The European Commission’s Medical Device Coordination Group (MDCG) posted five new guidances on demonstrating equivalence to existing devices; clinical evidence for legacy devices; templates for post market clinical follow-up plans and evaluation reports; and regulatory requirements for ventilators.

Equivalence

The MDCG explains that while the MEDDEV 2.7/1 rev. 4 guidelines on clinical evaluation of medical devices under directives 93/42/EEC (MDD) and 90/385/EEC (AIMDD) should be referenced when demonstrating equivalence under MDR, the previous guidelines “are not fully aligned with the MDR.”

The aim of the new guidance is to explain the differences in technical, biological and clinical criteria for demonstrating equivalence.

MDCG 2020-5 Clinical Evaluation – Equivalence. A guide for manufacturers and notified bodies

Legacy devices

The aim of the new guidance on legacy devices is to explain how to generate sufficient clinical evidence to demonstrate conformity to the relevant general safety and performance requirements (GSPR) for legacy devices CE marked in accordance with the MDD and AIMDD.

The guidance provides specific recommendations for conducting clinical evaluations for legacy devices under Annex XIV Part A of the MDR.

MDCG 2020-6 Regulation (EU) 2017/745: Clinical evidence needed for medical devices previously CE marked under Directives 93/42/EEC or 90/385/EEC. A guide for manufacturers and notified bodies

Post market clinical follow-up (PMCF) templates

In two separate guidances, the MDCG provides templates for post market clinical follow-up plans and evaluation reports.

The guidances explain that the PMCF is “a continuous process that updates the clinical evaluation and that shall be addressed in the manufacturer’s post market surveillance plan.” The MDR also includes specific requirements for developing PMCF plans and evaluation reports.

MDCG 2020-7 Post-market clinical follow-up (PMCF) Plan Template. A guide for manufacturers and notified bodies

MDCG 2020-8 Post-market clinical follow-up (PMCF) Evaluation Report Template. A guide for manufacturers and notified bodies

Ventilators

In its guidance on ventilators and related accessories, the MDCG explains different regulatory options for a fast market entry of the much-needed devices amid the COVID-19 pandemic.

Additionally, the MDCG states: “In the exceptional COVID-19 context, the assessment procedures will ensure a short-term supply while guaranteeing patient safety. The Member State will evaluate the available technical documentation to find evidence that essential performance and safety requirements are guaranteed in the context of use.”

MDCG 2020-9 Regulatory Requirements for Ventilators and Related Accessories

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