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How to comply with Malaysia Medical Device Regulations 2012? Mourad Kholti 5 th March 2014 The 17 th SE-Asian Healthcare Show, KLCC, Kuala Lumpur

How to comply with Malaysia Medical Device Regulations 2012? · Manufacturer ISO 13485 Authorized representative GDPMD Importer GDPMD Distributor GDPMD . 4th Schedule: Requirements

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Page 1: How to comply with Malaysia Medical Device Regulations 2012? · Manufacturer ISO 13485 Authorized representative GDPMD Importer GDPMD Distributor GDPMD . 4th Schedule: Requirements

How to comply with

Malaysia Medical Device

Regulations 2012?

Mourad Kholti

5th March 2014

The 17th SE-Asian Healthcare Show,

KLCC, Kuala Lumpur

Page 2: How to comply with Malaysia Medical Device Regulations 2012? · Manufacturer ISO 13485 Authorized representative GDPMD Importer GDPMD Distributor GDPMD . 4th Schedule: Requirements

Introduction

Based in Penang (Malaysia), Andaman Medical Sdn. Bhd. is a

consulting firm specializing in Medical Devices Regulatory Affairs

and Quality Management.

Expertise:

• Product registrations & licensing in ASEAN region

• Regulatory Strategies in ASEAN and Europe

• Quality Management Systems:

(ISO 13485, US FDA 21 CFR part 820, GDPMD)

• Clinical Evaluation

• Suppliers Auditing

• Local Authorized Representation

• Certification audit in partnership with a European Notified Body

Page 3: How to comply with Malaysia Medical Device Regulations 2012? · Manufacturer ISO 13485 Authorized representative GDPMD Importer GDPMD Distributor GDPMD . 4th Schedule: Requirements

Contents

Definitions

Local Authorized representative

Arrangement of the MDR 2012

Schedules of MDR 2012

Summary

Q&A

Page 4: How to comply with Malaysia Medical Device Regulations 2012? · Manufacturer ISO 13485 Authorized representative GDPMD Importer GDPMD Distributor GDPMD . 4th Schedule: Requirements

Medical Device Authority (MDA)

The Medical Device Authority (MDA) is a division in the Ministry of Health Malaysia

(MOH) in charge of regulating medical device and its industry players in Malaysia.

Objectives:

• to protect the public health and safety and,

• to ensure that new technology is made available for use for patients in a timely

manner and at the same time facilitating trades and the medical device industry.

How?

through a comprehensive regulatory control and licensing system of:

• medical device products

• manufacturers, LAR, importers, and distributors.

Page 5: How to comply with Malaysia Medical Device Regulations 2012? · Manufacturer ISO 13485 Authorized representative GDPMD Importer GDPMD Distributor GDPMD . 4th Schedule: Requirements

Overview of the regulatory system

Medical Device Act

2012 (act 737)

Medical Device Regulations

2012

Schedules

Page 6: How to comply with Malaysia Medical Device Regulations 2012? · Manufacturer ISO 13485 Authorized representative GDPMD Importer GDPMD Distributor GDPMD . 4th Schedule: Requirements

Contents

Definitions

Arrangement of the MDR 2012

Schedules

Summary

Q&A

Local Authorized representative

Page 7: How to comply with Malaysia Medical Device Regulations 2012? · Manufacturer ISO 13485 Authorized representative GDPMD Importer GDPMD Distributor GDPMD . 4th Schedule: Requirements

Definition “Medical device”

Act 737, section 2

“medical device” means:

any instrument, apparatus, implement, machine, appliance, implant, in-vitro reagent or

calibrator, software, material or other similar or related article intended by the manufacturer

to be used, alone or in combination, for human beings for the purpose of:

diagnosis, prevention, monitoring, treatment or alleviation of disease

diagnosis, monitoring, treatment, alleviation of or compensation for an injury

investigation, replacement or modification, or support of the anatomy or of a physiological process

support or sustaining life

control of conception

disinfection of medical device, or

providing information for medical or diagnostic purpose by means of in-vitro examination of

specimens derived from the human body,

which does not achieve its primary intended action in or on the human body by

pharmacological, immunological or metabolic means, but that may be assisted in its

intended function by such means; and

Page 8: How to comply with Malaysia Medical Device Regulations 2012? · Manufacturer ISO 13485 Authorized representative GDPMD Importer GDPMD Distributor GDPMD . 4th Schedule: Requirements

Definition “Medical device”

b) any instrument, apparatus, implement, machine, appliance,

implant, in-vitro reagent or calibrator, software, material or other

similar or related article, to be used on the human body, which the

Minister may, after taking into consideration issues of public safety,

public health or public risk declare to be a medical device by order

published in the Gazette.

Page 9: How to comply with Malaysia Medical Device Regulations 2012? · Manufacturer ISO 13485 Authorized representative GDPMD Importer GDPMD Distributor GDPMD . 4th Schedule: Requirements

Definition “Medical device”

The compression therapy knee brace is indicated for

relief of weak or injured knees. With comfortable,

breathable, soft, smell-free, materials, it is recommended

for knee joint distortions and effusions, after surgical

interventions, scars treatments, oedemas, sprains and

contusions.

Medical device definition:

…diagnosis, monitoring, treatment, alleviation of or compensation for an injury or

handicap,

Is my product a Medical Device ?

Page 10: How to comply with Malaysia Medical Device Regulations 2012? · Manufacturer ISO 13485 Authorized representative GDPMD Importer GDPMD Distributor GDPMD . 4th Schedule: Requirements

Definition “Establishment”

Act 737, section 2

“establishment” means:

A) a person who is either a manufacturer, importer, or distributor

who is responsible for placing any medical device in the market

but does not include a retailer and

B) an authorized representative* appointed by a manufacturer

having a principal place of business outside Malaysia.

* person domiciled or resident in Malaysia/a firm or company constituted under

the laws of Malaysia

Page 11: How to comply with Malaysia Medical Device Regulations 2012? · Manufacturer ISO 13485 Authorized representative GDPMD Importer GDPMD Distributor GDPMD . 4th Schedule: Requirements

Appointment of LAr

Distributor vs Independent Authorized Representative: • Should my distributor focus on sales & marketing or on Regulatory Affairs? • Do I have to scrap all my labels, inserts and packaging, if I want to change

distributors ? • In case of incident due to transportation from the distributor to the end-user,

will my distributor defend his company or mine? • If my distributor is unable to answer MDA’s questions, does anyone in my

company have the skills to do so directly? • Will confidentiality be maintained when sharing a CSDT containing technical

information with my distributor? • Will my distributor stay up to date on regulatory changes in Malaysia and will

provide me with timely warning when changes affect my devices?

Page 12: How to comply with Malaysia Medical Device Regulations 2012? · Manufacturer ISO 13485 Authorized representative GDPMD Importer GDPMD Distributor GDPMD . 4th Schedule: Requirements

Contents

Definitions

Arrangement of the MDR 2012

Schedules

Summary

Q&A

Local Authorized representative

Page 13: How to comply with Malaysia Medical Device Regulations 2012? · Manufacturer ISO 13485 Authorized representative GDPMD Importer GDPMD Distributor GDPMD . 4th Schedule: Requirements

Medical Device Regulations 2012

Part I: Preliminary

Part II: Conformity Assessment procedure

Part III: Registration of Medical Device

Part IV: Registration of Conformity Assessment Body

Part V: Establishment License

Part VI: Export permit

Part VII: Labelling Requirements

Part VIII: Appeal

Part IX: Register

Page 14: How to comply with Malaysia Medical Device Regulations 2012? · Manufacturer ISO 13485 Authorized representative GDPMD Importer GDPMD Distributor GDPMD . 4th Schedule: Requirements

Part I: Preliminary

• Regulations come into operation on 1st July 2013

• Provides a definition for labelling, licensee, registration

holder, conformity assessment.

Page 15: How to comply with Malaysia Medical Device Regulations 2012? · Manufacturer ISO 13485 Authorized representative GDPMD Importer GDPMD Distributor GDPMD . 4th Schedule: Requirements

Part II: Conformity Assessment procedure

All medical devices shall be appropriately classified and

grouped

All medical devices shall be subjected to conformity

assessment

Depending on the class, the manufacturer shall appoint a

CAB to conduct the assessment

If the conformity assessment is successful, CAB will issue:

Report

Certificate of Conformity

Page 16: How to comply with Malaysia Medical Device Regulations 2012? · Manufacturer ISO 13485 Authorized representative GDPMD Importer GDPMD Distributor GDPMD . 4th Schedule: Requirements

Part III: Registration of Medical Device

Any application for registration of Medical Device shall be

made to MDA using the web-based online system

The application shall be accompanied with:

• Application fee

• Supporting documents

• Any other information required by MDA

• Samples of medical device (if required)

• If MDA is satisfied, the MD will be kept in the register for a

period of 5 years

Cancellation of registration

Page 17: How to comply with Malaysia Medical Device Regulations 2012? · Manufacturer ISO 13485 Authorized representative GDPMD Importer GDPMD Distributor GDPMD . 4th Schedule: Requirements

Part IV: Registration of a CAB

Any person who wants to become a CAB shall comply

with the requirements specified in 4th schedule.

The CAB application shall be accompanied with:

• Application fee

• Supporting documents

• Any other information required by MDA

If MDA is satisfied, the CAB will be registered for a period of

3 years

Page 18: How to comply with Malaysia Medical Device Regulations 2012? · Manufacturer ISO 13485 Authorized representative GDPMD Importer GDPMD Distributor GDPMD . 4th Schedule: Requirements

Part V: Establishment license

Any application for an establishment license shall be made

to MDA using MEDCAST.

The application shall be accompanied with:

• Application fee

• Supporting documents

• Certificate and report of conformity assessment

• Any other information required by MDA

If MDA is satisfied, the establishment license will be issued for a

period of 3 years

Suspension or revocation of establishment license

Page 19: How to comply with Malaysia Medical Device Regulations 2012? · Manufacturer ISO 13485 Authorized representative GDPMD Importer GDPMD Distributor GDPMD . 4th Schedule: Requirements

Part VII: Labelling requirements

Manufacturers shall ensure that the MD is appropriately

labelled according to 6th schedule

Shall be legible, permanent, and prominent

No statement saying that the placement in the market is

promoted or endorsed by MDA (fine RM10K and/or 3

months imprisonment)

Page 20: How to comply with Malaysia Medical Device Regulations 2012? · Manufacturer ISO 13485 Authorized representative GDPMD Importer GDPMD Distributor GDPMD . 4th Schedule: Requirements

Contents

Definitions

Arrangement of the MDR 2012

Schedules

Summary

Q&A

Local Authorized representative

Page 21: How to comply with Malaysia Medical Device Regulations 2012? · Manufacturer ISO 13485 Authorized representative GDPMD Importer GDPMD Distributor GDPMD . 4th Schedule: Requirements

Schedules

First schedule: Rules of classification

Second schedule: Rules of grouping

Third schedule: Conformity Assessment procedure

Fourth schedule: Requirements for the registration of CAB

Fifth schedule: Table of fees

Sixth schedule: Requirements for labelling

Medical Device Regulations 2012

Schedules

Page 22: How to comply with Malaysia Medical Device Regulations 2012? · Manufacturer ISO 13485 Authorized representative GDPMD Importer GDPMD Distributor GDPMD . 4th Schedule: Requirements

1st Schedule: Rules of classification

Some important definitions:

• Invasive medical device

• Central nervous system

• Active device intended for diagnosis

• Hazard

• Risk

• etc…

Page 23: How to comply with Malaysia Medical Device Regulations 2012? · Manufacturer ISO 13485 Authorized representative GDPMD Importer GDPMD Distributor GDPMD . 4th Schedule: Requirements

1st Schedule: Rules of classification

4 classes:

The manufacturer shall be responsible for

classifying its medical device

A

B

C

D

R I S K

Page 24: How to comply with Malaysia Medical Device Regulations 2012? · Manufacturer ISO 13485 Authorized representative GDPMD Importer GDPMD Distributor GDPMD . 4th Schedule: Requirements

1st Schedule: Rules of classification

Classification rules are provided in 2 appendices (tables):

• Appendix 1 to classify Medical Devices excluding IVD

• Appendix 2 to classify IVD devices

Example: all surgically invasive MD intended for short-term use are in class B (rule 7)

If more than one rule is applicable, the higher

classification shall apply.

Page 25: How to comply with Malaysia Medical Device Regulations 2012? · Manufacturer ISO 13485 Authorized representative GDPMD Importer GDPMD Distributor GDPMD . 4th Schedule: Requirements

2nd Schedule: Rules of grouping

Medical Devices may be grouped into one of the following categories:

• single

• family

• system

• set

• in-vitro kit

• in-vitro cluster

The basic rules of grouping consist of:

• one generic proprietary name

• one manufacturer

• one common intended purpose

Page 26: How to comply with Malaysia Medical Device Regulations 2012? · Manufacturer ISO 13485 Authorized representative GDPMD Importer GDPMD Distributor GDPMD . 4th Schedule: Requirements

3rd Schedule: Conformity Assessment procedure

Collection of evidence of conformity by the

Manufacturer.

If the manufacturer is not in Malaysia, it shall:

authorize a LAr to act on its behalf

provide all the evidence of conformity

provide necessary support to the LAr for the

purpose of the assessment

Depending on the class, a CAB shall be appointed

to conduct the assessment.

Page 27: How to comply with Malaysia Medical Device Regulations 2012? · Manufacturer ISO 13485 Authorized representative GDPMD Importer GDPMD Distributor GDPMD . 4th Schedule: Requirements

3rd Schedule: Conformity Assessment procedure

Elements of the Conformity assessment:

conformity assessment of the QMS

conformity assessment of PMS

conformity assessment of Technical documentation (CSDT)

DoC

Once assessment completed

Page 28: How to comply with Malaysia Medical Device Regulations 2012? · Manufacturer ISO 13485 Authorized representative GDPMD Importer GDPMD Distributor GDPMD . 4th Schedule: Requirements

3rd Schedule: Conformity Assessment procedure (Summary)

Source: Medical Device Authority

Page 29: How to comply with Malaysia Medical Device Regulations 2012? · Manufacturer ISO 13485 Authorized representative GDPMD Importer GDPMD Distributor GDPMD . 4th Schedule: Requirements

3rd Schedule: Conformity Assessment procedure (Appendices)

Appendix 1: Essential Principles of Safety and

Performance of Medical Device (checklist)

Appendix 2: Common Submission Dossier Template

Appendix 3: Declaration of Conformity

Appendix 4: Requirements on QMS

Type of Establishment QMS

Manufacturer ISO 13485

Authorized representative GDPMD

Importer GDPMD

Distributor GDPMD

Page 30: How to comply with Malaysia Medical Device Regulations 2012? · Manufacturer ISO 13485 Authorized representative GDPMD Importer GDPMD Distributor GDPMD . 4th Schedule: Requirements

4th Schedule: Requirements for the registration of CAB’s

This schedule provides the requirements for a person

who wish to be registered as a Conformity Assessment

Body:

requirements on organization

requirements on resources and technical competency

requirements on independence and impartiality

requirements on Quality Management System

Page 31: How to comply with Malaysia Medical Device Regulations 2012? · Manufacturer ISO 13485 Authorized representative GDPMD Importer GDPMD Distributor GDPMD . 4th Schedule: Requirements

5th Schedule: Table of fees

E

stab

lish

men

t lic

ense

Application fee (RM) (EUR)

Manufacturer 250 55

Authorized representative 250 55

Distributor 250 55

Importer 250 55

Licensee fee

Manufacturer 4000 880

Authorized representative 4000 880

Distributor 2000 440

Importer 2000 440

Application for renewal fee

Manufacturer 200 44

Authorized representative 200 44

Distributor 200 44

Importer 200 44

Renewal fee

Manufacturer 2000 440

Authorized representative 2000 440

Distributor 1000 220

Importer 1000 220

Med

ical

Devi

ce Application fee (RM) (EUR)

Class A 100 22

Class B 250 55

Class C 500 110

Class D 750 165

Registration fee

Class A 0 0

Class B 1000 220

Class C 2000 440

Class D 3000 660

with medicinal product 5000 1100

Page 32: How to comply with Malaysia Medical Device Regulations 2012? · Manufacturer ISO 13485 Authorized representative GDPMD Importer GDPMD Distributor GDPMD . 4th Schedule: Requirements

6th Schedule: Requirements for labelling

Provides requirements for:

• Location: on the device itself

• Format: if symbols are used, provide explanation

• Language: Bahasa Melayu for home-used devices

(also for others if required by MDA)

• Contents: manufacturer AND LAr names, lot nbr,

serial nbr, expiry date…

• IFU: precautions and warnings, etc…

Page 33: How to comply with Malaysia Medical Device Regulations 2012? · Manufacturer ISO 13485 Authorized representative GDPMD Importer GDPMD Distributor GDPMD . 4th Schedule: Requirements

How do you feel now ?

Page 34: How to comply with Malaysia Medical Device Regulations 2012? · Manufacturer ISO 13485 Authorized representative GDPMD Importer GDPMD Distributor GDPMD . 4th Schedule: Requirements

Let’s summarize…

Preparation

Classify your Medical Device

Group your devices

Identify your CAB

Establishment licenses

(before June 30th 2014)

Manufacturer (ISO13485)

Authorized rep (GDPMD)

Importer (GDPMD)

Distributor (GDPMD)

Conformity assessment

(before June 30th 2015)

Manufacturer QMS

Manufacturer PMS

Summary Technical Documentation

Declaration of Conformity

MedCast registration

MedCast registration

MDA approval

Page 35: How to comply with Malaysia Medical Device Regulations 2012? · Manufacturer ISO 13485 Authorized representative GDPMD Importer GDPMD Distributor GDPMD . 4th Schedule: Requirements

www.andamanmed.com

[email protected]

Page 36: How to comply with Malaysia Medical Device Regulations 2012? · Manufacturer ISO 13485 Authorized representative GDPMD Importer GDPMD Distributor GDPMD . 4th Schedule: Requirements

Sources

http://www.mdb.gov.my/mdb/

Page 37: How to comply with Malaysia Medical Device Regulations 2012? · Manufacturer ISO 13485 Authorized representative GDPMD Importer GDPMD Distributor GDPMD . 4th Schedule: Requirements

Q&A