s / Wholesaler’s Licence. 20 All Rights Reserved Health Sciences Authority Copyright 2010, Health Sciences Authority Distribution or reproduction of this document, in whole or in part, is prohibited for commercial purposes. Reproduction of this document in its entirety for internal use is authorised, provided the source is acknowledged. Briefing for Industry - Apr 2010 Requirements of Dealer’s Licence Manufacturer’s Licence Importer’s Licence Wholesaler’s Licence ISO 13485 ((for finished medical device manufacturing) GDPMDS * OR ISO 13485 certificate or letter from certification body should state that scope of storage and distribution is included (for local manufacturers) GDPMDS * OR ISO 13485 certificate or letter from certification body should state that scope of storage and distribution is included (for local manufacturers) List of Class A exempted p medical devices manufactured List of Class A exempted p medical devices imported N.A. *Exceptions: GDPMDS is not required for • Import for Re-Export only • Import for Non-Clinical Use only A declaration will be submitted in place of the certificate. Template is available: http://www.hsa.gov.sg/publish/hsaportal/en/health_products_regulation/medical_devices/regulatory_guidances.ht ml 21 All Rights Reserved Health Sciences Authority Dealer’s Licence • Anyy licence application pp received byy 1 Julyy 2010 - will be processed before 1 Aug 2010. – – • Any missing / incorrect documents may affect your dealers’ licence approval for 1 Aug 2010. 2010 Note (*): As stated in Guidance GN-02-R1 Guidance on Licensing for Manufacturers, Importers and Wholesalers of Medical Devices) Validity of licences will be 1 calendar year starting from 1 Aug 2010. 22 All Rights Reserved Health Sciences Authority Copyright 2010, Health Sciences Authority Distribution or reproduction of this document, in whole or in part, is prohibited for commercial purposes. Reproduction of this document in its entirety for internal use is authorised, provided the source is acknowledged. Briefing for Industry - Apr 2010 Dealer’s Licence Licences alreadyy approved pp in MEDICS. Therefore, I have a valid licence from 1 Aug 2010? Licences are only renewed when we receive paymentt off fees. f Licence conditions will be included. 23 All Rights Reserved Health Sciences Authority Renewal of Dealer’s Licence (1st round) If company has 1. An approved pp licence in MEDICS as at 14 March 2010 2. No outstanding product registration fee payment 3. Responded to input request for clarification on certification info b stipulated by ti l t d d due d date t (if applicable) li bl ) Received invoice and made payment (N GIRO paymentt d (Non-GIRO due d date: t 5M May 10) Licence is renewed with licence conditions. New expiry date: 31/07/2011 NOTE: Disregard current expiry date (30 April 2010 or 20 July 2010) displayed in MEDICS All Rights Reserved Health Sciences Authority Copyright 2010, Health Sciences Authority Distribution or reproduction of this document, in whole or in part, is prohibited for commercial purposes. Reproduction of this document in its entirety for internal use is authorised, provided the source is acknowledged. 24 Briefing for Industry - Apr 2010 Renewal of Dealer’s Licence (1st round) If company did not respond to input request for clarification l ifi ti on certification tifi ti iinfo f b by stipulated ti l t d d due d date t (if applicable) Will not receive invoice for licence renewal Renewal was unsuccessful 25 All Rights Reserved Health Sciences Authority Renewal of Dealer’s Licence (2nd round) 2nd round: For companies with outstanding product registration fee payment. payment Will receive invoice by 11 May 10 if outstanding payment is settled by stipulated due date (GIRO deduction: 12 May 10 Non-GIRO payment due date: 25 May 10) Licence is renewed with licence conditions. New expiry date: 31/07/2011 Note: If payment for outstanding product registration fee was not made by stipulated due date, no invoice for licences will be sent as the renewal was not successful. 26 All Rights Reserved Health Sciences Authority Copyright 2010, Health Sciences Authority Distribution or reproduction of this document, in whole or in part, is prohibited for commercial purposes. Reproduction of this document in its entirety for internal use is authorised, provided the source is acknowledged. Briefing for Industry - Apr 2010 Renewal of Dealer’s Licence • If renewals were not successful,, 1. Please cancel the existing licence (http://www.hsa.gov.sg/publish/hsaportal/en/serv ices/medics/cancellation.html) 2. Submit a new application (http://www.hsa.gov.sg/publish/hsaportal/en/serv ices/medics/dealer_s_licence_.html) 27 All Rights Reserved Health Sciences Authority New Dealer’s Licence Applications after 1st April 2010 • For applications submitted from 1st to 5th April 2010, the payment advice was not automatically generated. • Companies will receive invoice by 28 April 2010 • GIRO: GIRO Deduction D d ti on 29 April A il 2010 • Non-GIRO: Payment by 12 May 2010 • Applications can only be processed upon receipt of payment. p y 28 All Rights Reserved Health Sciences Authority Copyright 2010, Health Sciences Authority Distribution or reproduction of this document, in whole or in part, is prohibited for commercial purposes. Reproduction of this document in its entirety for internal use is authorised, provided the source is acknowledged. Briefing for Industry - Apr 2010 New Dealer’s Licence Applications after 1st April 2010 • For applications submitted from 6th April 2010 onwards GIRO payment: Payment is automatically deducted upon submission non-GIRO payment: Please make payment promptly 29 All Rights Reserved Health Sciences Authority Payment Modes for Dealer’s Licence a) GIRO (expedited route) b) Non-GIRO: N GIRO 1. Cheque (pay to “Health Sciences Authority”) mailed to : Health Sciences Authority (Medical Device Branch) 11 Biopolis Way #11-01 Helios Building, Singapore 138667 1. Credit Card and NETS (payment has to be made d iin-person att the th Registry R i t counter t @HSA HQ Outram) We are unable to accept Cash payments. 30 All Rights Reserved Health Sciences Authority Copyright 2010, Health Sciences Authority Distribution or reproduction of this document, in whole or in part, is prohibited for commercial purposes. Reproduction of this document in its entirety for internal use is authorised, provided the source is acknowledged. Briefing for Industry - Apr 2010 GDPMDS – for companies without existing products • Email MDB (hsa_md_info@hsa.gov.sg) with your company’s details and name of Certification Body who is unable to assist you. you • MDB will be able to provide further advice. 31 All Rights Reserved Health Sciences Authority GPDMDS Inspection Scheme • There is no extension of the GDPMDS Inspection Scheme. It will be available till 31 May 2010. • Companies will be advised of GDPMDS Inspection Scheme application outcome by 30 June 2010. • Email Audit Branch for any enquiries: hsa_certification@hsa.gov.sg 32 All Rights Reserved Health Sciences Authority Copyright 2010, Health Sciences Authority Distribution or reproduction of this document, in whole or in part, is prohibited for commercial purposes. Reproduction of this document in its entirety for internal use is authorised, provided the source is acknowledged. Briefing for Industry - Apr 2010 FEES UPDATE 33 All Rights Reserved Health Sciences Authority Fee Updates • All fees paid are non-refundable. • ONLY GIRO payment is accepted for the authorisation routes that become operational p from 1 Aug g 2010. • From 1 Jan 2011, all regulatory fees shall ONLY be payable by GIRO. GIRO 34 All Rights Reserved Health Sciences Authority Copyright 2010, Health Sciences Authority Distribution or reproduction of this document, in whole or in part, is prohibited for commercial purposes. Reproduction of this document in its entirety for internal use is authorised, provided the source is acknowledged. Briefing for Industry - Apr 2010 Product Registration Fees • Incentive fees shall end on 01 May 2010. • From 01 May 2010, standard abridged evaluation route and full evaluation route fees for class B, C and D medical devices would apply. Risk Classification Class B Class C Class D Screening Fees $500 $500 $500 Abridged Evaluation Fees $1,800 $3,500 $5,700 Risk Classification Class B Class C Class D Screening Fees $500 $ $500 $500 Full Evaluation Fees $3,500 $ , $5,700 $11,400 Total $2,300 $4,000 $6,200 Total $ , $4,000 $6,200 $11,900 35 All Rights Reserved Health Sciences Authority Listing Retention Fees • Annual retention fees for class C and D medical devices would be payable from 01 August 2011 2011. • Annual retention fees for class A and B medical devices would be payable from 01 August 2012 2012. Risk Classification Cl Class A Class B Class C Class D Retention Fees $25 $35 $60 $120 36 All Rights Reserved Health Sciences Authority Copyright 2010, Health Sciences Authority Distribution or reproduction of this document, in whole or in part, is prohibited for commercial purposes. Reproduction of this document in its entirety for internal use is authorised, provided the source is acknowledged. Briefing for Industry - Apr 2010 Authorisation Route Fees Authorisation Route Application Fees GN-26: Named-Patient Basis $500 GN-27: PHMC Act Licensed Facility $500 GN-28: Import for Re-export $500 GN-29: Non-clinical purpose $500 GN 30 Import GN-30: I t on Consignment C i t Basis B i T be To b advised d i d llater t NOTE: The submission of application does not guarantee that the application shall be approved. In cases where the application is rejected or withdrawn, HSA reserves the right o ccharge a ge a an ad administrative s a e fee. ee to 37 All Rights Reserved Health Sciences Authority Change Notification and Licence Amendment Fees Change Notification Fees Risk Classification Class A Total Administrative Technical To be advised later N.A. TBA $600 $600 $1,200 $1,200 $2,300 $2,300 Class B Class C To be advised later Class D Licence Amendment Type Application Fees Manufacturer’s Manufacturer s Licence $150 Importer’s Licence $150 Wholesaler’s Wholesaler s Licence $150 38 All Rights Reserved Health Sciences Authority Copyright 2010, Health Sciences Authority Distribution or reproduction of this document, in whole or in part, is prohibited for commercial purposes. Reproduction of this document in its entirety for internal use is authorised, provided the source is acknowledged. Briefing for Industry - Apr 2010 Change of Registrant Fees • The Change of Registrant fees are as follows and shall be payable from 1 Aug 2010: Change of Registrant fee $800 (includes application fee of $500) NOTE: For applications that are rejected or withdrawn, the application fee of $500 would not be refunded. 39 All Rights Reserved Health Sciences Authority Dealer’s Licence Fees • The dealer’s licence fees are as follows: Type of Dealer’s Licence Application Fees Manufacturer’s Licence $1,000 Importer’s Licence $1,000 Wholesaler’s Licence $1,000 NOTE: For applications that are rejected or withdrawn, an administrative fee of $150 would apply. 40 All Rights Reserved Health Sciences Authority Copyright 2010, Health Sciences Authority Distribution or reproduction of this document, in whole or in part, is prohibited for commercial purposes. Reproduction of this document in its entirety for internal use is authorised, provided the source is acknowledged. Briefing for Industry - Apr 2010 TRANSITION LIST 41 All Rights Reserved Health Sciences Authority Transition List Questions • What devices qualify to be on the transition list? • What happens to devices on the transition list? • What information is on the transition list? • Where to find the transition list? 42 All Rights Reserved Health Sciences Authority Copyright 2010, Health Sciences Authority Distribution or reproduction of this document, in whole or in part, is prohibited for commercial purposes. Reproduction of this document in its entirety for internal use is authorised, provided the source is acknowledged. Briefing for Industry - Apr 2010 Transition List Qn: What devices qualify to be on the transition list? For Class C and D medical devices devices, as long as the pre-market applications or supplementary application is submitted through MEDICS by 30 April 2010, you can continue to import and supply until they are registered on SMDR. This would not apply to the f ll i following: – Devices that do not qualify for abridged evaluation – Devices currently subjected to drug registration • Lubricant, eye • Viscoelastic material, ophthalmic • Dialysate y concentrate for hemodialysis y ((liquid q or p powder)) • Solution, irrigating, non-injectable • Viscoelastic gels for joint lubrication (only as fillers) – Implantable devices with only 1 reference agency approval Medical devices whose applications are submitted after 1 May 2010 do not qualify to be on the transition list list. 43 All Rights Reserved Health Sciences Authority Transition List Qn: What happens to devices on the transition list? 1. Continues to be on the transition list as the device undergoes evaluation. l ti 2. Once the product is approved, it will be removed from the transition list and will ill be listed on the SMDR SMDR. 3. If application is withdrawn or rejected, the device will be removed from the transition list. list Devices cannot be imported and supplied. Existing stock in Singapore’s warehouse can be exported or destroyed with HSA’s authorisation. destroyed, authorisation 44 All Rights Reserved Health Sciences Authority Copyright 2010, Health Sciences Authority Distribution or reproduction of this document, in whole or in part, is prohibited for commercial purposes. Reproduction of this document in its entirety for internal use is authorised, provided the source is acknowledged. Briefing for Industry - Apr 2010 Transition List Qn: What information is on the transition list? 1. 2. 3. 4. Transition list number Job reference number Name of registrant Name of device as submitted under the “Device Info” section in MEDICS. Note: Model numbers will not be available Qn: Where to find the transition list? Published on the HSA website on 1 June 2010. This listing shall be subject to periodic review review. 45 All Rights Reserved Health Sciences Authority AUTHORISATION ROUTES FOR IMPORT AND SUPPLY OF UNREGISTERED MEDICAL DEVICES FROM 1 AUGUST 2010 46 All Rights Reserved Health Sciences Authority Copyright 2010, Health Sciences Authority Distribution or reproduction of this document, in whole or in part, is prohibited for commercial purposes. Reproduction of this document in its entirety for internal use is authorised, provided the source is acknowledged. Briefing for Industry - Apr 2010 Which medical devices require authorisation? (1) From 1 Aug 2010, only unregistered class C and D medical devices require prior authorisation from HSA before import and supply. From 1 Aug 2010 to 31 July 2011, the following medical devices do NOT require authorisation from HSA prior to import and supply: • class A and B medical devices • medical devices on the Transition List . exempted from product registration (See GN GN-22: 22: Guidance on • medical devices List of Exempted Medical Devices), • medical devices which are also licensed under the Radiation Protection Act (Cap 262) (Cap.262), • medical devices for clinical trials, and • custom-made medical devices 47 All Rights Reserved Health Sciences Authority Which medical devices require authorisation? (2) From 1 Aug 2011 onwards, the following medical devices shall NOT require authorisation from HSA prior to import and supply: • medical devices on the Transition List • medical devices exempted from product registration (See GN-22: Guidance on List of Exempted Medical Devices), Devices) • medical devices for clinical trials, and • custom-made medical devices . 48 All Rights Reserved Health Sciences Authority Copyright 2010, Health Sciences Authority Distribution or reproduction of this document, in whole or in part, is prohibited for commercial purposes. Reproduction of this document in its entirety for internal use is authorised, provided the source is acknowledged. Briefing for Industry - Apr 2010 Authorisation Route Fees • • • • • All application fees for the authorisation routes shall ONLY be payable via GIRO. Authorisation route applications may be submitted from 19 July 2010 onwards. Applications submitted before 19 July 2010 would not be processed. ONLY GIRO account companies are eligible to apply for authorisation routes. Th application The li i forms f are currently l available il bl ffrom the h ffollowing ll i webpage: http://www.hsa.gov.sg/publish/hsaportal/en/services.html p g gp p (Click on the e-services & forms tab on HSA website) GIRO form to be submitted to HSA Finance:HSA (Finance) 11 Outram Road (S169078) 49 All Rights Reserved Health Sciences Authority Summary of Authorisation Routes Other Authorization Routes Import of Custom-made Medical Devices Import p on Consignment Basis (Unregistered) Import on Consignment Basis (Registered) Import for Non-Clinical Non Clinical Purpose Importer’s Licence Required? Wholesaler’s Licence Required? Yes Yes Yes N.A (Supply not authorised) Yes Yes (Exempted from GDPMDS) Yes Yes Yes Yes Yes (Exempted from GDPMDS) Yes Yes (Exempted from GDPMDS) TAT (working days) 14 days No Supply on Request by PHMC Licensed Facilities Supply on Named Patient Basis Import for Re-Export Only 50 All Rights Reserved Health Sciences Authority Copyright 2010, Health Sciences Authority Distribution or reproduction of this document, in whole or in part, is prohibited for commercial purposes. Reproduction of this document in its entirety for internal use is authorised, provided the source is acknowledged. Briefing for Industry - Apr 2010 Supply on Named-Patient Basis Purpose To seek exemption from product registration for the import and supply of an unregistered medical device for supply to named-patient Licence Onl licensed importer will Only ill be allo allowed ed to import the unregistered nregistered medical de device ice Application Procedure Refer to GN-26: Application Form for Exemption from Product Registration for p of an Unregistered g Medical Device for Supply pp y on Named-Patient the Import Basis Application Submitter Qualified practitioner (patient confidentiality) Documentary Requirements Refer to GN-26: Guidance on the Requirements for Exemption from Product Registration for the Import of an Unregistered Medical Device for Supply on Named-Patient Basis G Grouping i M lti l devices Multiple d i from f 1 product d t owner can be b submitted b itt d under d one application for 1 named-patient 1 import-consignment NOTE: Authorisation to import and supply would be subject to conditions of approval. Failure to adhere to these conditions would invalidate the authorisation. 51 All Rights Reserved Health Sciences Authority Supply to Facilities licensed under PHMC Act Purpose To seek exemption from product registration for the import and supply of an unregistered medical device to a clinical laboratory, medical clinic or private hospital licensed under the PHMC Act (Cap. 248) Licence Only licensed importer will be allowed to import the unregistered medical device Application pp Procedure Refer to GN-27: Application pp Form for Exemption p from Product Registration g for the Import of an Unregistered Medical Device for Supply to Clinical Laboratory, Medical Clinic or Private Hospital licensed under the PHMC Act Application Submitter Licensed importer Documentary Requirements Refer to GN-27: Guidance on the Requirements for Exemption from Product Registration for the Import of an Unregistered Medical Device for Supply to y, Medical Clinic or Private Hospital p licensed under the PHMC Clinical Laboratory, Act. *Attestation by authorised person (i.e. chief executive/ head of department) from facility is required. G Grouping i M lti l d Multiple devices i can b be submitted b itt d under d one application, li ti multiple lti l importi t consignment within validity period. NOTE: Authorisation to import and supply would be subject to conditions of approval. approval Failure to adhere to these conditions would invalidate the authorisation. 52 All Rights Reserved Health Sciences Authority Copyright 2010, Health Sciences Authority Distribution or reproduction of this document, in whole or in part, is prohibited for commercial purposes. Reproduction of this document in its entirety for internal use is authorised, provided the source is acknowledged. Briefing for Industry - Apr 2010 Import for Re-export Purpose To seek exemption from product registration for the import of an unregistered medical device solely for re-export Licence Onl licensed importer will Only ill be allo allowed ed to import the unregistered nregistered medical de device ice Application Procedure Refer to GN-28: Application Form for Exemption from Product Registration for p of an Unregistered g Medical Device solely y for Re-export p the Import Application Submitter Licensed importer Documentary Requirements Refer to GN-28: Guidance on the Requirements for Exemption from Product Registration for the Import of an Unregistered Medical Device solely for Reexport Modes of import Multiple import consignments Grouping Multiple devices can be submitted under one application NOTE: Authorisation to import and supply would be subject to conditions of approval. Failure to adhere to these conditions would invalidate the authorisation. 53 All Rights Reserved Health Sciences Authority Supply for Non-Clinical Purpose Purpose To seek exemption from product registration for the import of an unregistered medical device to supply for non-clinical purpose. e g for display at exhibition e.g. exhibition, training purposes purposes, supply of unregistered in-vitro diagnostic medical device for research-use only purposes, etc Licence Only licensed importer will be allowed to import the unregistered medical device. Application Procedure Refer to GN-29: Application Form for Exemption from Product Registration for the Import of an Unregistered Medical Device to Supply for Non-Clinical Purpose Application A li ti Submitter Li Licensed d iimporter t Documentary Requirements Refer to GN-29: Guidance on the Requirements for Exemption from Product Registration for the Import of an Unregistered Medical Device to Supply for Non-Clinical Purpose Grouping Multiple devices can be submitted under one application for 1 import – consignment NOTE: Supply for clinical purpose is NOT permitted unless authorised by HSA. Authorisation to import and supply would be subject to conditions of approval. Failure to adhere to these conditions would invalidate the authorisation. 54 All Rights Reserved Health Sciences Authority Copyright 2010, Health Sciences Authority Distribution or reproduction of this document, in whole or in part, is prohibited for commercial purposes. Reproduction of this document in its entirety for internal use is authorised, provided the source is acknowledged. Briefing for Industry - Apr 2010 Import on Consignment Basis ((Unregistered g devices)) Purpose To seek authorisation* to import a single consignment of low-utilisation unregistered medical devices under an entity’s importer’s licence. supply, which has to be sought via * Does not include authorisation to supply GN-26 , GN-27 , GN-28 or GN-29. Licence Only licensed importer will be allowed to import the unregistered medical device Application Procedure Refer to GN-30: Application Form for Approval to Import on Consignment Basis (Consignment Unregistered Route) Application Submitter Licensed importer Documentary Requirements Refer to GN-30: Guidance on the Requirements for Approval to Import on Consignment Basis Grouping Multiple devices can be submitted under one application for 1 import – consignment (tied to invoice number) NOTE: Authorisation to import would be subject to conditions of approval. Failure to adhere to these conditions would invalidate the authorisation. authorisation 55 All Rights Reserved Health Sciences Authority Import on Consignment Basis (Registered devices) Purpose For dealer not authorised by the Registrant to seek authorisation from HSA for the import of a registered medical device Licence Onl licensed importer will Only ill be allo allowed ed to import the unregistered nregistered medical device. Once approval is obtained, supply can be performed by licensed wholesaler. Application Procedure Refer to GN GN-30: 30: Application Form for Approval to Import on Consignment Basis (Consignment Registered) Application Submitter Licensed importer Documentary Requirements Refer to GN-30: Guidance on the Requirements for Approval to Import on Consignment Basis Grouping 1 application per device listing from 1 product owner for 1 importconsignment. (tied to invoice number) NOTE: Authorisation to import and supply would be subject to conditions of approval. Failure to adhere to these conditions would invalidate the authorisation. authorisation 56 All Rights Reserved Health Sciences Authority Copyright 2010, Health Sciences Authority Distribution or reproduction of this document, in whole or in part, is prohibited for commercial purposes. Reproduction of this document in its entirety for internal use is authorised, provided the source is acknowledged. Briefing for Industry - Apr 2010 Custom-made medical devices • Product registration is not required prior to supply of custom-made medical devices. • No need to apply through authorisation route. • However, all dealer’s licence requirements apply. • For Customs clearance of imports of custom-made medical devices, a custom-made custom made medical device verification form would be made available on the HSA website in the near future. 57 All Rights Reserved Health Sciences Authority CUSTOMS DECLARATION 58 All Rights Reserved Health Sciences Authority Copyright 2010, Health Sciences Authority Distribution or reproduction of this document, in whole or in part, is prohibited for commercial purposes. Reproduction of this document in its entirety for internal use is authorised, provided the source is acknowledged. Briefing for Industry - Apr 2010 Customs Declaration • The following medical devices imported has to be pp p HS Code declared at customs with the appropriate and product code: 1. Class C and D medical devices on the SMDR and transition list 2. Medical devices imported via special access routes • HS Codes and product codes are required for Class A exempted, t d A and d B medical di l d devices. i • Email invites to freight forwarders for a briefing on Tradenet controls will be sent out in July 2010 2010. 59 All Rights Reserved Health Sciences Authority Expiry date will be updated later Importer and supplier will be updated later 60 All Rights Reserved Health Sciences Authority Copyright 2010, Health Sciences Authority Distribution or reproduction of this document, in whole or in part, is prohibited for commercial purposes. Reproduction of this document in its entirety for internal use is authorised, provided the source is acknowledged. Briefing for Industry - Apr 2010 MEDICAL DEVICES CURRENTLY UNDER DRUGS REGULATORY CONTROL 61 All Rights Reserved Health Sciences Authority Medical Devices Currently under Drugs Regulatory Control Devices currently subjected to drug registration: • Lubricant, eye • Viscoelastic material, material ophthalmic • Dialysate concentrate for hemodialysis (liquid or powder) • Solution, irrigating, non-injectable • Viscoelastic gels for joint lubrication (only as fillers) From 1 Aug 2010, irrespective of the risk class (Class A, g with HSA B, C or D)) these products have to be registered before supply. Companies are to inform MDB of the product registration submission via email. 62 All Rights Reserved Health Sciences Authority Copyright 2010, Health Sciences Authority Distribution or reproduction of this document, in whole or in part, is prohibited for commercial purposes. Reproduction of this document in its entirety for internal use is authorised, provided the source is acknowledged. Briefing for Industry - Apr 2010 Medical Devices Currently under Drugs Regulatory Control Products currently registered with PBB (HSA) Time p period Now to 31 July 2010 Regulatory g y Control Regulated as drug 1 August 2010 onwards Regulated as medical device • • • All medical devices currentlyy regulated g as drugs g will be ported over on 1 Aug 2010. No Variation Applications can be submitted via PRISM (with immediate effect). effect) Companies shall submit change notification for these products only when notified by MDB that the applications are ready for access in MEDICS MEDICS. 63 All Rights Reserved Health Sciences Authority Medical Devices Currently under Drugs Regulatory Control New Applications Time Period How to Submit New Applications? pp 1 Mayy – 31 Jul 2010 Unable to submit new applications. pp Freeze period for new applications in PRISM to facilitate the port over exercise. 1 Aug 2010 onwards Submit as a medical device in MEDICS 64 All Rights Reserved Health Sciences Authority Copyright 2010, Health Sciences Authority Distribution or reproduction of this document, in whole or in part, is prohibited for commercial purposes. Reproduction of this document in its entirety for internal use is authorised, provided the source is acknowledged. Briefing for Industry - Apr 2010 Medical Devices Currently under Drugs Regulatory Control Product licence fees • P Product d t lilicences th thatt expire i b before f 1A Augustt 2010 will be renewed via PRISM i.e. Drug licence fees will apply. apply • Product licences that expire on and after 1 August 2010 will be renewed via MEDICS i.e. MD licence pp y fees will apply 65 All Rights Reserved Health Sciences Authority Medical Devices Currently under Drugs Regulatory Control 31 Jul 10 SCENARIO 1 SCENARIO 2 1 Aug 10 31 Jul 11 31 Jul 2010: Listing renewed in PRISM for 1 year and drug fee is payable. 01 Aug 11 31 Jul 12 31Jul 2011: Listing renewed in MEDICS for 1 year and medical device retention fee is payable. 1 Aug 2010: Listing renewed in MEDICS for 1 year and medical device retention fee is payable. 66 All Rights Reserved Health Sciences Authority Copyright 2010, Health Sciences Authority Distribution or reproduction of this document, in whole or in part, is prohibited for commercial purposes. Reproduction of this document in its entirety for internal use is authorised, provided the source is acknowledged. Briefing for Industry - Apr 2010 CHANGE NOTIFICATION 67 All Rights Reserved Health Sciences Authority Change Notification Supplementary application fees for Change Notification shall become payable from 1 August 2010. These fees shall be published on the HSA website in the near future. Change Notification is divided into 3 types: • Administrative • Technical (without clinical studies) ,and • Technical (with clinical studies) For administrative changes, the medical device can be supplied upon acceptance of the supplementary application through MEDICS by HSA. In the event, the supplementary application for an administrative change is rejected, product supply shall cease. If necessary, a product recall would be mandated. For technical changes, the medical devices shall not be supplied until approval is received from HSA. 68 All Rights Reserved Health Sciences Authority Copyright 2010, Health Sciences Authority Distribution or reproduction of this document, in whole or in part, is prohibited for commercial purposes. Reproduction of this document in its entirety for internal use is authorised, provided the source is acknowledged. Briefing for Industry - Apr 2010 Change Notification - Administrative The following include changes that would be deemed administrative: • change of name and address of manufacturing facility (no change in manufacturing f t i process), ) • changes to Quality Management Certification (e.g. ISO 13485 certificate for registered medical device), • reduction in approved indications for use, • changes to batch numbering system, other labelling changes (as specified in GN-21) GN 21), • • deletion of products within a grouped registration, • product name change, • product owner (including ( changes to product owner name)) change, • regulatory status on rejection or withdrawal (in any reference agencies), and p of regulatory g y approval pp certificates. • update An updated GN-21: Guidance on Change Notification would be published by 31 May 2010 2010. 69 All Rights Reserved Health Sciences Authority Change Notification TAT • From 1 August 2010, Change Notification shall be mandatory for registered class C and D medical devices. • From 1 August 2011, Change Notification shall be mandatory for ALL registered medical devices. Type of Change Notification Turn-Around Time Administrative N.A Technical (without clinical studies) 60 days Technical (with clinical studies) 90 days 70 All Rights Reserved Health Sciences Authority Copyright 2010, Health Sciences Authority Distribution or reproduction of this document, in whole or in part, is prohibited for commercial purposes. Reproduction of this document in its entirety for internal use is authorised, provided the source is acknowledged. Briefing for Industry - Apr 2010 Input Requests • For premarket and supplementary applications applications, only the following changes are allowed when company responds to the 1st input request: 1. Addition of models; or 2. Change of manufacturing site. (If change of manufacturing site also involves a change of product owner, changes are not allowed) • Once the 1st input request response is received by MDB no further changes would be possible MDB, 71 All Rights Reserved Health Sciences Authority CLINICAL TRIALS 72 All Rights Reserved Health Sciences Authority Copyright 2010, Health Sciences Authority Distribution or reproduction of this document, in whole or in part, is prohibited for commercial purposes. Reproduction of this document in its entirety for internal use is authorised, provided the source is acknowledged. Briefing for Industry - Apr 2010 Medical Device for Clinical Trials All Clinical Trials application will be handled by Clinical Trial Branch (CTB) of HSA Submit application to CTB directly M di l d Medical devices i ffor Cli Clinical i lT Trials i l are exempted t d ffrom product registration. The following organizations are exempted from Importer’ss and Wholesaler Importer Wholesaler’s s licence requirement requirement, when importing and supply the medical device Sponsor Contract Research Organization 3rd party importer 73 All Rights Reserved Health Sciences Authority Medical Devices for Clinical Trials – Procedure for CTM application pp INTERIM APPROACH – From 1 Aug 2010 till the implementation of the clinical trial regulations: In order to Import and Supply Medical Devices for Clinical Trials - Obtain IRB approval for the Cli i l Trial Ti l Clinical Sponsor to submit CTM application (hard copy) to HSA – Clinical Trial Branch (CTB) CTB to Issue Clearance for import and supply of M di l D i Medical Devices in the context of the Clinical Trial 74 All Rights Reserved Health Sciences Authority Copyright 2010, Health Sciences Authority Distribution or reproduction of this document, in whole or in part, is prohibited for commercial purposes. Reproduction of this document in its entirety for internal use is authorised, provided the source is acknowledged. Briefing for Industry - Apr 2010 Medical Devices for Clinical Trials – Key Points Medical devices authorized for import and supply by the CTM application, shall not be supplied for use other than in the Clinical Trial. Duties and obligations under Part VIII of the Health Products Act 2007 shall apply. • Reporting of defects and adverse effects to HSA • Notification to HSA concerning recalls • Duty to maintain records of import and supply The import authorisation would be valid for the period of the Clinical Trial. The medical devices shall be exported out of Singapore, or destroyed within 6 months of the completion p of the trial. To maintain proper records on the import, supply and export. 75 All Rights Reserved Health Sciences Authority SECONDARY ASSEMBLY 76 All Rights Reserved Health Sciences Authority Copyright 2010, Health Sciences Authority Distribution or reproduction of this document, in whole or in part, is prohibited for commercial purposes. Reproduction of this document in its entirety for internal use is authorised, provided the source is acknowledged. Briefing for Industry - Apr 2010 Secondary Assembly • Secondary assembler is an entity engaged in the process of packing the medical device, which is in its labelled primary package, into its secondary package. The process may also include labelling of the secondary package before the medical device is sold or supplied. • No breach of the primary packaging. • The addition of a label bearing their name and address on the importer and wholesaler of a medical device shall not be deemed as secondary secondar assembl assembly. However, the additional label must not cover any text of the original label. • Email invites for a briefing on regulatory controls that apply to secondary assemblers will be sent out in May 2010 2010. 77 All Rights Reserved Health Sciences Authority Supply from 1 August 2010 to 31 July 2011 Hence, with the exception of the following:• class A and B medical devices, • medical di l devices d i exempted t d from f product d t registration i t ti (S (See GNGN 22: Guidance on List of Exempted Medical Devices), • medical devices which are also licensed under the Radiation Protection Act (Cap.262), • medical devices for clinical trials, and • custom-made t d medical di l d devices i all medical devices shall either have to be: (i) registered on SMDR, (ii) placed on the Transition List, OR (iii) cleared for import and supply through one of the authorisation routes, prior to supply supply. 78 All Rights Reserved Health Sciences Authority Copyright 2010, Health Sciences Authority Distribution or reproduction of this document, in whole or in part, is prohibited for commercial purposes. Reproduction of this document in its entirety for internal use is authorised, provided the source is acknowledged. Briefing for Industry - Apr 2010 Thank you 79 All Rights Reserved Health Sciences Authority Copyright 2010, Health Sciences Authority Distribution or reproduction of this document, in whole or in part, is prohibited for commercial purposes. Reproduction of this document in its entirety for internal use is authorised, provided the source is acknowledged.