Medical Device Compliance: Postmarket Requirements (Ch. 14) Flashcards

1
Q

What is the definition of a postmarket surveillance system?

A

A systematic postproduction phase device experience procedure, and the appropriate means to apply any necessary corrective actions

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2
Q

What is the Medical Device Vigilance System?

A

The criteria and procedures used by manufacturers, CA’s, and all other interested parties to notify and handle incidents and FSCAs

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3
Q

What is the intent of the General Product Safety Directive (GPSD) 2001/95/EC?

A

Intended to ensure a high level of consumer product safety, and it completes, compliments, and reinforces the medical device vigilance provisions

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4
Q

TRUE/FALSE: A post-market surveillance system is both proactive and reactive.

A

True

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5
Q

Who is responsible for defining risk-acceptance criteria to demonstrate compliance with relevant standards?

A

The manufacturer

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6
Q

TRUE/FALSE: Risk management is an activity that should be carried out during the design phase of the device lifecycle.

A

FALSE! The risk management file is a living document in all phases of the medical device’s lifecycle: design, production, or postmarket surveillance

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7
Q

What is a PMS Plan?

A

PMS Plan: defines the postmarket activities to be conducted for a product or group of products

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8
Q

What is a PMCF?

A

PMCF: Post-Market Clinical Follow-Up

Investigates and assesses residual risks in the postmarket phase

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9
Q

What are reasons to conduct a PMCF study?

A
  1. Increased risks
  2. Limited premarket data
  3. Newly identified risks
  4. CE-marking based on equivalence
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10
Q

Who is responsible for establishing and operating a medical device vigilance system within each Member State?

A

Competent Authorities

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11
Q

What is the EUDAMED database?

A

EUDAMED: European Databank on Medical Devices

- A central database for information exchange among CAs and the Commission

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12
Q

What is MEDDEV 2.12/1 rev 8?

A

MEDDEV 2.12/1 rev 8

Guidance document - Market surveillance - Guidelines on a Medical Devices Vigilance System

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13
Q

What are the types of incidents to be reported?

A
  1. Incidents resulting in a death of a patient, user, or other person
  2. Incidents resulting in a serious deterioration in a patient, user, or other person’s state of health
  3. Events that might have led to death or serious deterioration in health but did not, as a result of fortunate circumstances or the intervention of healthcare personnel
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14
Q

What are the criteria for incident reporting?

A
  1. An event has occurred
  2. The manufacturer’s device is suspected of being a contributory cause of the incident
  3. The event led, or might have led, to one of the following outcomes:
    a. Death of a patient, user, or other person
    b. Serious deterioration in the state of health of a patient, user, or other person
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15
Q

What is the definition of a malfunction or deterioration?

A

The device’s failure to perform its intended purpose when used in accordance with the manufacturers instructions

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16
Q

What are the timelines for initial incident reporting?

A

2 days: serious public health threat
10 days: death or unanticipated serious deterioration
15 days: other serious incidents

17
Q

Where is a vigilance report submitted?

A

To the CA in the country in which the incident occurred

18
Q

What is trend reporting?

A

required to report a significant increase or trend in events or incidents usually excluded from individual reporting

19
Q

What is the Safeguard Clause?

A

Gives Member States the right to take all appropriate interim measures to withdraw a device from the market
- Outcome: Other Member States are informed, and may adopt appropriate national measures

20
Q

What is the Health Monitoring Measure?

A

Allows a Member State to take any necessary and justified actions to protect consumer health and safety or the public health
- Outcome: If the Commission agrees, it develops a measure that must be adopted uniformly throughout the Community

21
Q

What components will be included in the new and improved EUDAMED?

A
  1. Devices & UDI Info
  2. Certificates
  3. Clinical Investigations
  4. SRN - EO info
  5. NB accreditation and designation
  6. Applications for conformity assessment by NB
  7. Summaries of safety and clinical performance
  8. Performance studies for IVDs
  9. Market surveillance