SFDA State Food and Drug Administration Circular on Printing and Issuing the Measures for the Administration of In-vitro Diagnosis Reagents (Interim) Authorized by MD Dept. SFDA [2007] No. 229 The appropriate food and drug administrations (drug administrations) in provinces, autonomous regions and municipalities directly under the central government, The Measures for the Administration of In-vitro Diagnosis Reagents (Interim) was approved by the State Food and Drug Administration of the People’s Republic of China on April 3rd, 2007 and is hereby printed and issued, and shall be observed and implemented accordingly. State Food and Drug Administration April 19, 2007 Measures for the Administration of In-vitro Diagnosis Reagents (Interim) Chapter 1 General Provisions Article 1 The Measures for the Administration of In-vitro Diagnosis Reagents (Interim) is formulated in accordance with the Regulations on the Supervision & Administration of Medical Devices and the Measures for the Administration of Medical Device Registration, with a view to regulating the administration of in-vitro diagnosis reagents. Article 2 The Measures applies to the R&D, clinical trials, registration inspection, product registration and supervision & administration of in-vitro diagnosis reagents. Article 3 The in-vitro diagnosis reagents mentioned in these Measures refer to the in-vitro diagnosis reagents administered as medical devices, including the reagents, reagent cartridges, calibrators, quality controls, etc. for in-vitro inspection of human body specimen (various body fluids, cells, tissue specimen, etc.) in the course of disease prevention, diagnosis, treatment monitoring, prognosis observation, health status evaluation and inherited disease prediction, which can be used independently or in combination with instruments, devices, equipment or systems. The in-vitro diagnosis reagents legitimately stipulated by the state for use in blood screening and radionuclide-labeled in-vitro diagnosis reagents do not belong to the administration scope of the Measures. Article 4 Registration of in-vitro diagnosis reagents refers to the approving process in which the authorities of drug supervision and administrations implement a systematic evaluation on the research conducted by the registration applicant as regards the safety, effectiveness and quality controllability of the products to be put on market and its results, and determine whether to approve such application, in accordance with legal procedures and the application of the registration applicant. Article 5 The State implements classified registration administration of in-vitro diagnosis reagents. Class I in-vitro diagnosis reagents made within territory shall be examined by drug supervision and administration authorities having districts established therein where such authorities reside, and medical device registration certificates shall be issued after approval. Class II in-vitro diagnosis reagents made within territory shall be examined by authorities of drug supervision and administrations in provinces, autonomous regions and municipalities directly under the central government, and medical device registration certificates shall be issued after approval. Class III in-vitro diagnosis reagents made within territory shall be examined by the State Food and Drug Administration, and medical device registration certificates shall be issued after approval. In-vitro diagnosis reagents made abroad shall be examined by the State Food and Drug Administration, and medical device registration certificates shall be issued after approval. The registration of in-vitro diagnosis reagents manufactured in Taiwan, Hong Kong or Macao shall be carried out with reference to the relevant provisions in connection with foreign medical devices. Article 6 The authorities of drug supervision and administrations in provinces, autonomous regions and municipalities directly under the central government are responsible for verification of the R&D status and production conditions of the applied products in their own administrative areas, assessment of the quality management system of the manufacturing enterprise, and implementation of supervision and administration for the products put on the market. Article 7 The applicant for the registration of in-vitro diagnosis reagents (hereinafter referred to as the “applicant”) refers to any manufacturing enterprise that puts forward the application for the registration of in-vitro diagnosis reagents, assumes corresponding legal responsibilities, and holds the registration certificate after such application is approved. Domestic applicants refer to manufacturing enterprises legitimately registered within Chinese territory. Foreign applicants refer to manufacturing enterprises legitimately registered outside Chinese territory. Foreign applicants shall carry out the registration of in-vitro diagnosis reagents through their offices located within Chinese territory or by entrusting agencies within Chinese territory. Personnel who handle the issues concerning the application for the registration of in-vitro diagnosis reagents shall have corresponding professional knowledge, and are familiar with the laws, regulations, rules and technical requirements as regards the registration administration of in-vitro diagnosis reagents. Article 8 Foreign applicants shall entrust legitimate organizations within Chinese territory as their agencies, and if the foreign applicants have set up offices within Chinese territory, their agents shall be such offices; if the foreign applicants have no office within Chinese territory, they shall entrust other independent legal entities as their agents. The agents shall perform the following duties: (I) Liaison with competent authorities and foreign applicants for application; (II) Faithful and accurate conveying of relevant regulations and technical requirements to the applicant; (III) Gathering of information about unfavorable incidents related to medical devices after being put on the market and feedback to foreign applicants, and in the meantime reporting to China’s corresponding medical device supervision and administration departments. Article 9 In case the applicant entrusts a registration agency to handle issues concerning the registration of in-vitro diagnosis reagents, except for the application for changing the agent or registration agency, other issues of application shall be concretely handled by such registration agency. Article 10 The quality management system of the manufacturing enterprise of in-vitro diagnosis reagents shall comply with the requirements of Detailed Rules for the Implementation of the Production of In-vitro Diagnosis Reagents, and foreign manufacturing enterprise shall also conform to the requirements of quality management system in the country or region of production. Article 11 The manufacturing enterprise of in-vitro diagnosis reagents shall have after-sale service ability in technical training, consultancy, etc. that matches its products applying for registration. Foreign manufacturing enterprises can carry out after-sale service in technical training, consultancy, etc. through their offices that reside within Chinese territory or by entrusting agencies within Chinese territory. Chapter 2 Product Classification and Naming Principles Article 12 According to the product risk degree, in-vitro diagnosis reagents are successively classified into Class III, Class II and Class I products. (I) Class III products: 1. Reagents related to the inspection of antigen, antibody and nucleic acid, etc. for pathogen; 2. Reagents related to blood group and tissue typing; 3. Reagents related to the inspection of human gene; 4. Reagents related to inherited diseases; 5. Reagents related to the inspection of narcotic drugs, psychotropic drugs and toxic drugs for medical use; 6. Reagents related to the inspection of targets sites of curative drugs; 7. Reagents related to the inspection of tumor markers; 8. Reagents related to allergy (allergen). (II) Class II products: products not clearly defined as Class III and Class I products are Class II products, mainly including: 1. Reagents used for protein inspection; 2. Reagents used for carbohydrate inspection; 3. Reagents used for hormone inspection; 4. Reagents used for enzymes inspection; 5. Reagents used for esters inspection; 6. Reagents used for vitamin inspection; 7. Reagents used for inorganic ion inspection; 8. Reagents used for the inspection of drugs and drug metabolites; 9. Reagents used for auto-antibody inspection; 10. Reagents used for microorganism identification and medicine sensitivity experiment; 11. Reagents used for the inspection of indexes for other physiological, biochemical and immune functions. (III) Class I products: 1. Microorganism culture medium (not used for microorganism identification and medicine sensitivity experiment); 2. Products for specimen treatment, e.g. hemolytic agents, diluents, staining solutions, etc. Article 13 If the inspection of some Class II products, e.g. protein, carbohydrate, hormone, enzymes, etc. is used for the monitoring of tumor diagnosis, auxiliary diagnosis and treatment process, or used for diagnosis and auxiliary diagnosis, etc. of inherited diseases, these products are registered and administered as Class III products. Among the reagents for inspection drugs and drug metabolites, if the drugs belong to the scope of narcotic drugs, psychotropic drugs and toxic drugs for medical use, they are registered and administered as Class III products. Article 14 For in-vitro diagnosis reagents such as calibrators and quality controls, if not sold independently, the registration needn’t be applied for independently; if sold independently, the registration needs to be applied for independently, and their class is the same as those in-vitro diagnosis reagents in clinical use in the meantime. As for multiple calibrators and quality controls, their class is the same as higher-class in-vitro diagnosis reagents used in the meantime. Article 15 For products only used for research, not used for clinical diagnosis, the registration needn’t be applied for, but their instruction manuals and package labels must indicate the words “For research only, not for clinical diagnosis”. For special substances that do not have diagnosis functions without any modification, and can become compositions of in-vitro diagnosis reagents only after marking or optimization, the registration needn’t be applied for. When put on the market for sales, such substances shall be furnished with information about their origins, compositions, titers or active units, etc. and indicated with the words “For research only, not for clinical diagnosis” in the meantime. Article 16 The State Food and Drug Administration is responsible for defining the classification of in-vitro diagnosis reagents, and making adjustment according to such circumstances as product risk. As for in-vitro diagnosis reagents that cannot be defined according to the above classification principles, the registration applicant shall put forward the application for classification definition with the State Food and Drug Administration. The application for classification definition shall be submitted together with the general summary materials, product instructions, and information about the classification of similar products in domestic and foreign registration and administration. Article 17 In-vitro diagnosis reagents applying for registration shall adopt general names in compliance with the naming principles. Naming principles for in-vitro diagnosis reagents: product names of in-vitro diagnosis reagents are generally composed of three parts: First part: name of the substance tested. Second part: usage, e.g. diagnosis serum, diagnostic reagent cartridge, quality control, etc. Third part: method or principle, e.g. enzyme linked immunity method, colloidal gold method, etc., this part shall be listed in parentheses. If the substance for inspection have too many components or under special circumstances, the substance can adopt the indication name related to the product or other substitute names. Chapter 3 Product Research and Development Article 18 Organizations engaged in the research and development of in-vitro diagnosis reagents shall have the personnel, site, equipment, instruments and management system that match the project of experiment and research, use laboratory animals, reagents and raw materials, etc. that comply with relevant requirements and provisions, and guarantee the authenticity of all the experimental data and materials. Article 19 The product research and development work done for applying for the registration of in-vitro diagnosis reagents shall include: selection and preparation of main raw materials; determination of the product manufacturing process; formulation of registered product standards; product stability research, reference value (reference scope) determination, product performance evaluation, etc. The applicant can either carry out product research and development by referring to relevant technical guidance principles, or adopt different experimental methods or technical means, but shall explain their reasonableness. Article 20 Product performance evaluation refers to the evaluation on the analytical performance and clinical performance of the in-vitro diagnosis reagents. Analytical performance mainly includes analytical sensitiveness, analytical specificity, diagnostic scope, diagnostic accuracy, within-run imprecision, between-run imprecision, etc. Analytical performance mainly includes clinical sensitiveness, clinical specificity, etc. Article 21 The registration applicant can either independently accomplish or entrust relevant research organizations to accomplish the research and development of in-vitro diagnosis reagents, and the evaluation of analytical performance. The registration applicant shall provide application materials indicating the name list of entrusted items, attached with agreement of both parties, and guarantee the authenticity of all the experimental data and materials. Article 22 The clinical performance evaluation of in-vitro diagnosis reagents shall be accomplished through clinical experiments. The clinical experiments of in-vitro diagnosis reagents shall be accomplished by the applicant before putting forward the application. The relevant provisions in Chapter 4 of the Measures apply to the requirements on clinical experiments. Article 23 The State Food and Drug Administration and authorities of drug supervision and administrations in provinces, autonomous regions and municipalities directly under the central department carry out verification on the product research and development situation in their administrative areas when necessary, require the applicants or research organizations undertaking the experiments to conduct experiments repeatedly according to the material items, methods and data for the application, and assign personnel to verify the experiment process on the site, or entrust relevant research organizations to conduct the experiments repeatedly. Chapter 4 Clinical Experiment Article 24 The clinical experiment of in-vitro diagnosis reagents (clinical validation including comparative research with the products already put on the market) refers to the systematic research on the clinical performance of in-vitro diagnosis reagents in corresponding clinical environment. Article 25 The specimens for clinical experiment shall be prepared at the workshops that conform to the requirements of the Detailed Rules for the Implementation of the Production of In-vitro Diagnosis Reagents, and the production process shall be in strict compliance with the requirements of the Detailed Rules for the Implementation of the Production of In-vitro Diagnosis Reagents. Article 26 The applicant can either independently conduct the inspection of specimens for clinical experiment according to the product standards formulated, or entrust other competent inspection organizations to conduct the inspection, and only after qualifying for the inspection can the specimens be used for clinical experiment. Article 27 When the same registration application includes different packaging specifications, the specimens of one packaging specification can be adopted to conduct the clinical experiment. Article 28 The applicants for Class III products shall choose no less than 3 (including 3) provincial-level health & medical institutions, and the applicants for Class II products shall choose no less than 2 (including 2) provincial-level health & medical institutions to carry out the clinical experiment. For special-purpose products, the clinical experiment can be conducted at such organizations as disease control centers, specialized hospitals or inspection & quarantine institutes and detoxification centers above the municipal level that meet the requirements. Article 29 The organizations of clinical experiment shall have the personnel, site, equipment, instruments and management system that match the research project, and guarantee the authenticity of all the research data and materials. The organizations and personnel participating in the clinical experiment shall understand the responsibilities and obligations of the personnel of clinical experiment, and make records of clinical experiment in a timely way, accurately and faithfully. Article 30 The applicant shall sign a clinical experiment contract with the clinical experiment organization, formulate and perfect the clinical experiment scheme by referring to relevant technical guidance principles, provide specimens for clinical experiment free of charge, and pay the expenses for clinical experiment. Article 31 The number of cases for clinical experiment shall be determined according to the purpose of clinical experiment, statistical requirements, and by referring to relevant technical guidance principles. Technical guidance principles for clinical experiment are issued separately. For rare diseases, special diseases and other circumstances, if the applicant requests to decrease the number of cases for clinical experiment or not to perform clinical experiment, the applicant shall submit the materials for registration application together with the application for decreasing the number of cases for clinical experiment or exempting the clinical experiment, and explain the reasons in a detailed way. The technical review organization of authorities of drug supervision and administration shall make the decision after all-round technical review of the materials for registration application, and if clinical experiment needs to be supplemented, shall inform the applicant in the form of supplementary materials. Article 32 When applying for foreign product registration, foreign clinical experiment materials are required. The applicant shall consider at the same time many factors such as the epidemiological background, characteristics of pathogenic microorganisms in different countries or regions, and normal reference values (or reference scope) applicable to crowds of different species, and carry out corresponding clinical experiments within Chinese territory in accordance with the requirements of clinical experiment. Article 33 After accomplishing the clinical experiment, the organizations of clinical experiment shall respectively issue the reports of clinical experiment. The applicant or the unit leading the clinical experiment shall summarize the results of clinical experiment and complete the summary report of clinical experiment in accordance with relevant technical guidance principles. Article 34 If the organization of clinical experiment is found to have breached relevant provisions or fail to execute the scheme of clinical experiment, the applicant shall urge the organization to correct; if the circumstances are serious, the applicant can require the organization to suspend or terminate the clinical experiment, and report to the provincial-level authorities of drug supervision and administration in the locality and the State Food and Drug Administration. Article 35 If the applicant breaches relevant provisions or requests to change the data, conclusions of the experiment, the organizations and personnel participating in the clinical experiment shall report to the provincial-level authorities of drug supervision and administration in the locality and the State Food and Drug Administration. Article 36 The State Food and Drug Administration and authorities of drug supervision and administrations in provinces, autonomous regions and municipalities directly under the central government need to carry out supervision and inspection on the implementation status of the clinical experiment. Chapter 5 Assessment on Quality Management System of Manufacturing enterprise Article 37 The manufacturing enterprise of in-vitro diagnosis reagents shall establish corresponding quality management system, form files and records, implement them and maintain effective operation. Article 38 The assessment on quality management system of manufacturing enterprise refers to the process of all-round assessment conducted by the authorities of drug supervision and administration on the circumstances of establishment and fundamental operation of the quality management system of the manufacturing enterprise. Article 39 Before applying for the registration of Class II and Class III products and re-registration, the applicant shall pass the assessment on quality management system by the authorities of drug supervision and administration. For the first registration application, the assessment on quality management system also includes onsite verification of the research and development situation of the products applying for the registration. In case of applying for the registration of Class I products, the applicant shall independently organize the verification of the quality management system. Article 40 The concrete requirements for the assessment on the quality management system of the manufacturing enterprise shall be separately stipulated by the State Food and Drug Administration. Article 6 Product Standards and Registration Inspection Article 41 The product standards for in-vitro diagnosis reagents refer to technical requirements on standard substances, quality indexes and production process, etc., stipulated for ensuring the product quality of in-vitro diagnosis reagents, including national standards, industrial standards and registered product standards. The standard substances of in-vitro diagnosis reagents refer to the substances for the inspection of in-vitro diagnosis reagents, which have determined characteristic quantity values and are used for evaluating diagnostic methods, including standards and references. Article 42 The applicant shall formulate the standards for the applicant products under the precondition of stable quality of raw materials and stable production process, in accordance with the results of product research and development, clinical experiment, etc., and by referring to relevant documents, national standards and industrial standards, etc. The product standards formulated by the applicant shall not be lower than national standards or industrial standards. Article 43 The product standards formulated by the applicant will become registered product standards after being approved by the authorities of drug supervision and administration and being registered, and the manufacturing enterprises must execute such registered product standards. Article 44 The registration inspection refers the process in which the medical device inspection organization (hereinafter referred to as “inspection organization”), recognized by the State Food and Drug Administration and having corresponding inspection scope, puts forward suggestions on the science and reasonableness of the standards or references adopted for the product standards submitted by the applicant, in terms of the items and indexes, in accordance with relevant research data, standards of domestic and foreign similar products and relevant national requirements, and carry out the inspection of specimens submitted for inspection, and issue test reports. Article 45 As for the application for the first registration of in-vitro diagnosis reagents, registration inspection is generally not required for Class I products; registration inspection shall be carried out for Class II and Class III products; registration inspection with specimens of 3 consecutive production batches shall be carried out for Class III products. The specimens for registration inspection of domestic manufacturing enterprises are drawn out on site after being qualified for the assessment on the quality management system of the manufacturing enterprise by the authorities of drug supervision and administration. The specimens for registration inspection of domestic manufacturing enterprises are drawn out by the applicant independently. Article 46 When carrying out the registration inspection, the applicant shall submit written application to the inspection organization, and provide the necessary relevant technical materials, specimens and standards or references. When the same registration application involves different packaging specifications, the registration inspection can be carried out for products of one packaging specification only. Article 47 The medical device inspection organizations shall carry out the work of registration inspection within the authorized inspection scope, and shall issue test report within specified working time period. For products not listed in the authorized inspection scope of the inspection organization, the State Food and Drug Administration shall designate the inspection organization with the ability to undertake the inspection to carry out the inspection. Chapter 7 Registration Application and Approval Article 48 The registration application mentioned in this chapter refers to the registration application put forward by the applicant for its manufactured in-vitro diagnosis reagents not put on the market within Chinese territory, i.e. the first registration application. Article 49 According to the classification principles of in-vitro diagnosis reagents, in case the domestic applicant plans to apply for the registration of Class III and Class II products, the applicant shall put forward the application to the corresponding authorities of drug supervision and administration after accomplishing the product research and development, clinical experiment, registration inspection and passing the assessment on the quality management system, and submit materials for registration application according to the requirements in Appendix I of these Measures. In case of applying for the registration of Class I products, the applicant shall put forward the application to the corresponding authorities of drug supervision and administration after accomplishing the research and development work, and submit the materials for registration application according to the requirements in Appendix 1 of these Measures. Article 50 According to the classification principles of in-vitro diagnosis reagents, in case the foreign applicant plans to apply for the registration of Class III and Class II products, the applicant can put forward the application for product registration to the State Food and Drug Administration according to these Measures after accomplishing the clinical experiment and registration inspection for the products. In case of applying for the registration of Class I products, the applicant shall put forward the application for product registration to the State Food and Drug Administration according to these Measures. In case of applying for the registration of overseas products, such products shall be granted overseas medical device marketing approval; for overseas products not required to be granted medical device marketing approval, relevant documents proving that such products are not registered and administered as medical devices and that such products are legally marketed in the country of origin shall be provided. Article 51 The registration units of in-vitro diagnosis reagents shall be single reagents or single reagent cartridges, and one registration unit can include different packaging specifications. Article 52 The materials for registration application shall be written in Chinese. The application materials translated according to materials in foreign languages shall be provided with original text in the meantime. The materials for registration application shall be complete, standardized, and the data must be authentic and reliable. When the documents not publicly published are cited, the documents proving that the owner of materials allows the usage shall be provided. The applicant shall take full responsibility for the authenticity of the materials for registration application. Article 53 The administrative acceptance organization of the authorities of drug supervision and administration shall carry out the form examination for materials for registration application. If the materials meet the acceptance requirements, the organization shall accept the materials and issue the acceptance notice; if the materials fail to meet the requirements, the organization shall not accept the materials, and inform the applicant in writing. Article 54 The technical review organization of the authorities of drug supervision and administration shall carry out all-round technical review on the materials for registration application, and can recall the original research materials when necessary. In case expert consultancy or hearing is required during the review, the technical review organization shall inform the applicant in writing. The time required for consulting with experts or conducting the hearing is not calculated into the time period of the review. Article 55 When the technical review organization conducts technical review on the materials for registration application, if the applicant is required to supplement the materials, the technical review organization shall issue the written notice of supplementing materials only one time. The applicant shall submit supplementary materials only one time within 60 working days according to the requirements of the notice of supplementing materials. The time required for the applicant to supplement the materials is not calculated into the time period of review. Article 56 If the applicant has objection to the content of the notice of supplementing the materials, the applicant can put forward the written suggestions to corresponding technical review organization, explain the reasons and provide corresponding materials of technical support. Article 57 For the products examined as conforming to provisions and approved for registration, the corresponding authorities of drug supervision and administration shall issue the Medical Device Registration Certificate within specified time period. The registered product standards and product instructions shall be approved by corresponding authorities of drug supervision and administration according to the application materials of the applicant, and sent to the applicant in the form of appendix. The Medical Device Registration Certificate remains effective for 4 years. Article 58 If the products are deemed as not conforming to the provisions after examination, the authorities of drug supervision and administration shall make the decision not to register and explain the reasons, notify the applicant in writing within stipulated time period, and in the meantime inform the applicant that the applicant enjoys the right of reexamination and applying for administrative reconsideration or lodging administrative litigation. Article 59 According to the provisions of Article 23 in these Measures, if repeated experiment is required but the applicant refuses, and the authorities of drug supervision and administration orders the applicant to correct but the applicant refuses to correct, the registration application for this product will not be accepted any longer; for products already accepted, the authorities of drug supervision and administration will make the decision not to register. Article 60 The authorities of drug supervision and administration shall publicize the approving process and results, and shall declare to the society and conduct the hearing as regards important issues of permission involving public interests. Article 61 After in-vitro diagnosis reagents are put on the market, their product standards and instructions must be consistent with the contents approved by the authorities of drug supervision and administration. The applicant shall trace the safety and effectiveness of the products put on the market, and shall put forward timely application for modifying the product standards or instructions when necessary. The applicant shall take full responsibility for the correctness and accuracy of the product standards and instructions. Chapter 8 Change Application and Approval Article 62 After the registration application of in-vitro diagnosis reagents is approved, in case of change of the issues concerning registration and permission, the applicant shall put forward the change application to corresponding authorities of drug supervision and administration according to the provisions in Article 5 of these Measures. In case of change of registration issues, the applicant shall put forward the change application within 30 days since the change takes place; in case of change of permission issues, the applicant shall put forward the change application and implement the change after the change application is approved. When handling the issues concerning change applications, the applicant shall submit the application materials according to corresponding requirements in Article 2 of these Measures. Article 63 The change of registration issues includes the following circumstances: (I) Change of the name of manufacturing enterprise; (II) Change of the registered address of manufacturing enterprise; (III) Change of registration agency; (IV) Change of agent. Article 64 The change of permission issues includes the following circumstances: (I) Change of main materials such as antigen and antibody in the course of production; (II) Change of inspection conditions and reference values (or reference scope), etc.; (III) Change of the items, indexes, experimental methods, etc. set in the registered product standards; (IV) Change of the contents in product instructions, e.g. change or addition of packaging specifications, addition of applicable models, etc.; (V) Change of product storage conditions and/or product warranty period; (VI) Increase of the clinical application scope, e.g. increase of clinical indications, increase of the types of specimens for clinical diagnosis, etc.; (VII) Change of production address (material change of production site); (VIII) Other changes that could influence the safety and effectiveness of products. Article 65 In case of applying for the change of production address (material change of production site), the applicant shall apply for assessment on the quality management system of the new production site. When the quality management system meets the requirements after assessment, the applicant shall submit the application materials according to corresponding requirements in Article 2 of these Measures. Article 66 The following circumstances do not belong to the issues of change application as stipulated in this chapter, and shall be handled as the first registration application: (I) Change of basic reaction principles of the products already put on the market; (II) Change of analytical sensitiveness of the products already put on the market, which also has new significance of clinical diagnosis. Article 67 If the change of permission issues takes place within 6 months before the registration certificate expires, the applicant can put forward the application together with the re-registration. Article 68 The authorities of drug supervision and administration shall carry out the examination of the issues of change application, and approve the change application in the form of Approval of Change Application for In-vitro Diagnosis Reagents. The effective period of the Approval of Change Application for In-vitro Diagnosis Reagents is the same as the original registration certificate, and the applicant shall apply for re-registration when the effective period expires. Article 69 The relevant provisions in Chapter 7 of these Measures apply to the accepting and approving procedures for the change application. Chapter 9 Application and Approval of Re-registration Article 70 The re-registration of in-vitro diagnosis reagents refers to the approving process implemented for continuing the production and sales of the products after the product registration certificate expires. Article 71 The applicant shall put forward the re-registration application to the corresponding authorities of drug supervision and administration according to the provisions in Article 5 of these Measures within 6 months before the product registration certificate expires, and submit the application materials according to corresponding requirements in Appendix 3 of these Measures. In case the applicant puts forward the re-registration application and issues of change application at the same time, the applicant shall make explanation and submit the application materials according to the provisions concerning re-registration application and change application. Article 72 For the product re-registration, if the product has no change whatsoever compared to the approved contents of the original registration, the registration inspection is generally not required. Article 73 If the applicant fails to put forward the re-registration application before the registration certificate expires but needs to continue the production and sales of the products, the product registration shall be handled according to the procedures and requirements for the first registration application. Article 74 The re-registration will not be accepted under any one of the following circumstances: (I) Failure to comply with the requirements put forward by the authorities of drug supervision and administration when approving the marketing of the products; (II) Failure to fulfill the responsibilities for product quality, failure to report serious adverse events, or failure to effectively deal with the serious consequences caused by the products; (III) The quality management system of manufacturing enterprise fails to comply with the requirements; (IV) It is deemed that the safety and effectiveness of the products cannot be guaranteed after re-evaluation of the authorities of drug supervision and administration; (V) Other circumstances not complying with the provisions of the authorities of drug supervision and administration. Article 75 The relevant provisions in Chapter 7 of these Measures apply to the accepting and approving procedures for the re-registration application. Chapter 10 Withdrawal, Return and Review of Registration Application Article 76 For the accepted registration application, the applicant can apply for the withdrawal of the registration application with the corresponding authorities of drug supervision and administration at any stage of the approving procedure. In case the registration application is actively withdrawn, the registration can be applied for again. Article 77 If the accepted registration application comes under any one of the following circumstances, the authorities of drug supervision and administration shall return the application, explain the reasons in writing and inform that the applicant enjoys the right of review and administrative reconsideration. (I) The applicant fails to submit the supplementary materials within the specified time period; (II) The products applying for registration do not belong to the scope stipulated by these Measures; (III) Other circumstances requiring the return of application. Article 78 If the applicant has any objection to the decision made by the authorities of drug supervision and administration to return the application or not to approve the registration, the applicant can put forward the review application with the corresponding authorities of drug supervision and administration within 10 working days since the day of receiving the notice that the application is returned or the registration is not approved. The contents of review application are limited to the original application issues and the original application materials. Article 79 After receiving the review application, the authorities of drug supervision and administration shall make the review decision within the specified time period, and notify the applicant in writing. If the original decision is maintained, the authorities of drug supervision and administration will not accept the review application put forward again by the applicant. Article 80 If the applicant has any objection to the decision made by the authorities of drug supervision and administration to return the application or not to approve the registration, and has applied for administrative reconsideration or lodged administrative litigation, the authorities of drug supervision and administration will not accept the review application put forward by the applicant, Chapter 11 Supervision and Administration Article 81 Any dispute of patent right, which arises during the examination of the registration application for in-vitro diagnosis reagents or after the application is approved, can either be resolved by the parties concerned through friendly consultation, or resolved by departments managing the patent work or people’s court in accordance with the provisions of relevant laws and regulations. Article 82 In case of circumstances stipulated in Article 69 of the Administrative License Law of the People’s Republic of China, the authorities of drug supervision and administration can withdraw the approving documents for relevant products according to the request of interested person or according to its duties. Article 83 After the registration of in-vitro diagnosis reagents is approved, if the quality management system of the manufacturing enterprise for in-vitro diagnosis reagents is not effectively operating, the provincial-level authorities of drug supervision and administration of the region where the enterprise resides shall order the enterprise to correct or rectify within specified period according to the seriousness degree of the case. Article 84 If the agent entrusted by the overseas applicant fails to perform corresponding responsibilities, refuses to report serious adverse events of the products, or fails to effectively deal with the serious consequences caused by the products, the authorities of drug supervision and administration shall punish the agent according to relevant laws and regulations, and release the product risk information to the society. Article 85 Under any one of the following circumstances, the authorities of drug supervision and administration will cancel the documents approving the product registration. (I) The documents approving the product registration expired but not renewed; (II) Termination by legal entity or other organizations in accordance with the law; (III) The documents approving the product registration are cancelled, withdrawn, or revoked according to the law; (IV) Other circumstances under which the administrative license shall be canceled according to relevant laws and regulations. Article 86 If the Medical Device Manufacturing enterprise License of the manufacturing enterprise is cancelled, the product registration certificate held by the enterprise will be annulled automatically, and the authorities of drug supervision and administration will cancel its documents approving the product registration, and make public. Article 87 Any breach of other relevant provisions in these Measures will be punished by the authorities of drug supervision and administration in accordance with the Regulations for the Supervision and Administration of Medical Devices and the Provision on Medical Device Registration. Chapter 12 Supplementary Provisions A Article 88 The product registration No. in the registration certificate is arranged as follows: ×(×)1(Food)YJX(×2)××××3 No.×4××5××××6. Among them: ×1 is the abbreviation for the location of the authority in charge of registration examination and approval: The word of “Guo” is the abbreviation for a Class Ⅲ medical device manufactured domestically or abroad, as well as those from Taiwan, Hong Kong and Macao; The abbreviations of provinces, autonomous regions or municipalities directly under the central government where authorities in charge of registration examination and approval reside for Class II medical device made within the territory; And the combination of abbreviations for provinces, autonomous regions, municipalities directly under the central government where authorities responsible for the registration and approval of a ClassⅠmedical device and abbreviations for city-level administrative areas having districts established therein where such authorities reside shall be expressed as ××1 (In cases where there is no corresponding city-level administrative areas without districts divided therein, the abbreviation shall only be used for provinces, autonomous regions or municipalities directly under the central government); ×2 is the type of registration (Zhun, Jin and Xu): The word of “Zhun” shall apply to a domestic medical device; The word of “Jin” shall apply to a foreign medical device; The word of “Xu” shall be applicable to medical devices from Taiwan, Hong Kong or Macao; ××××3 is the year in which the registration is approved; ×4 is the product class classified for administration convenience; ××5 is the code for a specific variety of product (that for in-vitro diagnosis reagents is: 40); ××××6 is the serial number of registration. Article 89 The time period for examination of in-vitro diagnosis reagents by the authorities of drug supervision and administration shall be specified according to the provisions concerning the time period of examination in Provision on Medical Device Registration. Article 90 The variety scope of the in-vitro diagnosis reagents legitimately stipulated by the state for use in blood screening, and the reagents related to the inspection of narcotic drugs, psychotropic drugs and toxic drugs for medical use, both of which are mentioned in these Measures, shall comply with relevant provisions of the state. Article 91: The right of interpretation of these Measures shall be vested with the State Food and Drug Administration of the People’s Republic of China. Article 92 These Measures shall become effective as of June 1, 2007.