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___________________________________________________________________________ 2018/SCSC/WKSP1/016 Session: Panel 4 Standards and Its Benefits – MedTech Perspective Submitted by: KaVo Kerr APEC-IEC-ISO Joint Workshop on Developing Competence Requirements and Career Path for Standards Professionals Singapore 23-24 January 2018

Standards and Its Benefits – MedTech Perspectivemddb.apec.org/Documents/2018/SCSC/WKSP1/18_scsc... · Medical devices – Application of risk management to medical devices IEC 60601-2-28

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Page 1: Standards and Its Benefits – MedTech Perspectivemddb.apec.org/Documents/2018/SCSC/WKSP1/18_scsc... · Medical devices – Application of risk management to medical devices IEC 60601-2-28

___________________________________________________________________________

2018/SCSC/WKSP1/016 Session: Panel 4

Standards and Its Benefits – MedTech Perspective

Submitted by: KaVo Kerr

APEC-IEC-ISO Joint Workshop on Developing Competence Requirements

and Career Path for Standards Professionals

Singapore23-24 January 2018

Page 2: Standards and Its Benefits – MedTech Perspectivemddb.apec.org/Documents/2018/SCSC/WKSP1/18_scsc... · Medical devices – Application of risk management to medical devices IEC 60601-2-28

Confidential & Proprietary © Jacqueline C. Monteiro 2018

Jacqueline C. Monteiro

Standards & Its Benefits –MedTech Perspective

APEC-IEC-ISO Workshop

24 January 2018

Confidential & Proprietary ©Jacqueline C. Monteiro 2018

Page 3: Standards and Its Benefits – MedTech Perspectivemddb.apec.org/Documents/2018/SCSC/WKSP1/18_scsc... · Medical devices – Application of risk management to medical devices IEC 60601-2-28

Confidential & Proprietary © Jacqueline C. Monteiro 2018

Importance & Value of International Standards

• The medical technology business is highly regulated

• The world keeps changing: regulations are becoming more stringent, e.g. EU MDR

• Industry must comply with the regulations (it’s the law!)

• Industry must understand the regulations and applicable standards – interlinked

• Industry can and must influence the contents of upcoming standards

• Industry must be timely aware of new standards and regulations

• Standards are recognized by regulators (EU: Harmonized, USA: Consensus Standards etc.)

• Standards give presumption of conformity with regulations

• Standards are used in business-to-business economy

• Standards represent state-of-the-art technology

• Standards ensure global market accessibility

• Standards and how it is applied, essential for career development

Page 4: Standards and Its Benefits – MedTech Perspectivemddb.apec.org/Documents/2018/SCSC/WKSP1/18_scsc... · Medical devices – Application of risk management to medical devices IEC 60601-2-28

Confidential & Proprietary © Jacqueline C. Monteiro 2018

Blood Glucose Meter

ISO 15197:2013 In vitro diagnostic test systems --Requirements for blood-glucose monitoring systems for self-testing in managing diabetes mellitus

USFDA Guidance (Oct. 11, 2016)

Self-Monitoring Blood Glucose Test Systems for Over-the-Counter Use

NCCLS* EP9-A2Vol. 22 No. 19

Method Comparison and Bias Estimation Using Patient Samples; Approved Guideline—Second Edition

ISO 14971:2012 Application of risk management to medical devices

ISO 13485:2016 Quality management systems. Requirements for regulatory purposes.

* NCCLS: National Committee for Clinical Laboratory Standards

IEC 62304 (Edition 1.0, 2006)

Medical device software – Software life cycle processes

ISO 14971: 2012

Medical devices – Application of risk management to medical devices

IEC 60601-2-28 (Edition 2.0, 2010).

Particular requirements for the basic safety and essential performance of X-ray tube assemblies for medical diagnosis

IEC 60601-2-43 (Edition 2.0, 2010).

Particular requirements for the safety of X-Ray equipment for interventional procedures

USFDA Guidance (May 11, 2005)

Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices

USFDA Guidance (February 3, 2016)

Applying Human Factors and Usability Engineering to Medical Devices,

USFDA Guidance (September 1, 2016)

Guidance for the Submission of 510(k)’s for Solid State X-ray Imaging Devices

ISO 13485:2016 Quality management systems. Requirements for regulatory purposes.

X-Ray

Products & Standards

Note: Not exhaustive list

Page 5: Standards and Its Benefits – MedTech Perspectivemddb.apec.org/Documents/2018/SCSC/WKSP1/18_scsc... · Medical devices – Application of risk management to medical devices IEC 60601-2-28

Confidential & Proprietary © Jacqueline C. Monteiro 2018

Standards development process

• EDUCATE industry stakeholders early about Standards & that they CAN WRITE THE STANDARDS!!

• But only during the development process, not after publication!!

• Industry stakeholders can participate at different levels:

– in the national mirror committees(from a distance, only reviewing official drafts

– in working groups/technical committees (discussing working drafts, writing the official drafts)

– as convener/chairman of working groups (“holding the pen”)

Page 6: Standards and Its Benefits – MedTech Perspectivemddb.apec.org/Documents/2018/SCSC/WKSP1/18_scsc... · Medical devices – Application of risk management to medical devices IEC 60601-2-28

Confidential & Proprietary © Jacqueline C. Monteiro 2018

26 Nov’14Formation of

Working Group

1 Jul’16 Public Consultation

15 Jul’16 Industry Dialogue

Nov’16 Publish and launch

SS 620:2016 Journey to Standardisation:

Good Distribution Practice for

Medical Devices

1

2

3

5

2 Sep’16 Public Consultation

4

Page 7: Standards and Its Benefits – MedTech Perspectivemddb.apec.org/Documents/2018/SCSC/WKSP1/18_scsc... · Medical devices – Application of risk management to medical devices IEC 60601-2-28

Confidential & Proprietary © Jacqueline C. Monteiro 2018

Challenges & Issues

• INFLUENCE (TIME) = MONEY !!!

– Travel costs are limited, but business burden can be HUGE

– Investments are limited, but business benefits are HUGE

• International vs. National Participation?

• Do we have experts to participate? Team effort!!

• Development of experts takes time & $$$

• Business Focus = Speed to Market

Page 8: Standards and Its Benefits – MedTech Perspectivemddb.apec.org/Documents/2018/SCSC/WKSP1/18_scsc... · Medical devices – Application of risk management to medical devices IEC 60601-2-28

Confidential & Proprietary © Jacqueline C. Monteiro 2018

Evolution of Medical Technology

Page 9: Standards and Its Benefits – MedTech Perspectivemddb.apec.org/Documents/2018/SCSC/WKSP1/18_scsc... · Medical devices – Application of risk management to medical devices IEC 60601-2-28

Confidential & Proprietary © Jacqueline C. Monteiro 2018

Competency Development Process

• Domain technical experts – knowledgeable & experienced

• Evolving Medical Technology

– Rapid convergence of multiple-domains of expertise

– Opportunities for more new/revisions of standards/regulations etc..

• Career pathway – upstream (e.g. R&D, manufacturer) and downstream (e.g. commercial)

– Roles & responsibilities differ

– Competencies differ

– No One-Size-Fits All approach

• Competency timely matched to Company’s focus and requirements ($$$) – Team effort!!

Page 10: Standards and Its Benefits – MedTech Perspectivemddb.apec.org/Documents/2018/SCSC/WKSP1/18_scsc... · Medical devices – Application of risk management to medical devices IEC 60601-2-28

Confidential & Proprietary © Jacqueline C. Monteiro 2018

Thank You!

Q & A