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Essential Requirements

MDD 93/42/EEC - Annex 1

General Requirements

No.

Essential Requirement

Applies?
(yes/no/na)

Response

1. The device must be designed and manufactured in such a way that, when used under the conditions and for the purposes intended, they will not compromise the clinical condition or the safety of patients, or the safety and health of users or, where applicable, other persons, provided that any risks which may be associated with their use constitute acceptable risks when weighed against the benefits to the patient and are compatible with a high level of protection of health and safety.    
2. The solutions adopted by the manufacturer for the design and construction of the devices must conform to safety principles, taking account of the generally acknowledged state of the art..

 

In selecting the most appropriate solutions, the manufacturer must apply the following principles in the following order:

- eliminate or reduce risks as far as possible (inherently safe design and
construction)
- where appropriate take adequate protection measures including alarms if necessary, in relation to risks that can not be eliminated.
- inform users of the residual risks due to shortcomings of the protection methods adopted.

   
3. The devices must achieve the performance intended by the manufacturer and be designed, manufactured and packaged in such a way that they are suitable for one or more of the functions referred to in Article 1 (2) (a) as specified by the manufacturer.    

Essential Requirements
Medical Device Directive 93/42/EEC - Annex I

4. The characteristics and performance referred to in sections 1, 2 and 3 must not be adversely affected to such a degree that the clinical condition and safety of the patients and, where applicable, of other persons are compromised during the lifetime of the device as indicated by the manufacturer, when the device is subjected to the stresses which can occur during normal conditions of use.    
5. The devices must be designed, manufactured and packed in such a way that their characteristics and performances during their intended use will not be adversely affected during transport and storage taking into account the instructions and information provided by the manufacturer.    
6. Any undesirable side effects must constitute an acceptable risk when weighed against the performances intended.    

II. REQUIREMENTS REGARDING DESIGN AND CONSTRUCTION

No.

Essential Requirement

Applies?

(yes/no/na)

Response

7

7.1

Chemical, Physical and Biological Properties

The devices must be designed, manufactured and packed in such a way as to guarantee the characteristics and performances referred to in Section I on the "General Requirements". Particular attention must be paid to:
- the choice of materials used, particularly as regards toxicity and, where appropriate, flammability
- the compatibility between the materials used and biological tissues, cells and body fluids, taking account of the intended purpose of the device.

   

7.2

The devices must be designed, manufactured and packed in such a way as to minimize the risk posed by contaminants and residues to the persons involved in the transport, storage and use of the devices and to the patients, taking account of the intended purpose of the product. Particular attention must be paid to the tissues exposed and the duration and frequency of the exposure.    

Essential Requirements
Medical Device Directive 93/42/EEC - Annex I

7.3

The devices must be designed and manufactured in such a way that they can be used safely with the materials, substances and gases with which they enter into contact during normal use or during routine procedures; if the devices are intended to administer medicinal products, they must be designed and manufactured in such a way as to be compatible with the medicinal products concerned according to the provisions and restrictions governing those products and that their performance is maintained in accordance with the intended use.    

7.4

Where a device incorporates, as an integral part, a substance which, if used separately, may be considered to be a medicinal product as defined in Article I of Directive 65/65/EEC and which is liable to act upon the body with action ancillary to that of the device, the safety, quality and usefulness of the substance must be verified, taking account of the intended purpose of the device, by analogy with the appropriate methods specified in Directive 75/318/EEC.    

7.5

The devices must be designed and manufactured in such a way as to reduce to a minimum the risks posed by substances leaking from the device.    

7.6

The devices must be designed and manufactured in such a way as to reduce as much as possible, risks posed by the unintentional ingress of substances into the device taking into account the device and the nature of the environment in which it is intended to be used.    

Essential Requirements
Medical Device Directive 93/42/EEC - Annex I

No.

Essential Requirement

Applies?

(yes/no/na)

Response

8

8.1

Infection and Microbial Contamination

The devices and their manufacturing processes must be designed in such a way as to eliminate or reduce as far as possible the risk of infection to the patient, user and third parties, the design must allow easy handling and, where necessary, minimize contamination of the device by the patient or vice versa during use.

   

Essential Requirements
Medical Device Directive 93/42/EEC - Annex I

No.

Essential Requirement

Applies?

(yes/no/na)

Response

8.2

Tissues of animal origin must originate from animals that have been subjected to veterinary controls and surveillance adapted to the intended use of the tissues.

Notified Bodies shall retain information on the geographical origin of the animals.

Processing, preservation, testing and handling of tissues, cells and substances of animal origin must be carried out so as to provide optimal security. In particular, safety with regard to viruses and other transferable agents must be addressed by implementation of validated methods of elimination or viral inactivation in the course of the manufacturing process.

   

8.3

Devices delivered in a sterile state must be designed, manufactured and packed in a non-reusable pack and/or according to appropriate procedures to ensure they are sterile when placed on the market and remain sterile, under the storage and transport conditions laid down, until the protective packaging is damaged or opened.    

8.4

Devices delivered in a sterile state must have been manufactured and sterilized by an appropriate, validated method.    

8.5

Devices intended to be sterilized, must be manufactured in appropriately controlled (e.g. environmental) conditions.    

8.6

Packaging systems for non-sterile devices must keep the product without deterioration in the level of cleanliness stipulated and, if the devices are to be sterilized prior to use, minimize the risk of microbial contamination. The packaging system must be suitable taking account of the method of sterilization indicated by the manufacturer.    

8.7

The packaging and/or label of the device must distinguish between identical or similar products sold in both sterile and non-sterile condition.    

Essential Requirements
Medical Device Directive 93/42/EEC - Annex I

No.

Essential Requirement

Applies?

(yes/no/na)

Response

9

9.1

Construction and Environmental Properties

If the device is intended for use in combination with other devices or equipment, the whole combination, including the connection system must be safe and must not impair the specified performance of the devices. Any restrictions on the use must be indicated on the label or in the instructions for use.

   

9.2

Devices must be designed and manufactured in such a way as to remove or minimize as far as possible:

- the risk of injury, in connection with their physical features, including the volume/pressure ratio, dimensional, and where appropriate the ergonomic features,
- risks connected with reasonable foreseeable environmental conditions, such as magnetic fields, external electrical influences, electrostatic discharge, pressure, temperature or variations in pressure and acceleration,
- the risks of reciprocal interference with other devices normally used in the investigations or for the treatment given,
- risks arising where maintenance or calibration are not possible (as with implants) from ageing of the materials used or loss of accuracy of any measuring or control mechanism.

   

9.3

Devices must be designed and manufactured in such a way as to minimize the risks of fire or explosion during normal use and in single fault condition. Particular attention must be paid to devices whose intended use includes exposure to flammable substances which could cause combustion.    

Essential Requirements
Medical Device Directive 93/42/EEC - Annex I

No.

Essential Requirement

Applies?

(yes/no/na)

Response

10

Devices with measuring function.    

Essential Requirements
Medical Device Directive 93/42/EEC - Annex I

No.

Essential Requirement

Applies?

(yes/no/na)

Response

11

Protection against radiation

 

   

Essential Requirements 
Medical Device Directive 93/42/EEC - Annex I

No.

Essential Requirement

Applies?

(yes/no/na)

Response

12

Requirements for medical devices connected to or equipped with an energy source

 

   

Essential Requirements
Medical Device Directive 93/42/EEC - Annex I

No.

 Essential Requirement

Applies?

(yes/no/na)

Response

13

13.1

Information supplied by the manufacturer

Each device must be accompanied by the information needed to use it safely and to identify the manufacturer, taking account of the training and knowledge of the potential user. This information comprises the details on the label and the data in the instructions for use. As far as practicable and appropriate, the information needed to use the device safely must be set out on the device itself and/or on the packaging of each unit. If not practicable, the information must be set out in the leaflet supplied with one or more devices.

Instructions for use must be included in the packaging for every device. By way of exception, no such instruction leaflet is needed for devices in Class I or Class IIa if they can be used completely safely without any such instructions.

   

13.2

Where appropriate, this information should take the form of symbols. Any symbol or identification colour used must conform to the harmonized standards. In areas for which no standards exist, the symbols and colours must be described in the documentation supplied with the

device.

   

Essential Requirements
Medical Device Directive 93/42/EEC - Annex I

No.

Essential Requirement 

Applies?

(yes/no/na)

Response

13.3

The label must bear the following particulars:
  1. the name or trade name and address of the manufacturer. For devices imported into the Community, the label, or the outer packaging, or the instructions for use, shall contain in addition the name and address of either the person responsible referred to in Article 14.2 or of the authorized representative of the manufacturer established within the Community or of the importer established within the Community, as appropriate.
  2. the details strictly necessary for the user to identify the device and the contents of the packaging.
  3. where appropriate, the word ‘STERILE’.
  4. where appropriate, the batch code, preceded by the word ‘LOT’ or the serial number.
  5. where appropriate, an indication of the date by which the device should be used, in safety, expressed as the year and month.
  6. where appropriate, an indication that the device is for single use.
  7. if the device is custom-made, the words "custom made device".
  8. if the device is intended for clinical investigations, the words "exclusively for clinical investigations".
  9. any special storage and/or handling conditions.
  10. any special operating instructions.
  11. any warnings and/or precautions to take.
  12. year of manufacture of active devices, other than those covered by e). This indication may be included in the batch or serial number.
  13. where applicable, method of sterilization.
   

13.4

If the intended purpose of the device is not obvious to the user, the manufacturer must clearly state it on the label and in the instructions for use.    

13.5

Wherever reasonable and practicable, the devices and detachable components must be identified, where appropriate in terms of batches, to allow all appropriate action to detect any potential risk posed by the devices and detachable components.    

13.6

Where appropriate, the instructions for use must contain the following particulars:
  1. the details referred to in 13.3, with the exception of d) and e).
  2. the performances referred to in Section 3 and any undesirable side effects.
  3. if the device must be installed with or connected to other medical devices or equipment in order to operate as required for its intended purpose, sufficient details of its characteristics to identify the correct devices or equipment to use in order to obtain a safe combination.
  4. all the information needed to verify whether the device is properly installed and can operate correctly and safely, plus details of the nature and frequency of the maintenance and calibration needed to ensure that the devices operate properly and safely at all times.
  5. where appropriate, information to avoid certain risks in connection with implantation of the device.
  6. information regarding the risks of reciprocal interference posed by the presence of the device during specific investigations or treatment.
  7. the necessary instructions in the event of damage to the sterile packaging and where appropriate, details or appropriate methods of re-sterilization.
  8. if the device is reusable, information on the appropriate processes to allow reuse, including cleaning, disinfection, packaging, and where appropriate, the method of sterilization of the device to be re-sterilized and any restriction on the number of uses.

    Where the devices are supplied with the intention that they be sterilized before use, the instructions for cleaning and sterilization must be such that, if correctly followed,, the device will still comply with the requirements in Section 1.
  9. details of any further treatment or handling needed before the device can be used (for example sterilization, final assembly etc.)
  10. in the case of devices emitting radiation for medical purposes, details of the nature, type, intensity and distribution of this radiation.

    The instructions for use must include details allowing the medical staff to brief the patient on any contra-indications and any precautions to be taken. These details should cover in particular:
  11. precautions to be taken in the event of changes in the performance of the device.
  12. precautions to be taken as regards exposure, in reasonable foreseeable environmental conditions, to magnetic fields, external electrical influences, electrostatic discharge, pressure or variations in pressure, acceleration, thermal ignition sources, etc.
  13. adequate information regarding the medicinal products which the device in question is designed to administer, including any limitations in the choice of substances to be delivered.
  14. precautions to be taken against any special, unusual risks related to the disposal of the device
  15. medicinal substances incorporated into the device as an integral part in accordance with Section 7.4
  16. degree of accuracy claimed for devices with a measuring function.
   
14 Where conformity with the essential requirements must be based on clinical data, as in Section 1 (6), such data must be established in accordance with Annex X.    

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